|
|
|
| Postoperative sexual life quality investigation of women undergoing myomectomy and its countermeasures |
| Guangde People's Hospital, Guangde, Anhui Province, 242200 |
|
|
|
|
Abstract To investigate the sexual life quality of women after myomectomy, and to analyze its influencing factors and countermeasures. Methods: 98 patients with uterine fibroids who had undergone myomectomy in hospital from December 2020 to December 2023 were selected in this survey. The quality of sexual life of the patients was investigated by female sexual function index (FSFI). The psychological status and the marital adjustment level of the patients in 3 months after operation were evaluated by Hamilton anxiety scale (HAMA), Hamilton depression scale (HAMD) and marriage adjustment test (MAT). Multivariate logistic regression was used to analyze the influencing factors of the postoperative sexual life quality of the patients who had undergone myomectomy. Results: The postoperative score of the total FSFI each dimension (27.34±4.32 points) of 98 patients after operation was significantly lower than that (29.10±3.12 points) before operation (P<0.05). The age, the education level, the family monthly income, the occupational status, the surgical method, the psychological status and the marital adjustment level of the patients were all related to their postoperative sexual life quality (P<0.05). Multivariate logistic regression analysis showed that the advanced age (OR=3.155, 95%CI 1.309-7.607), the high HAMD score (OR=4.604, 95%CI 1.483-14.295) and the surgical method of laparoscopic myomectomy (OR=3.397, 95%CI 1.207-9.563) of the patients were all the independent factors affecting their postoperative sexual life quality. Conclusion: The postoperative sexual life quality of the patients with myomectomy is generally low. The advanced age, the surgical method of laparoscopic myomectomy and the low psychologic status of the patients are all the independent factors affecting their postoperative sexual life quality. Clinical intervention can be carried out by strengthening the propaganda and education, by providing the psychological nursing, by improving social support and by guiding the exercise.
|
|
|
|
|
|
|
|
|
