Quality of life after colorectal surgery:A prospective study of patients compared with their spouses

BACKGROUND Although radical surgery for colorectal cancer improves the oncological outcomes,a significant portion of patients suffer from alterations in their quality of life(QoL).There are many studies investigating the QoL of patients who have colorectal cancer but none of these focus on the QoL of spouses.AIM To compare the QoL of patients after colorectal surgery to the QoL of spouses.METHODS This prospective study consisted of patients who were married and who underwent surgery at the University of Ankara,Department of Surgery between March 2006 and November 2010.Patients’spouses were also enrolled.The study was approved by the Ethics Committee of the Faculty of Medicine,Ankara University,and all patients provided written informed consent.The study included patients who underwent curative surgery for colorectal carcinoma[n=100;abdominoperineal excision(n=33),low anterior resection(n=33),left hemicolectomy(n=34)]and their spouses(n=100).The patients and spouses completed the Medical Outcome Study 36-item Short Form Survey(SF-36)and the World Health Organization Disability Assessment Schedule II(WHODAS-II)preoperatively and at postoperative months 15 to 18.RESULTS During this 4.5-year study period,273 patients with sigmoid or rectal cancer were admitted to the hospital.Of these patients,119 were eligible and willing to participate.Eleven patients had either systemic or locally inoperable disease,three patients had a severe surgical complication,and five patients were lost to followup.Therefore,a total of 100 patients completed the follow-up period.There was a statistically significant positive correlation between the disability scores of patients and the scores of their spouses for some of the WHODAS-II subscales,such as“self-care,”“life activities,”and“participation in society,”as well as for the total WHODAS-II score.There was also a positive correlation between the QoL of patients and the QoL of their spouses in most of the SF-36 subscales.Statistically significant correlations were observed for the“bodily pain,”“general health,””vitality,”“social function,”“emotion,”“mental health,”and mental component summary score subscales of the SF-36.When gender differences were evaluated,the QoL of male patients’spouses changed more when compared with female patients’spouses for all of the WHODAS-II subscales.Colorectal cancer surgery has a significant effect on the QoL of both patients and their spouses,these effects were more significant among male patients’spouses.CONCLUSION Preoperative counseling regarding potential problems should therefore collectively address patient and their spouse as a couple rather than the patient alone,particularly for patients undergoing low anterior resection and abdominoperineal resection procedures.

A Survey on the Sexual Health of Elderly Patients with Cardiovascular Disease and Their Spouses

Objective:To investigate the sexual relationship and sexual health of elderly patients with cardiovascular disease and their spouses,as well as to explore the relationship between sexual health and the quality of life.Methods:A total of 206 CHD patients and their spouses(N=206)as well as 238 age-and gender-matched healthy people were recruited and investigated by using a seilf-designed sexual relationship and sexual health questionnaire and the SF-36 questionnaire;data analysis and comparison were carried out by using SPSS 22.0.Results:The scores of perceived health,marital satisfaction,sexual satisfaction,sexual function,and quality of life were all significantly different among elderly CVD patients,then-spouses,and healthy people(F=3.894,p<0.05).There was a significant correlation between perceived health,marital satisfaction,sexual satisfaction,and sexual function with quality of life(p<0.05).Conclusion:Sexual behavior is an important aspect of quality of life.The sexual relationship,sexual health,and quality of life of elderly patients with cardiovascular disease and their spouses were significantly lower than those of healthy people.It is recommended that more attention should be paid on the sexual relationship and sexual health of these patients and their spouses,with counselling offered when needed.

Effects of oral Shilajit tablets on sexual function and sexual quality of life among reproductive-aged women: a triple-blind randomized clinical trial

Background:Shilajit is mentioned in the“Kama Sutra”as a potent enhancer of sexual desire.This study aimed to investigate the effects of oral Shilajit tablets on sexual function and sexual quality of life among women of reproductive age.Methods:Forty-eight reproductive-aged women participated in a placebo-controlled triple-blind clinical trial.The intervention group took oral Shilajit tablets(200 mg)twice daily for 60 days and the control group took the placebo.Data collection tools were Sexual Quality of Life-Female and Female Sexual Function Index.Data were collected before the intervention,30,60,and 90 days after the start of the study.Results:Forty-three women completed the study.The mean score of total sexual function in the intervention group was significantly higher than before the intervention(P<0.001).The mean score of sexual function was 28.93 after 90 days in the intervention group while it was 22.09 in the control group.This finding was observed in most domains of the sexual function index.The mean score of sexual quality of life increased after 60 days of intervention in both groups;however,the difference was not statistically significant(P=0.094).Conclusion:The study indicated that Shilajit,as a complementary therapy,may improve sexual function and most of its domains;while there was no effect on improving the quality of sexual life.

