宫颈癌患者治疗后对性功能的影响及性康复指导

宫颈癌患者由于其发病部位特殊,疾病本身以及手术,放、化疗等引起生殖器官结构改变、性功能变化和多种躯体不适,生活质量受到严重影响,给患者及家属带来巨大危机。笔者从宫颈癌治疗对性功能的影响提出治疗后医护人员应常规对宫颈癌患者及其配偶进行必要的性教育及性生活指导,以帮助患者恢复正常人的生活和工作,从而保持心情愉快,使患者术后尽可能建立较高的生活质量。     

Kegel盆底肌训练联合优质护理对宫颈癌术后患者盆底功能恢复及生活质量的影响

目的:探究Kegel盆底肌训练联合优质护理对宫颈癌术后患者盆底功能恢复及生活质量的影响。方法:选取2017年3月至2018年5月在烟台市烟台山医院进行宫颈癌手术治疗的86例患者,随机分为研究组及常规组,各43例。常规组患者行常规护理,研究组患者行Kegel盆底肌训练联合优质护理。比较两组患者盆底功能恢复情况、术后膀胱残余量、术后6个月性功能恢复情况及治疗前后生活质量。结果:研究组患者术后盆底功能恢复情况、膀胱残尿量及术后6个月性功能评分,且治疗后6个月生活质量评分显著优于常规组,差异均有统计学意义(均P<0.05)。结论:对宫颈癌患者术后采用Kegel盆底肌训练联合优质护理,促进患者盆底功能的恢复,改善术后膀胱残尿量,并提高其术后性功能及生活质量,值得推广。     

宫颈癌患者术后性生活质量及其影响因素

目的分析宫颈癌患者术后性生活质量水平及影响因素,并分析和总结影响因素,给予预防性心理和信息指导。方法选取2016年3月至2019年3月择期宫颈癌手术治疗患者住院资料,采用女性性功能量表进行测评,分析患者年龄、家庭支持、治疗方案、手术范围对宫颈癌患者术后生活质量的影响程度。结果多因素分析显示,手术范围、治疗方案、家庭支持是影响宫颈癌患者术后性生活质量的独立危险因素(P 0. 05)。结论护理人员应根据普遍存在的影响因素给予相应心理疏导和信息支持指导,以达到宫颈癌术后性生活和谐,促进患者尽快回归家庭生活。     

同伴支持教育对宫颈癌患者术后负性心理与生活质量的影响

目的探讨同伴支持教育对宫颈癌患者术后负性心理及生活质量的影响效果。方法选取我院2017年1月至2018年6月收治的100例宫颈癌患者为研究对象,随机将其等分为观察组与对照组,对照组给予常规护理,观察组在对照组的基础上给予同伴支持教育,比较两组患者干预前后生活质量、心理状态和性功能恢复情况。结果观察组干预后各项生活质量评分均高于对照组,负性情绪评分均低于对照组(P 0. 05);观察组性功能恢复情况优于对照组(P 0. 05)。结论对宫颈癌患者实施同伴支持教育,可缓解患者负性情绪,提高生活质量,改善性功能恢复情况,值得临床推广应用。     

宫颈癌患者术后性心理变化及影响因素的研究

目的 评估宫颈癌术后患者性心理变化及婚姻质量,为宫颈癌患者及家属提供有针对性的心理护理及干预措施.方法 采用自制的问卷调查表,对80例术后1年以上的宫颈癌女性患者进行问卷调查,了解患者对宫颈癌术后的性心理变化及其影响因素,并根据不同情况实施护理干预.结果 通过实施针对性的护理干预措施,患者的性心理、婚姻关系及性生活质量均有不同程度的改善.结论 影响宫颈癌患者性心理因素有很多,通过实施多种形式的护理干预,能促进患者身心健康,促进性功能恢复,提高生活质量.     

