乳腺癌患者性功能障碍相关因素分析

目的 :探讨乳腺癌患者性功能障碍的相关因素 ,以利于开展乳腺癌患者性功能障碍的防治工作以及提高患者生活质量。　方法 :以统一自制的性功能状况问卷 ,对门诊 6 5例康复期的乳腺癌患者问卷调查治疗前后的性功能状况。　结果 :患者年龄和认知因素与患者性功能障碍患病率显著相关。 4 5～ 5 5岁组和 5 6～ 6 5岁组性功能障碍患病率分别为 6 6 .7%、73.9% ,与小于 4 5岁组 (33.3% )相比 ,有显著统计学差异 (P <0 .0 1) ;认为性生活不是生活重要内容者性功能障碍患病率为 70 .3% ,与认为性生活是生活重要内容者 (4 7.6 % )相比 ,有统计学差异 (P <0 .0 5 ) ;在调查因素中 ,肿瘤分期、治疗方式、阴道干燥、性欲降低、性交痛及认知因素与患者新发性功能障碍的发生显著相关 (P <0 .0 5 )。　结论 :乳腺癌患者治疗后 ,性功能障碍的发生与肿瘤分期、治疗方式、认知因素及阴道干燥等显著相关 ;提示为防治乳腺癌患者性功能障碍 ,从事肿瘤专业的医务人员在治疗过程中应与患者交流关于性功能障碍的问题 ,并进行全面评价 ,指导患者解决这些问题的方法。

Exploratory Study on Related Factors of Sexual Dysfunction among Breast Cancer Patients

OBJECTIVE: To investigate the factors related to sexual dysfunction among breast cancer patients so as to improve the prevention and treatment of the disorder as well as the life quality of the patients. METHODS: Sixty-five breast cancer patients during the rehabilitation period were interviewed by questionnaire on the sexual function before and after treatment. RESULTS: Age and perception of sex were two important factors for the significant difference in the rate of sexual dysfunction among the patients. In the groups of 45-55 and 56-65 years, the rates of sexual dysfunction were 66.7% and 73.9%, respectively. Compared with the < 45-year group (33.3%), the findings were statistically significant (P < 0.01), and the difference was statistically significant between the incorrect perception group (70.3%) and the correct one (47.6%) (P < 0.05). Of all the factors analyzed in the research, the stage of cancer, treatment methods, vaginal dryness, decreased libido, dyspareunia and sex perception had significant correlation with newly developed sexual dysfunction (P < 0.05). CONCLUSION: The stage of cancer, treatment methods, sex perception, vaginal dryness et al had significant correlation with sexual dysfunction of breast cancer patients after treatment. To treat and prevent sexual dysfunction among breast cancer patients, oncology professionals should initiate communication about sexual difficulties, perform comprehensive assessments, and educate and counsel patients about the management of these difficulties.