Effect of Ovarian Transposition Therapy on Ovarian Function, Ovarian Blood Flow and Sexual Life Quality in Patients with Cervical Cancer

Objective To study the ovarian function,blood flow and quality of life in patients with cervical cancer after ovarian transposition.Methods 114 patients with cervical cancer during January 2015 to January 2016 were retrospectively analyzed,patients who don’t need ovarian transposition treatment were included in the control group(38 cases),and those who need ovarian transposition treatment were included in observation group,those who had accepted operation but not radiotherapy were in observation group 1(38 cases),and those who had accepted operation and radiotherapy were in observation group 2(38 cases).Then the ovarian function,ovarian blood flow and sexual life quality and complication were compared in each group.Results P,E2,LH and FSH indexes of all patients before operation showed no significant difference in statistical analysis(P>0.05),after 12 months of follow-up,ovarian function index changes were observed in 2 groups,and the other two groups had significant difference(P<0.05);preoperative blood group hemodynamic indexes were no significant difference(P<0.05),after treatment,2 groups’RI was observed and was higher than other groups,and the difference between groups was significant(P<0.05);The quality of sex life in the observation group was significantly higher than that in the control group,and the 2 groups had a statistically significant difference(p<0.05)compared to the 2 groups.In addition,the incidence rate of each group of complications was compared,observation 1 group and observation 2 group were higher than the control group,the statistical analysis of the group was significantly different(p<0.05).Conclusion Cervical cancer patients with ovarian shift after treatment,postoperative can still preserving ovarian function and sexual life quality also increased significantly,but the postoperative patients complicated with abdominal pain,without functional ovarian cysts;If ovarian shift line of postoperative radiation therapy,there are side effects on the ovarian function and sexual life.After the ovarian transposition treatment for patients with cervical cancer,they can still retain ovarian function,and the sexual life quality is also significantly improved,but abdominal pain and non-functional ovarian cyst may occur;if the radiation therapy was given after ovarian transposition,then side effects will appear in the ovarian function and sex life.

The relationship between acceptance of illness and quality of life among men who have sex with men living with human immunodeficiency virus:A cross-sectional study

Objectives To explore the relationship between acceptance of illness and quality of life(QOL),and factors associated with acceptance of illness among men who have sex with men(MSM)living with human immunodeficiency virus(HIV).Methods Three hundred and one MSM were recruited from an HIV clinic between August and December 2018.The battery of measurements consisted of the Acceptance of Illness Scale,World Health Organization Quality of Life Questionnaire for HIV brief version,HIV Cognitive Appraisal Scale and a self-designed questionnaire used to collect general information.Pearson correlation test was used to examine the relationship between acceptance of illness and QOL.Univariate and multivariate ordinal logistic regression analyses were used to examine whether the general data(demographic and HIV-related clinical data)and HIV cognitive appraisal were associated with acceptance of illness levels.Results Descriptive analysis showed the acceptance level among MSM living with HIV was moderate(Mean=26.29,SD=5.28).Those with a better acceptance of illness had a better QOL(r=0.69,P<0.01).In the multivariate ordinal logistic regression model,education level,threat appraisals(OR:1.09;95%CI[1.06–1.13]),and controllability appraisals(OR:0.82;95%CI[0.71–0.94])were significantly associated with acceptance of illness.Conclusions Results showed acceptance level was moderate and had a positive correlation with QOL.High level of education,low threat appraisals and high controllability appraisals were related to high illness acceptance.This finding highlights the importance of focusing on HIV-infected MSM with low education and on their perceptions of threat and controllability about HIV-related issues when designing interventions to promote illness acceptance in this vulnerable population.

