学术论文

      前列腺增生手术患者术后性生活质量及其影响因素研究

      Study on the postoperative sexual life quality of patients receiving prostatic hyperplasia operation and its influence factors

      摘要:
      目的:研究前列腺增生手术患者术后性生活质量及其影响因素,以为患者术后性生活质量的改善提供依据.方法:选取2015年2月至2016年4月期间于本院进行手术治疗的108例前列腺增生患者为研究对象,将其采用SLQQ-QOL量表进行评估,然后分别比较不同年龄、文化程度、社会支持程度、情绪状态、自我效能感、疾病认知度、前列腺分度、手术并发症情况及手术方式患者的评估结果,并采用Logistic回归分析处理上述因素与此类患者术后性生活质量的关系.结果:108例患者的SLQQ-QOL量表评估结果较差,其中年龄较高、文化程度较低、社会支持程度较低、抑郁焦虑、自我效能感较低、疾病认知度较低、前列腺分度较高、存在手术并发症及TURP治疗者的SLQQ-QOL量表评估结果差于年龄较低、文化程度较高、社会支持程度较高、无焦虑抑郁、自我效能感较高、疾病认知度较高、前列腺分度较低、无手术病灶及TUBVP治疗者,且Logistic回归分析显示,上述因素均与此类患者的术后性生活质量有密切的关系,P均<0.05.结论:前列腺增生手术患者术后性生活质量较差,且多类因素对其影响较大,应针对这些因素给予充分干预.
      Abstract:
      Objectives:To study the postoperative sexual life quality of patients receiving prostatic hyperplasia operation and its influence factors,in order to provide evidence for the improvement of postoperative sexual life quality of patients.Methods:108 patients with prostatic hyperplasia who were treated with operation in our hospital from February 2015 to April 2016 were selected as the study object,and they were all evaluated with SLQQ-QOL scale.Then the evaluation results of patients with different ages,education degree,social support degree,emotional state,self-efficiency,disease recognition,index of prostate,surgical complications and operation methods were respectively compared.The relationship between those factors and postoperative sexual life quality of patients were analyzed by the Logistic regression analysis.Results:The SLQQ-QOL scale results of 108 patients were worse,and the SLQQ-QOL scale evaluation results of patients with higher ages,lower education degree,lower social support degree,depression and anxiety,lower self-efficiency,lower disease recognition,higher index of prostate,surgical complications and TURP were all worse than the results of patients with lower ages,higher education degree,higher social support degree,without depression and anxiety,higher self-efficiency,higher disease recognition,lower index of prostate,without surgical complications and TUBVP.The Logistic regression analysis showed those factors all had close relationship with the postoperative sexual life quality of patients,all P < 0.05.Conclusion:The postoperative sexual life quality of patients receiving prostatic hyperplasia operation are worse,with a lot of influence factors,which should be paid enough attention to during the treatment.
      Author: SU Ji LIANG Wei DING Quanmin WANG Gang LU Yang
      作者单位: 本溪市中心医院泌尿外科,辽宁本溪,117000
      刊 名: 中国性科学 ISTIC
      年,卷(期): 2017, 26(11)
      分类号: R697+.3
      在线出版日期: 2017年12月22日