CAJ | 학술논문

目的：探讨盆腔自主神经保护（PANP）直肠癌根治术后男性性生活质量的影响因素，为提高术后性生活质量提供参考。方法采用问卷调查法，对2011年3月至2013年4月该院收治的134例PANP直肠癌根治术后男性患者调查及影响因素进行 logistic 回归分析。结果134例男性患者行 PANP 直肠癌根治术后性生活质量总分为（136.51±45.96）分，每天睡眠情况、自身对疾病的认识和家属对患者的态度及配合情况得分居于前3位；患者自身对疾病的认识、家属对患者的态度及配合情况是性生活质量的影响因素（P<0.05）。结论加强患者对疾病认识和家属对患者的态度及配合程度是影响PANP直肠癌根治术后男性性生活质量的主要因素。
목적：탐토분강자주신경보호（PANP）직장암근치술후남성성생활질량적영향인소，위제고술후성생활질량제공삼고。방법채용문권조사법，대2011년3월지2013년4월해원수치적134례PANP직장암근치술후남성환자조사급영향인소진행 logistic 회귀분석。결과134례남성환자행 PANP 직장암근치술후성생활질량총분위（136.51±45.96）분，매천수면정황、자신대질병적인식화가속대환자적태도급배합정황득분거우전3위；환자자신대질병적인식、가속대환자적태도급배합정황시성생활질량적영향인소（P<0.05）。결론가강환자대질병인식화가속대환자적태도급배합정도시영향PANP직장암근치술후남성성생활질량적주요인소。
Objective To explore the factors affecting the male sexual quality after PANP rectal cancer radical dissec—tion and provide reference to improve postoperative sexual quality of the male. Methods A total of 134 patients undertaken pelvic autonomic nerve preservation(PANP) rectal cancer radical dissection in this hospital were investigated through question—naire survey and analyzed by the logistic regression in its influencing factors. Results The total score of postoperative sexual quality of 134 male patients in this study was(136.51±45.96). The quality of daily sleep,the self—cognition to the disease,the atti—tude to the patients and coordination of their families ranked the first three places successively. The self—cognition to the disease, the attitude to the patients of the families and cooperation were the key factors of sexual quality ,which had statistical significance in difference (P<0.05), Conclusion Strengthening the self—cognition to the disease,the attitude to the patients of the families and cooperation are the important factors in the nursing health education after PANP rectal cancer radical dissection.