宫颈癌患者术后性心理变化及影响因素的研究

目的 评估宫颈癌术后患者性心理变化及婚姻质量,为宫颈癌患者及家属提供有针对性的心理护理及干预措施.方法 采用自制的问卷调查表,对80例术后1年以上的宫颈癌女性患者进行问卷调查,了解患者对宫颈癌术后的性心理变化及其影响因素,并根据不同情况实施护理干预.结果 通过实施针对性的护理干预措施,患者的性心理、婚姻关系及性生活质量均有不同程度的改善.结论 影响宫颈癌患者性心理因素有很多,通过实施多种形式的护理干预,能促进患者身心健康,促进性功能恢复,提高生活质量.     

宫颈癌患者术后性心理变化及影响因素的研究

目的 评估宫颈癌术后患者性心理变化及婚姻质量,为宫颈癌患者及家属提供有针对性的心理护理及干预措施.方法 采用自制的问卷调查表,对80例术后1年以上的宫颈癌女性患者进行问卷调查,了解患者对宫颈癌术后的性心理变化及其影响因素,并根据不同情况实施护理干预.结果 通过实施针对性的护理干预措施,患者的性心理、婚姻关系及性生活质量均有不同程度的改善.结论 影响宫颈癌患者性心理因素有很多,通过实施多种形式的护理干预,能促进患者身心健康,促进性功能恢复,提高生活质量.     

宫颈癌根治术同时卵巢移位及阴道延长术后生活质量的临床研究

目的:探讨宫颈癌根治术同时卵巢移位及阴道延长术后生活质量的情况以及移位后的卵巢功能的情况.方法:对<45岁的Ⅰ a～Ⅱa期宫颈癌患者进行了回顾性及前瞻性研究.设立研究组根治性子宫切除同时卵巢移位和阴道延长术的患者35例,对照组根治性子宫切除同时卵巢移位未行阴道延长术的患者37例,比较两者的一般生活质量及性生活质量.研究组中有23例患者做了前瞻性的研究,比较了患者治疗前及治疗后1年的一般生活质量及性生活质量.采用通用的EORTC QLIQ C30量表和FSFI量表.结果:研究组与对照组生活质量各项评分比较,差异均无统计学意义.性功能在性满意、性润滑、性疼痛方面研究组明显优于对照组(P<0.05);而在性渴望、性唤起和性高潮方面差异均无统计学意义(P>0.05).治疗前及治疗后1年的生活质量评分在情绪、认知、恶心、失眠、乏力和慢性腹痛、腹泻方面差异有统计学意义(P<0.05).其他方面的评分差异无统计学意义.治疗后1年在性渴望、性高潮和满意方面与治疗前相比评分明显降低,差异有统计学意义(P<0.05);而在性唤起、疼痛、阴道润滑方面治疗后1年与治疗前相比差异无统计学意义.结论:年轻早期宫颈癌患者行根治性子宫切除同时卵巢移位和腹膜代阴道延长术有利于提高患者术后的生活质量,尤其是性生活质量.     

不同手术方式对子宫肌瘤患者术后生活质量的影响

目的：比较不同手术方式对子宫肌瘤患者术后生活质量的影响。方法：采用女性性功能调查表、Olson婚姻质量调查问卷及诺丁汉健康量表对152例子宫肌瘤接受手术治疗的患者进行性功能、婚姻质量及生活质量的评估。结果：所有患者术后卵巢功能正常；全子宫切除组术后性功能、婚姻质量及生活质量均较术前降低；次全子宫切除组术后婚姻质量及生活质量较术前改善，性功能无明显改变；子宫肌瘤剔除组和血管介入治疗组术后性功能、婚姻质量及生活质量明显优于术前。结论：不同手术方式对子宫肌瘤患者术后卵巢功能无明显影响，但对术后患者性功能、婚姻质量和生活质量有不同的影响。     