Urinary and sexual function changes in benign prostatic hyperplasia patients before and after transurethral columnar balloon dilatation of the prostate

BACKGROUND Transurethral columnar balloon dilatation of the prostate(TUCBDP) is a new surgical treatment, but its efficacy remains controversial because of limited clinical application.AIM To investigate the clinical effect of TUCBDP for benign prostatic hyperplasia(BPH).METHODS Overall, 140 patients with BPH who underwent surgical treatment were included in the study. A random number table was used to divide the participants into study and control groups(n = 70 per group). The study group underwent TUCBDP. The prostate resection surgical time, intraoperative blood loss, bladder irrigation time, catheter indwelling time, length of hospital stay, International Prostate Symptom Score(IPSS), maximum urine flow rate(Qmax), residual urine volume(RUV), changes in the International Erectile Function Score(ⅡEF-5) score, serum prostate-specific antigen(PSA), quality of life(QOL) score, and surgical complications were compared in both groups.RESULTS The operation time, intraoperative blood loss volume, bladder flushing time, urinary catheter indwelling time, and length of hospital stay were significantly lower in the study group than in the control group(P < 0.05). There were no significant differences in the IPSS, Qmax, and RUV measurements between the study and control groups(P > 0.05). However, at 3 mo post-surgery, the IPSS and RUV measurements were both lower(P < 0.05) and Qmax values were higher(P < 0.05) compared to the pre-surgery results in both groups. The ⅡEF-5 scores before and 3 mo after surgery were not significantly different between the study and control groups(P > 0.05). At 1 mo after surgery, the ⅡEF-5 score was higher in the study group than in the control group(P < 0.05). The serum PSA levels and QOL scores before treatment and at 1 and 3 mo after treatment were not significantly different between the study and control groups(P > 0.05). However, lower serum PSA levels and QOL scores were observed after 1 and 3 mo of treatment compared to pre-treatment levels in the study group(P < 0.05). The surgical complication rate of the study group(4.29%) was lower than that of the control group(12.86%;P < 0.05).CONCLUSION TUCBDP for BPH and transurethral resection of the prostate can achieve better results, but the former method is associated with less surgical trauma.

Impaired of Sexuality in Premenopausal Breast Cancer Patients

Introduction: The treatment modalities for Breast cancer may impair the sexual function of women, especially in the pre-menopausal period. Treatment in this group of women has a huge impact in quality of life. The main objective of this study was to evaluate the prevalence of sexual dysfunction (SD) after treatment for breast cancer among women who were premenopausal at the diagnosis of neoplasia. Material and Methods: All women diagnosed with premenopausal breast cancer at one outpatient clinic from March 2019 to September 2020 were selected. Participants answered two sexual function questionnaires (the Female Sexual Function Index [FSFI-19] and Female Sexual Quotient [QS-F]) and a quality of life [QOL] questionnaire [EORTC QLQ-C30]). Sociodemographic and tumor characteristics were also studied. Results: Fifty-eight pre-menopausal women were included. Sexual dysfunction (SD) was observed in 43 participants (74.1%) according to the FSFI-19, while 31 (53.4%) had SD according to the QS-F. The functional and general health scales of the EORTC QLQ-C30 were positively related to the FSFI-19 and QS-F scores, while the symptom scale was negatively related to the FSFI-19 and QS-F scores. There was no relationship between chemotherapy, hormone therapy, or surgery with the FSFI-19 and QSF scores. A diagnosis of depression was negatively related to the total FSFI-19 scores. Conclusion: Pre-menopausal breast cancer women showed high rates of female SD. None breast cancer treatment modality was related to SD. The only studied variable associated with SD was depression.

Therapeutic Approach in Female Sexual Dysfunctions in an Outpatient Clinic of Sexology in the Public Health System: A Longitudinal and Prospective Study

