CAJ | 학술논문

目的对因工伤致脊髓损伤(SCI)的男性患者进行性功能障碍状况问卷调查,并进行生活质量(QOL)评定,以期全面了解男性工伤SCI患者性功能障碍的特点、性康复治疗情况及生活质量状况.方法采用国际勃起功能指数表(IIEF-5)、自行设计的性功能综合调查表及世界卫生组织生活质量简表(WHOQOL-BREF)对62例男性工伤SCI患者进行了有效问卷调查,并与同期住院的146例工伤伤残患者的WHOQOL-BREF量表问卷得分进行了单样本t检验统计比较.结果本组患者77.9%存在中、重度勃起障碍,半数以上仍存在性欲和性需求,有52.7%曾尝试过性交,能完成者仅占19.5%,仅14.5%伤后获得过性满足.69.1%的SCI患者伴有心理症状,27.27%存在家庭问题,WHO-QOLEF简表平均得分低于工伤伤残患者(P＜0.05),尤其在生理、社会关系方面的得分更低(P＜0.01),生活质量显著下降.结论男性SCI患者普遍存在性功能障碍,整体生活质量处于较低水平,而国内SCI性功能障碍康复工作严重滞后.医疗卫生和劳动保障部门应加强对SCI患者性功能障碍相关问题的关注,对工伤SCI患者应常规进行性功能检查和性康复教育,将性功能障碍康复治疗费用纳入工伤保险支付范围.
목적 대인공상치척수손상(SCI)적남성환자진행성공능장애상황문권조사,병진행생활질량(QOL)평정,이기전면료해남성공상SCI환자성공능장애적특점、성강복치료정황급생활질량상황.방법 채용국제발기공능지수표(IIEF-5)、자행설계적성공능종합조사표급세계위생조직생활질량간표(WHOQOL-BREF)대62례남성공상SCI환자진행료유효문권조사,병여동기주원적146례공상상잔환자적WHOQOL-BREF량표문권득분진행료단양본t검험통계비교.결과 본조환자77.9%존재중、중도발기장애,반수이상잉존재성욕화성수구,유52.7%증상시과성교,능완성자부점19.5%,부14.5%상후획득과성만족.69.1%적SCI환자반유심리증상,27.27%존재가정문제,WHO-QOLEF간표평균득분저우공상상잔환자(P＜0.05),우기재생리、사회관계방면적득분경저(P＜0.01),생활질량현저하강.결론 남성SCI환자보편존재성공능장애,정체생활질량처우교저수평,이국내SCI성공능장애강복공작엄중체후.의료위생화노동보장부문응가강대SCI환자성공능장애상관문제적관주,대공상SCI환자응상규진행성공능검사화성강복교육,장성공능장애강복치료비용납입공상보험지부범위.
Objective To investigate sexual dysfunction and its rehabilitation,as well as quality of life in patients after spinal cord injury(SCI). Methods Sixty-two male patients with SCl were assessed with a 5-item version of the International Index of Erectile Function(IIEF-5),an especially-designed sexual function scale,and the World Health Organization's quality of life questionnaire(WHO-QOL).Their results were compared with those of 146 other patients with work injuries hospitalized in the same period.Results 77.9% of 62 cases had moderate to severe erectile dysfunction.though more than half of them remained sexually active.52.7% had attempted sexual intercourse,but only 19.5% succeeded,and only 14.5% obtained sexual satisfaction.69.1% of the 62 patients had psychological symptoms,and 27.27% had family problems.Their average score on the WHO-QOL was significantly lower than that of the other disabled workers.There were significant differences between the two groups with regard to quality of life.especially in the physiological and social relationships domains. Conclusion Most male patients with SCI had sexual dysfunction and decreased quality of life.Sexual dysfunction rehabilitation of SCI patients needs urgent strengthening.