《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (2): 109-112.

• 论文 • 上一篇    下一篇

绝经前乳腺癌患者治疗后性生活质量调查分析

远丽，何志贤，岳军忠，龙志华，陶连元，李青，石青青，徐青   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心北京博爱医院普通外科，北京市100068；3. 南通大学附属医院甲状腺乳腺外科，江苏南通市226001。
  • 收稿日期:2014-01-09 修回日期:1900-01-01 出版日期:2014-02-25 发布日期:2014-02-25
  • 通讯作者: 徐青

Quality of Sexual Life in Premenopausal Breast Cancer Patients after Treatment

YUAN Li, HE Zhi-xian, YUE Jun-zhong, et al.   

  1. Capital Medical University School of Rehabilitation Medicine, Department of General Surgery, Beijing Bo'ai Hospital, China Rehabilitation ResearchCenter, Beijing 100068, China
  • Received:2014-01-09 Revised:1900-01-01 Published:2014-02-25 Online:2014-02-25

PDF (PC)

被引次数

9

摘要： 目的探讨绝经前乳腺癌患者治疗后性生活质量的变化及影响因素。方法使用性功能变化问卷简表(CSFQ-14)及部分自设条目。采用深度访谈及匿名法对94 例符合入选标准的绝经前乳腺癌患者进行治疗前后性生活质量评估，研究可能导致性功能改变的原因。结果接受面对面交流与研究病例94 例，回收问卷88 份(93.6%)，有效81 份(92.1%)。乳腺癌患者治疗后性生活质量、性生活整体满意度明显下降，治疗后CSFQ-14 评分显著降低(P<0.001)。治疗后性生活质量差、很差、极差分别达39.5%、29.6%、14.8%；65.4%的患者无性行为。治疗因素、担心性生活导致复发转移、治疗后身体不适、手术后身体外形改变、丈夫性态度的改变、生活压力、心理因素、传统观念等均为影响绝经前乳腺癌患者治疗后性生活质量变化的重要原因。结论绝经前乳腺癌患者治疗后存在明显性功能障碍与性生活质量下降，疾病及治疗导致患者生理与心理伤害、身体外形的改变、配偶性态度的变化等均为重要的影响因素，必须对患者及其配偶进行性康复指导。

关键词: 乳腺癌, 绝经前, 性生活, 影响因素

Abstract: Objective To explore the change of sexual life quality and its influencing factors of premenopausal breast cancer patients.Methods 94 premenopausal breast cancer patients were included. Changes in Sexual Functioning Questionnaire short-form (CSFQ-14) was used and part of its items was changed. Their sexual life was evaluated before and after treatment by using depth interview and anonymous methods. Results 94 cases received face-to-face communication and study. 88 (93.6%) questionnaires were received, in which 81 (92.1%) questionnaires were effective. Their sexual life quality and sexual satisfaction significantly decreased and there was significant difference in the CSFQ-14 score (P<0.001) before and after treatment. The ratio of bad, worse, and worst sexual life were 39.5%, 29.6%, and 14.8% respectively after treatment. 65.4% of the patients had no sexual activity. The reasons included medical related factors, fear of cancer metastasis and recurrence, physical discomfort, poorer body image, partner sexual attitudes changed, life stress, common psychological problems,
traditional ideas and so on. Conclusion Sexual dysfunction was obvious and sexual life quality significantly decreased in premenopausal breast cancer patients after treatment. Patients' physical and mental damage, the change of body image and spouse's attitude are significant influencing factors. It is necessary to give sexual rehabilitation guidance to patients and their spouses.

Key words: breast cancer, premenopausal, sexual life, influencing factors