INTRODUCTION: Sexuality is one of the parameters of quality of life, and it is essential to include care for sexual dysfunctions in primary health care. OBJECTIVE: To evaluate the therapeutic approach in female sexual dysfunction in a public health outpatient clinic. DESIGN: A prospective cohort of women with sexual dysfunctions in an outpatient clinic of sexology in the Public Health System. The Female Sexual Function Index (FSFI) and scored 0 - 10 their sexual satisfaction were applied at the beginning and end of the follow-up. RESULTS: Eighty-nine women were included with a median age of 45 years, 69 (77.5%) had less than 11 years of schooling and 95.5% lived with a partner. The main reasons for referral for follow-up at the outpatient clinic of sexuality were dysfunction of hypoactive sexual desire disorder in 67.4% and pain related to sexual function in 46%. The average number of consultations was five and the main therapeutic interventions were guidance and clarification on sexuality (86.5%), use of topical estrogen (56.2%), and relaxation techniques (37.1%). All FSFI-19 domains had better post-intervention rates (p ≤ 0.005). Considering the domains of the FSFI-19, the medians of desire, arousal, lubrication, orgasm, pleasure and pain were higher in the post-intervention period in relation to the pre-intervention period (p ≤ 0.0001 for all analysis). In addition, the score given by the participant on their sexual satisfaction was higher at the post-intervention time compared to the pre-intervention period (p ≤ 0.0001). CONCLUSION: In public health, even with the care being performed by different professionals in each consultation, we conclude that through simple interventions, it is possible to improve the sexualities of the women attended. Still, offering care in sexuality is fundamental as part of primary health care and the training of medical professionals.

Research progress of male sexual dysfunction following stroke

Stroke is a major disabling and fatal disease worldwide.There are many studies on neurological deficits and cognitive impairment after stroke,but there are few studies on sexual dysfunction,which is an important part of patients'quality of life.Studies have shown that male sexual dysfunction following stroke is very common,such as loss of libido,erectile dysfunction and ejaculatory weakness.Among them,young male stroke patients have particularly high requirements for quality of life and are ashamed to speak when they have secondary dysfunction.Related knowledge and degree of attention of medical staff are also relatively less.The location and area of stroke and the occurrence and development process of the disease may affect the sexual function of patients.Its etiology roughly includes both organic and functional aspects.Further study of post-stroke sexual dysfunction and strengthening the diagnosis and treatment of sexual dysfunction in stroke patients should be included in the category of stroke rehabilitation.

Testicular prostheses-impact on quality of life and sexual function

Orchiectomy is the recommended treatment for many testicular conditions.However,testicular prosthesis placement is not always performed for different reasons.In this study,we aimed to evaluate patients'opinions and the impact on sexual function and quality of life.This retrospective observational single-center study included patients who underwent orchiectomy between January 2014 and December 2020 at the Department of Urology,Braga's Hospital(Braga,Portugal),where testicular implants were always available and the decision to undergo the procedure was made fully independent of cost.Patients completed four questionnaires that assessed demographic data,satisfaction,self-esteem,and sexual function.Of the 96 patients who underwent orchidectomy,59 replied to the questionnaires,and of these patients,86.4%decided to undergo silicone-based testicular prostheses implantation.The remaining 13.6%refused the implant based on concerns about complications(37.5%),because they felt that it was unnecessary(37.5%),or because it was not offered by the doctor(25.0%).Overall,96.1%of these patients were satisfied with the implant;however,25.5%classified it as"too firm".No statistically significant differences were found in sexual function(all P>0.05).However,it can be observed that there are more patients with prostheses presenting normal sexual activity compared to patients without prostheses(74.0%vs 50.0%),and none of them reported severe erectile dysfunction(0 vs 16.7%).Regarding self-esteem,both patients with and without prostheses present very similar average scores with no statistically significant differences.The present study highlights the highest level of satisfaction among patients who received testicular prostheses.Testicular prostheses implantation is a safe procedure that does not hamper sexual function after orchiectomy.

Impact of postoperative sexual function on health-related quality of life after robot-assisted radical prostatectomy

Background:We investigated potential disparities in health-related quality of life,particularly concerning urinary function,between patients with preserved and those with impaired sexual function after robot-assisted radical prostatectomy(RARP).Materials and methods:BetweenDecember 2012 and April 2020,704men underwent RARP in our hospital.This study included 155 patients with a preoperative 5-item International Index of Erectile Function(IIEF-5)of≥12 points and an assessable IIEF-5 at 12 months postoperatively.Health-related quality of life was assessed using the 8-item Short-Form Health Survey and Expanded Prostate Cancer Index Composite(EPIC)preoperatively and at 3,6,and 12months postoperatively.A logistic regression analysis andWilcoxon rank sum tests were performed.Results:Patients were grouped according to the median IIEF-5 score 12 months after surgery:those with preserved sexual function(n=71)and those with impaired sexual function(n=84).The mental component summary of the 8-item Short-Form Health Survey was better in the group with preserved sexual function at 6 months postoperatively than in the group with impaired sexual function(p<0.01).In the EPIC,the group with preserved sexual function performed better not only in the sexual domain but also in the urinary domain at all time points comparedwith the groupwith impaired sexual function(p<0.01).In the comparison of the urinary subdomains of the EPIC,there were no significant differences in urinary function or incontinence,but there were significant differences in urinary distress and irritative/obstructive scores(p<0.01).Conclusions:Patients with preserved postoperative sexual function after RARP showed better urinary function than those with impaired sexual function.Hence,preserved sexual function is closely associated with urinary function.

