关键词: 宫颈肿瘤, 手术后期间, 性功能障碍, 围手术期护理, 护理管理研究

Abstract:

Objective This study aimed at understanding the status of cognition,behavior,responsibility and barriers of gynecological medical staff towards management of sexual problems of postoperative patients with cervical cancer in Chongqing,in order to provide references for formulating sexual health guidance of postoperative patients. Methods A total of 191 gynecological medical staff members from 19 hospitals in Chongqing were surveyed by the self-designed questionnaire from February to April 2019. Results The cognition score of medical staff was 13~44（29.62±7.21）;the behavior score was 7~25（12.87±3.47）. 91.6% of participants thought that they should provide sexual counseling or diagnosis and treatment services for patients and 83.8% thought gynecologists were the primary person responsible for managing sexual problems. The most frequently mentioned management barriers were low literacy of patients（88%）,lack of professional training for medical staff（79.6%）,lack of sexual therapists or referral departments（81.7%） and lack of systematic treatment programmes（84.3%）. Multivariate linear regression analysis showed that professional title,training,cognition of sexual problems management,responsibility of sexual problems management and management barriers were influencing factors of managing sexual problems of medical staff（P< 0.05）. Conclusion The gynecological medical staff paid insufficient attention to the sexual problems of postoperative patients and there was no systematic management plan. It is necessary to improve the awareness of medical staff and to provide relevant training.

Key words: Uterine Cervical Neoplasms, Postoperative Period, Sexual Dysfunction, Perioperative Nursing, Nursing Administration Research