Zhen Hong Nan, Tian Yuan, Shen Jing, Ma Jia Bin, Wang Wenx Bin, Guan Hui, Miao Zheng, Zhang Yuan, Hu Ke, Zhang Fu Quan
Department of Radiation Oncology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
Department of Anesthesiology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2019 Aug 30;41(4):501-505. doi: 10.3881/j.issn.1000-503X.11289.
To investigate the sexual quality of life and its influencing factors in patients with cervical cancer undergoing radiotherapy. Methods Totally 205 patients with cervical cancer who received radiotherapy in Peking Union Medical College Hospital from December 2013 to December 2018 were enrolled in this study.The Female Sexual Function Index(FSFI)scale was used to assess the sexual quality of life of these patients.The demographic data(including age,education level,marital status,family status,and occupation)and clinical data(including tumor stage and treatment method)were collected.Mann-Whitney test and Kruskal-Wallis test were used to analyze the influence of various factors on the sexual quality of life. Results Female sexual dysfunction was common among patients with cervical cancer undergoing radiotherapy.The total FSFI score was 5.5(3.6,16.3),and the scores of subscales were as follows:desire,1.20(0,1.80);sexual arousal,0.90(0,1.80);vaginal lubrication,0.30(0,3.30);orgasm,0(0,2.80);satisfaction,2.40(1.60,3.60);and sexual pain,0(0,2.80).Age(=0.010),duration of radiotherapy(=0.008),marital status(=0.020),family status(=0.010),and occupation(=0.024)were influential factors of sexual quality of life in cervical cancer patients undergoing radiotherapy. Conclusions The sexual quality of life of patients with cervical cancer undergoing radiotherapy is affected by multiple factors.Instructions on treatment,mental status,and post-treatment sexual life should be offered in an individualized way to improve the sexual quality of life of these patients.
探讨宫颈癌放疗患者的性生活质量及其影响因素。方法选取2013年12月至2018年12月在北京协和医院接受放疗的205例宫颈癌患者纳入本研究。采用女性性功能指数（FSFI）量表评估这些患者的性生活质量。收集其人口学资料（包括年龄、文化程度、婚姻状况、家庭状况和职业）及临床资料（包括肿瘤分期和治疗方式）。采用Mann-Whitney检验和Kruskal-Wallis检验分析各因素对性生活质量的影响。结果宫颈癌放疗患者中女性性功能障碍较为常见。FSFI总分5.5（3.6，16.3），各维度得分如下：性欲1.20（0，1.80）；性唤起0.90（0，1.80）；阴道润滑0.30（0，3.30）；性高潮0（0，2.80）；满意度2.40（1.60，3.60）；性交疼痛0（0，2.80）。年龄（=0.010）、放疗疗程（=0.008）、婚姻状况（=0.020）、家庭状况（=0.010）和职业（=0.024）是宫颈癌放疗患者性生活质量的影响因素。结论宫颈癌放疗患者的性生活质量受多种因素影响。应个体化提供治疗指导、心理状态及治疗后性生活方面的指导，以提高这些患者的性生活质量。
