摘要
目的探讨影响子宫切除患者心理状况及性生活质量的护理干预方法。方法将80例因子宫良性病变行子宫切除患者随机均分为观察组和对照组;采用改良的性生活质量调查表(SLQQ)及自行设计的心理状况问卷调查表,在入院时和术后3个月对患者心理状况及性生活质量进行比较。对照组采用常规护理;观察组由护士讲解疾病相关知识、予以人文关怀、性生活指导并加强与家属沟通及健康教育等护理干预措施。结果术后3个月,观察组性心理状况(除担心术后体力下降外)和术后性生活质量(对做爱频率的满意程度及做爱持续时间的满意程度除外)评分显著高于对照组(P<0.05,P<0.01)。结论子宫切除术后患者的性功能障碍受心理因素影响,开展心理护理、健康教育是提高子宫切除患者性生活质量的重要措施。
Objective To evaluate the effect of nursing intervention on the psychological status and sexual life quality of hysterectomized patients. Methods Eighty patients hysterectomzied due to benign pathological changes of uterus were randomly assigned to a control group（n= 40） and an observation group（n= 40）. Their psychological status and sexual life quality at admission and 3 months after the operation were evaluated and compared by a modified sexual life quality questionaire （SLQQ） and a self-designed questionaire for psychological status. Nursing care was given according to the scores at admission. Regular nursing care was given in control group. The patients in the observation group were given interventions concerning the disease education, emotional support and guidance in sexual life and other measures including communication with relatives, health education etc. Results The scores in sex-related psychogical problem （except concern about the declining of physical strength after operation） and sexual life quality after operation （exlusion of satisfaction with the frequence and lasting time of love-making） of the observation group were significantly higher than those of the control group（P〈0.05 ,P〈0.01）. Conclusion The sexual dysfunction of hysterectomzied patients is influenced by psychological factors and psychological nursing care, health education are the main measures for improving the sexual life quality fo the patients.
基金
华中科技大学同济医学院附属协和医院科研基金资助项目(2005-39)
关键词
子宫切除术
性心理
性生活
护理干预
数据收集
hysterectomy
sexual psychology
sexual life
nursing intervention
data collection