An analysis of treatment preferences and sexual quality of life outcomes in female partners of Chinese men with erectile dysfunction

The impact of erectile dysfunction is distressing to both males and their female partners, but less attention has been paid to identify female partners＇ preferred treatment and sexual quality of life outcomes. The present analysis explores female partners＇ treatment preference for erectile dysfunction in Chinese Men. This was a phase 4, randomized, open-label, multicenter, crossover study in Chinese men with erectile dysfunction who were na＇fve to phosphodiesterase type 5 inhibitor treatments. Eligible patients were randomized to sequential 20-mg tadalafil/100-mg sildenafil or lO0-mg sildenafil/20-mg tadalafil for 8 weeks each. Of 418 patients, female partners of 64 patients agreed to enter the study; of 64 patients who entered the study with female partners, 63 were randomized, and 62 completed the study. Baseline demographics and disease characteristics were comparable between treatment groups. Significantly more couples preferred tadalafil compared with sildenafil overall （75.4% vs 24.6%; P〈 0.001）, and irrespective of erectile dysfunction severity at baseline （P 〈 0.005）. Significant improvements in sexual quality of life scores were reported at endpoint （Visit 8） in male patients and female partners in both tadalafil and sildenafil treatment groups （P 〈 0.001）. Significantly higher mean changes from baseline were observed for male patients in the tadalafil group compared with the sildenafil group for the erectile function （P = 0.013） and overall satisfaction （P = 0.019） International Index for Erectile Function domains and the spontaneity domain （P〈 0.001） of the Psychological and Interpersonal Relationship Scale. No major safety concerns were reported during the study. Though both treatments were effective, safe, and tolerable, more couples preferred tadalafil compared with sildenafil.

Comparison of sexual function and quality of life after pelvic trauma with and without Angioembolization

Background:The aim is to study the safety of Angioembolization on long-term sexual function and quality of life.Methods:IRB approval was gained to review the prospectively collected trauma database as well as prospective questionnaires of patients at least 1 year out from pelvic fractures that occurred between 1996 and 2009.Surveys included the SF36v2,Female Sexual Function Index and the International Index of Erectile Function.Values for each domain were compared between patients treated with AE and 2:1 case-matched control patients as well as between the national norms.Values are presented as percentages or means with 95%CI.P<0.05 was considered statistically significant.Results:Thirty Seven cases and 74 matched controls were identified.42 patients completed the survey.There were 13 cases(12 males),and 29 controls(22 males).There was a higher ISS(Injury Severity Score)(32 vs 27;p=0.048)in the cases,but no difference in pelvic AIS(Abbreviated Injury Severity Score)(3 vs 3).Both groups scored similarly in the SF36 in all domains,but the entire cohort scored lower than the national norms in the physical functioning(41.9(37.8–46.0)vs50),role physical(40.9(36.2–45.7)vs50),body pain 43.8(40.7–46.9)vs50),role emotional 46.3(42.8–49.8)vs50),and physical composite score(42.1(38.0–46.3)vs50).All domains of the sexual function in both questionnaires showed significant impairment in our cohort compared with norms.Male cases had similar scores to the controls.Conclusion:Pelvic fractures portend a worse long-term QOL and sexual function than the general population.AE,however,does not have an additive affect to these indices.

