子宫切除术后患者性功能状态及其影响因素

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目的了解子宫切除术后患者性功能状态,并分析其影响因素。方法选取2015年1月-2016年3月收治的135例子宫切除术患者为观察组,并以同时间段的135例健康同龄妇女为对照组,比较两组女性性功能自我评定问卷评估结果,同时比较观察组中不同年龄、手术方式、疾病种类、文化程度、社会支持程度、手术种类、疾病及治疗认知度、心理状态的女性性功能自我评定问卷评估结果,并采用Logistic分析上述研究因素与此类患者术后性功能状态的关系。结果观察组的女性性功能自我评定问卷评估结果显著地差于对照组,且观察组中不同年龄、手术方式、疾病种类、文化程度、社会支持程度、手术种类、疾病及治疗认知度、心理状态的女性性功能自我评定问卷评估结果也存在统计学差异,同时Logistic分析显示,上述研究因素均与子宫切除术后患者性功能状态有密切的关系(P值均<0.05)。结论子宫切除术后患者性功能状态相对较差,且年龄、手术方式、疾病种类、文化程度、社会支持程度、手术种类、疾病及治疗认知度、心理状态均是对其影响较大的因素,故应给予充分的干预。 Objective To understand the functional status of patients after hysterectomy and analyze its influencing factors. Methods A total of 135 cases of hysterectomy patients treated in our hospital from January 2015 to March 2016 were selected as the observation group and 135 healthy women of the same period as the control group were selected to compare the results of women's self-assessment of sexual function questionnaire, At the same time, we compared the evaluation results of the self-rating questionnaire of female sexual function in different age groups, operation methods, disease types, educational level, social support, type of surgery, disease and treatment awareness and psychological status in the observation group. Logistic analysis was used to analyze the above factors Relationship with postoperative sexual function status of such patients. Results The evaluation results of female sexual self-assessment questionnaire in the observation group were significantly worse than those in the control group. There were no significant differences in the age, operation mode, disease type, education level, social support, operation type, disease and treatment awareness, psychology Logistic analysis showed that the above research factors were closely related to the sexual function status of patients after hysterectomy (P <0.05). Conclusion The sexual function of patients after hysterectomy is relatively poor, and age, operation mode, disease type, educational level, social support degree, type of surgery, disease and treatment awareness, mental status are the factors that have a greater impact on it , It should be given adequate intervention.
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