CAJ | 학술논문

目的了解盆底肌肉训练对全子宫切除术后患者性生活质量的干预效果.方法将因妇科良性疾病行全子宫切除且具有完整随访资料的166例患者随机分为对照组81例和干预组85例.对照组给予常规护理,干预组在对照组基础上行盆底肌肉训练,分别于术后6,9,12个月时对2组发放性生活质量问卷调查,对干预组和对照组不同时间点的性生活质量各因子分值以及总分进行重复测量的方差分析.结果除性态度、体像在2组之间的比较不存在统计学意义外,其他项如性满意、性交流、性焦虑、性反应4个因子以及性生活质量总分在不同时间点之间比较差异均有统计学意义,时间与组别不存在交互作用,不同干预方法之间也存在差异.结论盆底肌肉训练能促进全子宫切除患者性生活质量的恢复,可作为妇科延续护理措施推广应用.
목적 료해분저기육훈련대전자궁절제술후환자성생활질량적간예효과.방법 장인부과량성질병행전자궁절제차구유완정수방자료적166례환자수궤분위대조조81례화간예조85례.대조조급여상규호리,간예조재대조조기출상행분저기육훈련,분별우술후6,9,12개월시대2조발방성생활질량문권조사,대간예조화대조조불동시간점적성생활질량각인자분치이급총분진행중복측량적방차분석.결과 제성태도、체상재2조지간적비교불존재통계학의의외,기타항여성만의、성교류、성초필、성반응4개인자이급성생활질량총분재불동시간점지간비교차이균유통계학의의,시간여조별불존재교호작용,불동간예방법지간야존재차이.결론 분저기육훈련능촉진전자궁절제환자성생활질량적회복,가작위부과연속호리조시추엄응용.
Objective To evaluate the effect of pelvic muscle exercise on quality of sexual life after panhysterectomy surgery.Methods A retrospective review was made on 166 patients with integrated follow-up documents,after their panhysterectomy surgery caused by benign diseases.A normal nursing care was provided to the control group (n=81); while an additional pelvic muscle exercise was performed on the normal care basis,to those in the experimental group (n=85).Finally,a questionnaire on sexual life quality was made at the sixth month,ninth month,and twelfth month respectively,using a repeated measure ANOVA to analyze the data of each dimension and the whole score.Results Significant differences revealed both on the whole score and dimensions of the sexual satisfaction,sexual communication,sexual anxiety and sexual reaction,in different time sites.However,no difference was found in sexual attitude and body image.Besides,a cross interaction was found between time and intervention,where intervention presented different effects.Conclusions Pelvic muscle exercise is recommended in gynecological continuing nursing care to facilitate the recovery of sexual life after panhysterectomy surgery.