[1]梁 杨,胡燕华,王 梅,等.直肠癌术后患者性功能障碍的影响因素及护理现状[J].医学信息,2020,33(23):52-56.[doi:10.3969/j.issn.1006-1959.2020.23.016]
 LIANG Yang,HU Yan-hua,WANG Mei,et al.Influencing Factors and Nursing Status of Patients with Sexual Dysfunction After Rectal Cancer Operation[J].Medical Information,2020,33(23):52-56.[doi:10.3969/j.issn.1006-1959.2020.23.016]
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直肠癌术后患者性功能障碍的影响因素及护理现状()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年23期
页码:
52-56
栏目:
综述
出版日期:
2020-12-01

文章信息/Info

Title:
Influencing Factors and Nursing Status of Patients with Sexual Dysfunction After Rectal Cancer Operation
文章编号:
1006-1959(2020)23-0052-05
作者:
梁 杨 胡燕华王 梅
(1.川北医学院,四川 南充 637000; 2.川北医学院附属医院重症医学科,四川 南充 637000)
Author(s):
LIANG YangHU Yan-huaWANG Meiet al
(1.North Sichuan Medical College,Nanchong 637000,Sichuan,China; 2.Department of Critical Care Medic,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)
关键词:
直肠癌性功能障碍护理干预
Keywords:
Rectal cancerSexual dysfunctionNursing intervention
分类号:
R473.6;R735.37
DOI:
10.3969/j.issn.1006-1959.2020.23.016
文献标志码:
A
摘要:
性功能障碍是中低位直肠癌术后常见并发症,发病率高且影响患者生活质量。本文主要对直肠癌患者术后性功能障碍的发生现状、评估工具、影响因素和护理干预措施进行综述,以期改善患者性功能状况,提高其生活质量。
Abstract:
Sexual dysfunction is a common complication after operation for middle and low rectal cancer, and its incidence rate is high and the quality of life of patients is affected. The purpose of this article is to summarize the current situation, assessment tools, influencing factors and nursing intervention measures of postoperative sexual dysfunction in patients with rectal cancer, in order to improve the sexual function status of patients and improve the quality of life.

参考文献/References:

