摘要
目的观察阴茎癌部分切除术后患者自尊及生活质量的特点,分析二者的相关性。方法选取97例阴茎癌部分切除术后患者作为观察组,选取60例体检的成人男性作为对照组,应用自尊量表评价患者的自尊情况,应用健康调查简表(SF-36)评价生活质量情况,应用勃起功能国际问卷-5评价患者的性功能状态,并关注不同临床特征患者的差别及相关性。结果观察组自尊评分(12.34±3.42)分明显低于对照组(18.44±3.42)分,差异有统计学意义(t=8.32,P<0.05)。观察组在8个维度生活质量的评分明显低于对照组,差异均有统计学意义(t分别=10.45、12.98、11.75、17.65、12.80、11.75、15.24、14.43,P均<0.05),经线性相关性分析,观察组患者自尊评分与总体健康的评分具有正相关性(r=0.51,P<0.05)。观察组正常勃起及轻、中、重度的勃起障碍患者术后勃起功能较术前均明显下降,差异均有统计学意义(χ2=6.56、9.86、8.78、16.28,P均<0.05)。观察组中有60例患者的性生活质量较术前下降,3例患者出现尿道狭窄。结论阴茎癌部分切除术后患者自尊感差,生活质量低。阴茎癌患者的阴茎部分切除术与术后自尊感下降具有相关性。
Objective To investigate the quality of life and self-esteem of penis carcinoma patients after partial penis resection and analyze the relationship between them. Methods A total of 97 penis carcinoma patients after partial penis resection were chose as the observation group. Sixty normal people were collected as the control group. The self-esteem was evaluated by self-esteem scale, the quality of life was evaluated by SF-36 scale, and erectile function was evaluated by HEF-5. Results The score of self-esteem of observation group （12.34±3.42） were significantly lower than that of the con- trol group （18.44±3.42）（t=8.32 ,P〈O.05 ）. The scores of eight dimensions of quality of life of observation group were sig- nificantly lower than that of the control group （t=10.45, 12.98, 11.75, 17.65, 12.80, 11.75, 15.24, 14.43, P〈0.05）. The liner correlation showed that the self-esteem scores and overall health scores were positive related（r=0.51, P〈0.05）. Compared with preoperative ,the cases of normal, light, middle and severe erectile function of observation group were sig- nificantly decreased postoperation（X2=6.56, 9.86, 8.78,16.28 ,P〈0.05）. The quality of sexual life of 60 patients in obser- vation group were dropped. There were 3 cases occurring urethra stricture in observation group. Conclusions The quality of life and self-esteem of penis carcinoma patients after partial penis resection were poor. The poor self-esteem was related to the partial penis resection.
出处
《全科医学临床与教育》
2013年第2期148-150,共3页
Clinical Education of General Practice
关键词
阴茎癌
自尊
生活质量
勃起功能
penis carcinoma
self-esteem
quality of life
erectile function
