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[目的]探讨妇女生殖系肿瘤治疗后性生活状况,为科学指导妇科肿瘤患者治疗后的性生活康复,提高妇科肿瘤患者性生活质量提供临床依据。[方法]回顾性研究2007年3月~2010年3月某院收治的115例妇科肿瘤患者性生活状况,通过问卷及面谈的方式,对纳入研究的全部患者治疗前后性生活状况进行对比分析,观察妇科肿瘤患者治疗前后性生活的满意度、性生活频率、婚姻关系等方面的变化。[结果]年龄愈大其术后性心理变化发生率愈低,受教育程度愈高其术后性心理变化发生率愈低;放、化疗5个疗程以上者性心理变化发生率高于5个疗程及以下者;经济状况越好,其性心理变化发生率越高。患者术后性生活频率及性生活满意度均显著低于术前(P﹤0.05)。术后患者婚姻状况良好的百分率明显低于术前(P﹤0.05)。[结论]妇科肿瘤患者性生活质量受多种因素影响,应对患者进行性健康教育,改善患者治疗后性生活质量,从而提高患者生存质量。
[Objective] To investigate the sexual life of women with germ-line tumors after treatment, provide the clinical basis for guiding the sexual life rehabilitation of gynecologic cancer patients and improving the quality of life of gynecologic oncology patients. [Methods] A retrospective study of 115 gynecological cancer patients treated in a hospital from March 2007 to March 2010 was retrospectively analyzed. The life status of all patients included in the study was compared before and after treatment by means of questionnaires and interviews. Observe gynecological cancer patients before and after treatment of sexual satisfaction, frequency of sexual life, marital relations and other changes. [Results] The higher the age, the lower the incidence of postoperative psychological changes, the higher the level of education, the lower the incidence of postoperative psychological changes; radiotherapy and chemotherapy more than 5 courses of psychological changes were higher than 5 Course of treatment and the following; the better the economic situation, the higher the incidence of their psychological changes. The frequency of postoperative sexual life and sexual life satisfaction were significantly lower than those before operation (P <0.05). Postoperative patients with good marital status was significantly lower than preoperative (P <0.05). [Conclusion] The quality of sexual life of gynecologic oncology patients is affected by many factors, sexual health education should be carried out to improve the quality of life of patients after treatment, thereby improving the quality of life of patients.