[1]Arnold M,Sierra MS,Laversanne M,et al.Global patterns and trends in colorectal cancer incidence and mortality[J].Gut,2017,66(4):683-691. [2]孙可欣,郑荣寿,张思维,等.2015年中国分地区恶性肿瘤发病和死亡分析[J].中国肿瘤,2019,28(1):1-11. [3]Gu J,Chen N.Current status of rectal cancer treatment in China[J].Colorectal Dis,2013,15(11):1345-1350. [4]Ledebo A,Bock D,Prytz M,et al.Urogenital function 3years after abdominoperineal excision for rectal cancer[J].Colorectal Disease,2018,20(6):O123-O134. [5]谢玲女,张静,李德川.直肠癌LAR术后患者生活质量的质性研究[J].浙江临床医学,2017,19(1):151-153. [6]Sun V,Grant M,Wendel CS,et al.Sexual Function and Health-Related Quality of Life in Long-Term Rectal Cancer Survivors[J].J Sex Med,2016,13(7):1071-1079. [7]Leon-Carlyle M,Schmocker S,Victor JC,et al.Prevalence of Physiologic Sexual Dysfunction Is High Following Treatment for Rectal Cancer:But Is It the Only Thing That Matters[J].Dis Colon Rectum,2015,58(8):736-742. [8]Rosen RC,Riley A,Wagner G,et al.The international index of erectile function(IIEF):a multidimensional scale for assessment of erectile dysfunction[J].Urology,1997,49(6):822-830. [9]Gonzáles AI,Sties SW,Wittkopf PG,et al.Validation of the International Index of Erectile Function(IIFE)for Use in Brazil[J].Arquivos Brasileiros de Cardiologia,2013,101(2):176-182. [10]Wiltink J,Hauck EW,Phadayanon M,et al.Validation of the German version of the International Index of Erectile Function(IIEF)in patients with erectile dysfunction,Peyronie’s disease and controls[J].International Journal of Impotence Research,2003,15(3):192-197. [11]Quinta Gomes AL,Nobre P.The International Index of Erectile Function(IIE‐15):Psychometric Properties of the Portuguese Version[J].The Journal of Sexual Medicine,2012,9(1):180-187. [12]Rosen RC,Cappelleri JC,Smith MD,et al.Development and evaluation of an abridged,5-item version of the International Index of Erectile Function(IIEF-5)as a diagnostic tool for erectile dysfunction[J].Int J Impot Res,1999,11(6):319-326. [13]Rosen RC,Catania J,Pollack L,et al.Male Sexual Health Questionnaire(MSHQ):Scale development and psychometric validation[J].Urology,2004,64(4):777-782. [14]Rosen R,Brown C,Heiman J,et al.The Female Sexual Function Index(FSFI):a multidimensional self-report instrument for the assessment of female sexual function[J].J Sex Marital Ther,2000,26(2):191-208. [15]Jensen PT,Klee MC,Thranov I,et al.Validation of a questionnaire for self-assessment of sexual function and vaginal changes after gynaecological cancer[J].Psycho-Oncology,2004,13(8):577-592. [16]Chow K,So WKW,Chan CWH.Assessing sexual function amongst Hong Kong Chinese patients with gynecological cancer:Translation and validation of the Sexual Function-Vaginal Changes Questionnaire(SVQ)[J].Clinical Oncology and Cancer Research,2010,7(4):230-233. [17]Sprangers MAG,Te Velde A,Aaronson NK.The construction and testing of the EORTC colorectal cancer-specific quality of life questionnaire module(QLQ-CR38)[J].European Journal of Cancer,1999,35(2):238-247. [18]Kong D,Yang Z,Wang Y,et al.Development and validation of a simplified chinese version of EORTC QLQ-CR38 to measure the quality of life of patients with colorectal cancer[J].Oncology,2012,83(4):201-209. [19]高庆坤,牛鹏飞,王延召,等.3D腹腔镜与开腹直肠癌根治术对男性性功能及泌尿功能的影响[J].中华临床医师杂志(电子版), 2019,13(4):246-253. [20]Wlodarczyk M,Sobolewska J,Nowak A,et al.Sexual dysfunctions following low anterior resection of the rectum in rectal cancer patients[J].Pol Przegl Chir,2019,91(3):21-26. [21]Lange MM,Marijnen CAM,Maas CP,et al.Risk factors for sexual dysfunction after rectal cancer treatment[J].European Journal of Cancer,2009,45(9):1578-1588. [22]Au T,Zauszniewski JA,King T.Demographics,Cancer-Related Factors,and Sexual Function in Rectal Cancer Patients in Taiwan[J].Cancer Nursing,2012,35(5):E17-E25. [23]Shieh S,Lin Y,Huang C,et al.Sexual dysfunction in males following low anterior resection[J].Journal of Clinical Nursing,2016,25(15-16):2348-2356. [24]王剑,熊辉,郑晓峰.全直肠系膜切除术联合自主神经保留术对男性直肠癌患者性功能及排尿功能的影响[J].中国性科学,2019,28(8):5-7. [25]邓周录,崔霞,姚力,等.男性患者直肠癌术后性功能的变化[J].