延续性护理对子宫切除术患者术后性生活质量及心理状态影响.docVIP

延续性护理对子宫切除术患者术后性生活质量及心理状态影响 　　【摘要】目的：探讨延续性护理在子宫切除术患者出院后护理中的应用效果。方法：100例子宫切除术的患者随机分为观察组和对照组，对照组仅嘱按时复查，观察组给予延续性护理，比较两组出院后6个月时的心理状态、社会支持度和性生活质量。结果：观察组出院6个月后的焦虑、抑郁评分低于对照组，有统计学意义（P005）。观察组出院后6个月后的主观社会支持度、客观社会支持度和支持利用度显著高于对照组，性生活频率、满意度高于对照组，性交痛和阴道干涩的发生率低于对照组，有统计学意义（P005）。结论：延续性护理将护理延续到家庭，能够改善子宫切除术患者术后的不良心理，提高性生活质量。 　　【关键词】延续性护理；子宫切除术；性生活质量；心理状态 　　Effect of continuous nursing on the sexual life and psychological state of hysterectomy patientsWEI Ning1， CHEN Lufang1， WANG Fei2， ZHANG Lingzhi2. 1.Department of Obstetrics and Gynaecology， Hangzhou First People’s Hospital ， Hangzhou310004，China； 2.Zhejiang Medical College， Hangzhou 310053， China 　　【Abstract】Objectives： To investigate the application of continuous nursing in postoperative care of hysterectomy patients after discharge from hospital. Methods： 100 hysterectomy patients were randomly divided into observation group and control group. The control group only received regular review， while the observation group was given continuous nursing. The psychological state， social support and sexual life of the two groups were compared 6 months after discharge. Results： The anxiety， depression scores in the observation group was lower than those in the control group， with statistically significant difference （P005）. The subjective social support， objective social support and utilization of support after 6 months of discharge in the observation group were significantly higher than those of the control group； the frequency of sexual life and satisfaction was higher than those in the control group； the occurrence rates of sexual pain and vaginal dryness was lower than those in the control group， with statistically significant difference （P005）. Conclusion： Continuous nursing can improve the adverse psychology and sexual life of hysterectomy patients. 　　【Key words】Continuous nursing； Hysterectomy； Sexual life； Psychological state 　　【中图分类号】R167【文献标志码】A 　　临床调查显示：829%的子宫切除术患者担心手术影响性生活、性特征[1]。另研究显示，子宫切除术后性生活的恢复与患者的心理关系密切，有部分患者甚