Abstract:

Objective To understand the status of sexual and intimate relationship experience of postoperative patients with cervical cancer,in order to provide reference for the development of sexual health guidance program. Methods Using the phenomenological method,10 postoperative patients with cervical cancer who were followed up in the outpatient department were recruited in three tertiary hospitals using purposive sampling method and a semi-structured interview was conducted with them. Following Colaizzi’s method of analysis,data were analyzed with QSR Nvivo 12.0 software. Results The sexual and intimate relationship experience of postoperative patients with cervical cancer were classified into four themes：sexual distress,female role trauma,changes in marital relationships,changes in self-perception. There was a certain relevance between the themes. Conclusion The sexual and intimate relationship experience of postoperative patients with cervical cancer is poor. In order to improve the sexual relationship and intimacy between patients and their partners timely,and improve their overall quality of life,medical staff should take the initiative to provide sexual health guidance for patients and their partners.

Key words: Uterine Cervical Neoplasms, Postoperative Period, Sexual Relationship, Qualitative Research, Perioperative Nursing

摘要：

目的 了解宫颈癌患者根治术后两性关系体验的现状,旨在为制订两性健康指导方案提供参考。 方法 采用现象学研究法,选取重庆市3所三级甲等医院在门诊进行随访的10例宫颈癌根治术后患者,对其进行半结构式深入访谈,使用Colaizzi分析法及QSR Nvivo 12.0软件对资料进行分析。 结果 宫颈癌患者根治术后两性关系体验可归纳为4个主题：性生活困扰、女性角色创伤、婚姻关系改变、自我认知的转变,各主题之间存在一定的关联性。 结论 宫颈癌患者根治术后两性关系体验差,医护人员应主动为患者及其伴侣提供两性健康知识指导,及时改善患者与伴侣的两性关系及亲密度,提高其整体生活质量。

关键词: 宫颈肿瘤, 手术后期间, 两性关系, 质性研究, 围手术期护理