中华普通外科杂志,2000(7):23-25. [26]Pontallier A,Denost Q,Van Geluwe B,et al.Potential sexual function improvement by using transanalmesorectal approach for laparoscopic low rectal cancer excision[J].Surgical Endoscopy,2016,30(11):4924-4933. [27]Kamali D,Omar K,Imam SZ,et al.Patient quality of life and short-term surgical outcomes between robotic and laparoscopic anterior resection for adenocarcinoma of the rectum[J].Techniques in Coloproctology,2017,21(5):355-361. [28]Kim HS,Kang JH,Yang SY,et al.Long-term Voiding and Sexual Function in Male Patients After Robotic Total Mesorectal Excision With Autonomic Nerve Preservation for Rectal Cancer:A Cross-Sectional Study[J].Surg Laparosc Endosc Percutan Tech,2020,30(2):137-143. [29]Kim HJ,Choi GS,Park JS,et al.The impact of robotic surgery on quality of life,urinary and sexual function following total mesorectal excision for rectal cancer:a propensity score-matched analysis with laparoscopic surgery[J].Colorectal Dis,2018,20(5):O103-O113. [30]Panteleimonitis S,Ahmed J,Ramachandra M,et al.Urogenital function in robotic vs.laparoscopic rectal cancer surgery:a comparative study[J].International Journal of Colorectal Disease,2017,32(2):241-248. [31]Tang X,Wang Z,Wu X,et al.Robotic versus laparoscopic surgery for rectal cancer in male urogenital function preservation,a meta-analysis[J].World Journal of Surgical Oncology,2018,16(1):196. [32]Broholm M,Pommergaard HC,Gogenür I.Possible benefits of robot-assisted rectal cancer surgery regarding urological and sexual dysfunction:a systematic review and meta-analysis[J].Colorectal Disease,2015,17(5):375-381. [33]叶善平,时军,江群广,等.达芬奇机器人与腹腔镜辅助直肠癌Dixon术近期疗效的对比研究[J].中国微创外科杂志,2019,19(10):898-902. [34]Buchli C,Martling A,Abani MA,et al.Risk of Acute Testicular Failure After Preoperative Radiotherapy for Rectal Cancer:A Prospective Cohort Study[J].Ann Surg,2018,267(2):326-331. [35]Downing A,Glaser AW,Finan PJ,et al.Functional Outcomes and Health-Related Quality of Life After Curative Treatment for Rectal Cancer:A Population-Level Study in England[J].International Journal of Radiation Oncology Biology Physics,2019,103(5):1132-1142. [36]Bregendahl S,Emmertsen KJ,Lindegaard JC,et al.Urinary and sexual dysfunction in women after resection with and without preoperative radiotherapy for rectal cancer:a population-based cross-sectional study[J].Colorectal Disease,2015,17(1):26-37. [37]火夏琴,苟元凤,周利军,等.化疗致卵巢早衰分子机制及药物预防的研究进展[J].现代妇产科进展,2018,27(10):796-798. [38]S?觟rensson M,Asplund D,Matthiessen P,et al.Self-reported sexual dysfunction in patients with rectal cancer[J].Colorectal Dis,2020,22(5):500-512. [39]Schmiegelow AF,Broholm M,G?觟genur I,et al.Evaluation of Sexual and Urinary Function After Implementation of Robot-assisted Surgery for Rectal Cancer:A Single-Center Study[J].Surg Laparosc Endosc Percutan Tech,2016,26(2):141-145. [40]Kinoshita Y,Izukura R,Miyazono M,et al.Effect of age factors on health-related quality of life in patients with lower rectal cancer after sphincter-saving surgery:a 1-year longitudinal study[J].Arch Gerontol Geriatr,2018(79):185-191. [41]吕桂玉.直肠癌根治术后永久性肠造口患者生存质量影响因素的质性研究[J].当代护士,2018,25(2):1-4. [42]Benedict C,Philip EJ,Baser RE,et al.Body image and sexual function in women after treatment for anal and rectal cancer[J].Psycho-Oncology,2016,25(3):316-323. [43]Philip EJ,Nelson C,Temple L,et al.Psychological Correlates of Sexual Dysfunction in Female Rectal and Anal Cancer Survivors:Analysis of Baseline Intervention Data[J].The Journal of Sexual Medicine,2013,10(10):2539-2548. [44]Leon-Carlyle M,Schmocker S,Victor JC,et al.Prevalence of Physiologic Sexual Dysfunction Is High Following Treatment for Rectal Cancer[J].Diseases of the Colon&Rectum,2015,58(8):736-742. [45]吴候琼.性行为指导对中青年男性直肠癌造口患者性生活质量的干预作用研究[J].中国性科学,2020,29(6):9-12. [46]廖春艳,乔莉娜,樊慧,等.正念减压疗法对结肠癌患者知觉压力和焦虑抑郁水平的影响[J].中国肿瘤临床与康复,2016,23(8):992-996. [47]潘春秋,韦彩捌,何慧,等.焦点解决护理对PANP直肠癌根治术后男性患者性功能的影响[J].现代医院,2015,15(3):97-98. [48]Pang JH,Jones Z,Myers OB,et al.Long term sexual function following rectal cancer treatment[J].Am J Surg,2020 ,220(5):1258-1263. [49]卞惠娟.性行为指导对中青年男性直肠癌Miles术后性功能的影响[J].现代中西医结合杂志,2015,24(6):672-674. [50]诸葛林敏,傅凌雪,郑晨果,等.综合家庭护理干预改善直肠癌根治术后造口患者性生活质量的疗效观察[J].浙江医学,2015,37(12):1104-1107. [51]DuHamel K,Schuler T,Nelson C,et al.The sexual health of female rectal and anal cancer survivors:results of a pilot randomized psycho-educational intervention trial[J].Journal of Cancer Survivorship,2016,10(3):553-563. [52]汪燕,杜小宜,徐继宗,等.电针治疗直肠癌术后男性性功能障碍的疗效观察[J].中国中医药科技,2017,24(5):629-631. [53]Goetsch MF,Lim JY,Caughey AB.A Practical Solution for Dyspareunia in Breast Cancer Survivors:A Randomized Controlled Trial[J].J Clin Oncol,2015,33(30):3394-3400. [54]张晶,陆璐,姚婷,等.女性性功能障碍药物治疗研究进展[J].中国性科学,2020,29(5):123-125. [55]Akbaba S,Oelmann-Avendano JT,Krug D,et al.The impact of vaginal dilator use on vaginal stenosis and sexual quality of life in women treated with adjuvant radiotherapy for endometrial cancer[J].Strahlenther Onkol,2019,195(10):902-912.

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更新日期/Last Update: 1900-01-01