青年宫颈癌患者快感缺失的影响因素及与性生活质量和婚姻质量的相关性

目的分析青年宫颈癌患者快感缺失的影响因素及与性生活质量和婚姻质量的相关性。方法选取2021年6月至2023年3月于新疆医科大学第一附属医院妇科就诊的352例青年宫颈癌患者作为研究对象。采用中文版躯体快感缺失量表、中文版社会快感缺失量表、女性性功能指数(FSFI)和Olson婚姻质量问卷评估患者的躯体快感缺失、社会快感缺失情况及性生活质量、婚姻质量。采用Spearman相关性分析快感缺失与性生活质量和婚姻质量的相关性,采用多元线性回归分析快感缺失的影响因素。结果青年宫颈癌患者躯体和社会快感缺失评分分别为(46.15±3.59)分和(30.48±3.62)分。相关性分析显示躯体和社会快感缺失评分与FSFI各维度评分、Olson婚姻质量问卷中婚姻满意度、夫妻交流、角色平等性维度评分呈负相关(P<0.05)。回归分析显示居住地、生育情况、经济状况、治疗后时间、病耻感和领悟社会支持是青年宫颈癌患者躯体和社会快感缺失的影响因素(P<0.05)。结论青年宫颈癌患者快感缺失处于中等偏上水平,与性生活质量和婚姻质量呈负相关,居住地、生育情况、经济状况、治疗后时间、病耻感和领悟社会支持是快感缺失的影响因素。

秩边透水道针法在慢性前列腺炎患者中的应用及对卵磷脂小体及性生活质量的影响

目的探讨秩边透水道针法在慢性前列腺炎(CP)患者中的应用及对卵磷脂小体及性生活质量的影响。方法选取我院2022年1月-2023年3月收治的116例CP患者作为研究对象,采用随机数字表法分为对照组与观察组,每组58例,两组均进行一般治疗,对照组采用常规药物治疗,观察组采用秩边透水道针法进行治疗,比较两组疗效、中医证候积分、卵磷脂小体改善情况以及性生活质量。结果观察组治疗有效率高于对照组(P<0.05);两组患者治疗后疼痛症状、全身症状、排尿症状、舌脉的中医证候积分较治疗前下降,观察组低于对照组(P<0.05);两组治疗后卵磷脂小体积分较治疗前下降,观察组低于对照组(P<0.05);两组治疗后中国早泄患者性功能评价量表(CIPE-5)评分较治疗前下降,观察组低于对照组(P<0.05)。结论对CP患者采用秩边透水道针法治疗可提升疗效、降低中医证候积分、改善卵磷脂小体情况同时提升患者性生活质量,具有良好的临床应用价值。

腹腔镜、经腹及经阴道子宫切除术对患者术后生活质量及性生活质量的影响比较

目的:探究及比较腹腔镜、经腹及经阴道子宫切除术对患者术后生活质量及性生活质量的影响。方法:将2022年6月—2023年6月新泰市人民医院收治的180例子宫切除术患者根据随机数表法分为A组、B组及C组,各60例。A组进行腹腔镜子宫切除术,B组进行经腹子宫切除术,C组则进行经阴道子宫切除术。比较三组的手术时间、出血量、排气时间、住院时间、并发症发生率,术前及术后3个月、6个月的生活质量[世界卫生组织生存质量简表(WHOQOL-BREF量表)]及性生活质量(女性性生活质量问卷)。结果:A组的手术时间显著长于B组及C组,A组及C组的出血量显著少于B组,排气时间及住院时间显著短于B组,差异有统计学意义(P<0.05)。三组并发症发生率比较,差异无统计学意义(P>0.05)。术前及术后6个月,三组WHOQOL-BREF量表评分及女性性生活质量问卷评分比较,差异无统计学意义(P>0.05);术后3个月,A组及C组的WHOQOL-BREF量表评分及女性性生活质量问卷评分显著高于B组,差异有统计学意义(P<0.05)。结论:腹腔镜及经阴道子宫切除术对患者术后生活质量及性生活质量的近期不良影响小于经腹子宫切除术,而远期不良影响无显著差异。

