目的 探讨积极综合护理措施对早期宫颈癌术后患者性功能、抑郁和主观幸福感的影响.方法 对我院收治的84例50岁以下宫颈癌患者的临床资料进行回顾性分析,将行常规护理的43例患者作为对照组、行综合护理的41例患者作为治疗组,治疗组除了常规护理内容,还采用幸福理论框架模型下(PERMA模型)的性健康管理多学科团队干预方案.分别在干预前、干预后3个月、干预后6个月采用女性性功能指数、抑郁自评量表评分和幸福感指数,对性功能指数、抑郁评分和幸福指数进行评估.结果 与对照组相比,治疗组干预3个月及6个月患者的性功能改善(F=91.08,P＜0.001).干预3个月及6个月后,治疗组抑郁评分低于对照组(F=1092.59,P＜0.001),幸福感改善指数高于对照组(F=107.90,P＜0.001).Spearman相关分析结果显示,女性性功能指数同抑郁自评量表得分呈负相关(rs=-0.918,P＜0.001),同幸福感指数得分呈正相关(rs=0.844,P＜0.001).结论 综合护理在性功能、抑郁和主观幸福感方面均有明显改善.通过PERMA模式下性健康管理的多学科团队干预方案,可以提高患者的性生活质量,降低患者的抑郁程度,及改善患者的主观幸福感.
Objective To explore the effects of active and comprehensive care measures on sexual function,depression and subjective well-being of patients after early cervical cancer surgery.Methods The clinical data of 84 cervical cancer patients(under 50 years old)admitted to our hospital were retrospectively analyzed.There were 43 cases with conventional care in control group and 41 cases with comprehensive care group in treatment group.Besides the conventional care components,the comprehensive care group also adopted a multidisciplinary team intervention program for sexual health management under the framework model of well-being theory(PERMA model).We used the female sexual function index,depression self-rating scale score and happiness index to assess the sexual function index,depression score and happiness index before,3 months and 6 months after the intervention,respectively.Results In comparison with the control group,the patients in the treatment group had a significant improvement in sexual function at 3 and 6 months of intervention(F=91.08,P＜0.001).After 3 and 6 months of intervention,the depression score was significantly lower in the comprehensive care group than in the control group(F=1092.59,P＜0.001),and the happiness improvement index was significantly higher than in the control group(F=107.90,P＜0.001).Spearman's correlation analysis showed that the female sexual function index was negatively correlated with the depression self-rating scale score(rs=-0.918,P＜0.001)and positively correlated with the well-being index(rs=0.844,P＜0.001).Conclusions The comprehensive care group showed significant improvements in sexual function,depression,and subjective well-being.A multidisciplinary team intervention program for sexual health management under the PERMA model can improve the quality of patients'sexual life,reduce their depression,and improve their subjective well-being.
黄玉玲;吴健灵;周丹;彭丽艳
惠州市中心人民医院妇科(广东惠州 516001)
宫颈癌;性功能障碍;PERMA模型;抑郁;幸福指数
cervical cancer;sexual dysfunction;PERMA model;depression;well-being index
《广州医药》 2024 (002)
170-175 / 6
广东省医学科学技术研究基金(B2021317)
10.3969/j.issn.1000-8535.2024.02.012
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