CAJ | 학술논문

目的：了解产妇产后性健康状况，评价产后辅导对产妇产后性健康状况的影响。方法：本研究以376名顺产初产妇为调查对象，依照分娩的先后顺序，单数为观察组，双数为对照组，对照组进行一般产后辅导，观察组除一般产后辅导外还增加性健康教育。结果：观察组在产后60d 内首次恢复性生活的百分比显著高于对照组（χ2＝29.54，P ＜0.01）；与孕前半年相比，观察组产后3～6月性欲降低的百分比显著低于对照组（χ2＝34.31，P ＜0.01），每月性生活平均频率减少的百分比显著低于对照组（χ2＝14.16，P ＜0.01）；观察组发生性交疼痛、阴道干涩、性欲低下、性高潮缺乏、阴道松弛的发生率显著低于对照组（P ＜0.01）。结论：产后性健康教育是提高女性产后性生活质量及改善产后性问题的有效方法。
목적：료해산부산후성건강상황，평개산후보도대산부산후성건강상황적영향。방법：본연구이376명순산초산부위조사대상，의조분면적선후순서，단수위관찰조，쌍수위대조조，대조조진행일반산후보도，관찰조제일반산후보도외환증가성건강교육。결과：관찰조재산후60d 내수차회복성생활적백분비현저고우대조조（χ2＝29.54，P ＜0.01）；여잉전반년상비，관찰조산후3～6월성욕강저적백분비현저저우대조조（χ2＝34.31，P ＜0.01），매월성생활평균빈솔감소적백분비현저저우대조조（χ2＝14.16，P ＜0.01）；관찰조발생성교동통、음도간삽、성욕저하、성고조결핍、음도송이적발생솔현저저우대조조（P ＜0.01）。결론：산후성건강교육시제고녀성산후성생활질량급개선산후성문제적유효방법。
Objectives:To investigate the postpartum sexual health status,influence of postpartum counse-ling on the maternal sexual health.Methods:In this study,376 primiparas adopting natural delivery were investiga-ted and divided into the observation group and control group according the order of delivery.The control group was given general postpartum counseling,while the observation group was given additional sexual health education. Results:The percentage of people starting to have sexual life within 60 days after the delivery in the observation group was higher than that of control group(χ2 =29.54,P <0.01);compared with half a year before pregnancy, percentage of people with decreased libido postpartum 3 ~6 months in the observation group was significantly lower than that of control group(χ2 =34.31,P <0.01);the decreased frequency percentage of the monthly sexual living was significantly lower than the control group(χ2 =14.16,P <0.01);the incidence of sexual intercourse pain,va-ginal dryness,low sexual desire,lack of orgasm and vaginal relaxation in the observation group was significantly lower than the control group(P <0.01).Conclusion:Postpartum sexual health education is an effective method to improve the quality of female postpartum sexual life and solve the sexual problems.