宫颈癌病人治疗后性功能状况调查研究

[目的]调查宫颈癌病人治疗后性功能状况,研究其影响因素。[方法]应用女性性功能指标量表对广西医科大学附属肿瘤医院130例宫颈癌病人性功能状况进行测评,分析年龄、治疗时间、疾病分期、手术放化疗情况、生育情况等对宫颈癌病人治疗后性功能状况的影响。[结果]84.6%的宫颈癌病人治疗后存在性功能障碍,年龄、治疗时间、手术放化疗、生育情况是影响宫颈癌病人性生活质量的因素。[结论]宫颈癌病人性功能状况受多种因素影响,应根据年龄、治疗时间选择规范的治疗方式,减少并发症,改善病人的性生活状况。     

Comparative effects of sexual assault on sexual functioning of child sexual abuse survivors and others

This study quantitatively and qualitatively examined the effects of sexual assault on the sexual functioning of 37 sexually active women an average of 8.21 years postevent (Mdn = 4.08 years). More than 80% of the sample reported some sexual dysfunction with a partner as a result of the assault. Greatest impairment was reported by subjects who either had a history of child sexual abuse or had no prior sexual victimization before the current assault as compared with subjects who had prior sexual assaults. When data were examined by type of perpetrator, adverse effects were greatest for subjects assaulted by a health care professional. Qualitative analysis revealed that, for the total sample, greatest effects were in the area of adverse feeling states (part of desire dysfunction) as early response inhibitors, with subjects who had a history of child sexual abuse being the only group to report orgasmic dysfunction and guilt. There was no statistically significant difference in sexual dysfunction between subjects who filed civil suits and those who did not. Implications for treatment are discussed.     

Help-seeking behaviour for sexual problems: the global study of sexual attitudes and behaviors

The Global Study of Sexual Attitudes and Behaviors (GSSAB) investigated various aspects of sex and relationships among 27,500 men and women aged 40-80 years. Here, we report help-seeking behaviours for sexual problems in this population. A questionnaire was administered using the accepted survey method in each country. Although almost half of all sexually active respondents had experienced at least one sexual problem, less than 19% of them (18.0% of men and 18.8% of women) had attempted to seek medical help for their problem(s). The most frequent action taken by men and women was to talk to their partner (39%). Only 9% of men and women had been asked about their sexual health by a doctor in a routine visit during the past 3 years. Although sexual problems are highly prevalent, few men and women seek medical help for these problems. Overall, men and women show similar help-seeking behaviours.     

Using a pictorial-modified stroop task to explore the sexual interests of sexual offenders against children

The results of two studies are reported examining the utility of a pictorial-modified Stroop task (P-MST) in the assessment of sexual interest in a sample of nonoffending participants and of sexual offenders against children. A mixed factorial design was adopted for both. Nine gay and 12 straight participants took part in the first study which found that participants typically had attentional bias on the P-MST that was in line with their stated sexual interests. Twenty four sexual offenders against children and 24 control participants took part in the second study. Again results indicated that the task was tapping into the participants' stated sexual interests. Furthermore, extrafamilial offenders and offenders with an admitted sexual interest in children demonstrated the greatest mean bias for child stimuli relative to adult stimuli. A cautious interpretation of the results was recommended, given the sample size in the study, the heterogeneity of the sample, differences in cognitive speed among offenders and controls and other methodological caveats.     

The sexual embodiment of the cancer patient

This paper draws upon data from my doctoral studies and uses poststructuralism as a methodology to provide a way of seeing and understanding cancer patients' complex experience of their bodies. Cancer patients were massaged for the purpose of this study and the themes addressed in this article are linked to the sexuality of the person being massaged and the masseuse (PVDR). In order to capture the richness of the cancer patients' experience, the data are presented in an unconventional way--in the form of poetry. The poems show that the damaged bodies of cancer patients are still sexual in nature. In this research, the body of the cancer patient is a discursive one inscribed with power, culture, society and history. There are also themes of managing the body, altered embodiments of femininity, altered embodiments of masculinity, intimacy, and speaking the unspeakable.