盆底肌训练联合生物反馈电刺激对产后盆底功能恢复及性生活质量的影响

目的:探讨三维超声评估盆底肌训练联合生物反馈电刺激疗法对产后盆底功能恢复及性生活质量的影响。方法:将90例产后盆底功能障碍产妇随机分为2组各45例,对照组给予常规盆底肌训练干预,观察组在对照组的基础上联合生物反馈电刺激疗法干预,干预前后行三维超声检查,评估产后盆底功能恢复情况,并比较2组产妇性生活质量。结果:治疗8周后,2组产妇张力状态下(Valsalva动作下)膀胱颈移动度、肛提肌裂孔的面积、尿道旋转度均较干预前减小(P<0.05),且观察组小于对照组(P<0.05);盆底肌异常率及盆腔脏器脱垂、尿失禁发生率均较干预前降低(P<0.05),且观察组低于对照组(P<0.05);女性性功能指数量表(FSFI)中性欲、性高潮、阴道润滑度、性交疼痛、性满意度、性唤起评分均较干预前升高(P<0.05),且观察组高于对照组(P<0.05)。结论:通过盆底三维超声检查发现,盆底肌训练联合生物反馈电刺激疗法在产后盆底功能患者的治疗中提供了客观的疗效评定指标,两种方法联合能够有效促进患者盆底功能恢复,缓解临床症状,改善性生活质量。

肺移植病人及其配偶生活质量与二元应对的研究进展

综述了国内外肺移植病人及其配偶生活质量与二元应对的研究现况,以期为构建基于我国文化背景的肺移植病人及其配偶干预方案提供借鉴。

银屑病患者配偶生活质量现状及影响因素分析研究

目的 探讨银屑病患者配偶的生活质量现状,并对其影响因素进行分析。方法 采用便利抽样法,选取2022年7月—2023年1月在同济大学附属上海市皮肤病医院就诊的245对斑块状银屑病患者及其配偶为研究对象。采用一般资料调查表、家庭皮肤病生活质量指数(FDLQI)、皮肤病生活质量指数(DLQI)、医院焦虑和抑郁量表(HADS)进行调查。配偶的生活质量影响因素的分析采用Kruskal-Wallis检验、Mann-Whitney U检验、相关分析及多元线性回归分析。结果 银屑病患者配偶生活质量评分为(7.65±6.47)分,其中,89.6%的配偶报告生活质量有受损情况。单因素分析结果显示,患者的教育程度、是否累及指甲、既往是否接受传统治疗、体表受累面积(BSA)、躯干银屑病面积和严重程度指数(PASI)、上肢PASI、下肢PASI、临床医师整体评估(PGA)、DLQI、患者对病情的总体评估(PtGA)、焦虑和抑郁评分以及配偶自身焦虑和抑郁评分,均与配偶的FDLQI显著相关(P<0.05)。多元线性回归分析结果显示:患者的BSA、DLQI、PtGA和配偶自身的焦虑评分是影响配偶生活质量的因素。结论 临床实践中,银屑病患者配偶的生活质量受损现象较为普遍。因此,在为患者制定治疗计划、做出治疗决策、制定教育计划以及提供心理支持时,皮肤科医生和护士应该充分考虑患者的配偶。

青年宫颈癌病人配偶的希望水平变化及其与睡眠、生活质量的关系分析

目的 调查青年宫颈癌病人配偶的希望水平、睡眠及生活质量变化,并分析其希望水平与睡眠、生活质量的关系。方法于2020年3—12月对河南省人民医院115例青年宫颈癌病人配偶和115例青年健康女性配偶进行调查,分别记为A组和B组。采用问卷方式调查两组的一般资料,并对其希望水平、睡眠及生活质量进行评价,采用Pearson法分析A组希望水平与睡眠及生活质量的关系。结果 A组、B组有效问卷回收率分别为97.39%(112/115)、93.91%(108/115),且两组一般资料比较差异无统计学意义(P>0.05);A组希望水平、睡眠质量和生活质量总分分别为(24.50±3.56)分、(42.71±6.17)分、(91.05±12.36)分,B组分别为(37.50±5.18)分、(11.25±1.85)分、(119.30±18.38)分。A组各维度希望水平评分与总分、各维度生活质量评分与总分均低于B组,各维度睡眠质量评分与总分均高于B组,且病人未育配偶的希望水平、生活质量评分均低于已育者,睡眠质量评分均高于已育者,均差异有统计学意义(P<0.05);A组各维度希望水平评分、总分与各维度睡眠质量评分及总分均呈负相关,与各维度生活质量评分及总分均呈正相关,均差异有统计学意义(P<0.05)。结论 青年宫颈癌病人配偶的希望水平低,睡眠、生活质量差,且其希望水平均与睡眠、生活质量相关。