夫妻共情对乳腺癌切除患者心理痛苦及术后性生活质量的影响-现代医学

夫妻共情对乳腺癌切除患者心理痛苦及术后性生活质量的影响

单位：1. 西安交通大学第一附属医院乳腺外科, 陕西西安 710061;
2. 西北大学附属医院·西安市第三医院甲乳外科, 陕西西安 710018;
3. 西安市精神卫生中心临床试验机构, 陕西西安 710061

分类号：R737

出版年·卷·期（页码）：2025·53·第三期（412-418）

摘要：

目的：探讨夫妻共情对乳腺癌切除患者心理痛苦及术后性生活质量的影响，为改善乳腺癌切除患者身心健康提供参考。方法：以西安交通大学第一附属医院乳腺外科2022年6月至2024年9月收治的153例乳腺癌切除患者为研究对象，通过一般资料调查表、中文版人际反应指针量表(IRI-C)、乳腺癌版心理痛苦温度计(DT-BC)、女性性功能指数(FSFI)进行问卷调查。相关性分析采用Pearson和Spearman相关，影响因素行Logistic回归和多元逐步线性回归分析。结果：乳腺癌患者IRI-C得分显著高于其配偶(t=5.902，P＜0.001)；心理痛苦患者及其配偶IRI-C得分均分别显著低于非心理痛苦患者及配偶(t=3.350、2.934，均P＜0.05)。相关分析显示，乳腺癌患者IRI-C得分与配偶IRI-C得分、FSFI总分均呈正相关(r=0.437、0.234，均P＜0.05)，配偶IRI-C得分与患者FSFI总分呈正相关(r=0.261，P＜0.05)；患者心理痛苦与患者IRI-C得分和配偶IRI-C得分均呈负相关(r=-0.245、-0.220，均P＜0.05)。回归分析结果显示，患者IRI-C得分(OR=0.930，95%CI：0.880~0.983)、年龄(OR=2.806，95%CI：1.195~6.589)是乳腺癌患者心理痛苦发生的独立影响因子(均P＜0.05)；手术方式是乳腺癌患者性生活质量的影响因素(R²=0.349，F=27.278，P＜0.001)。结论：夫妻共情对乳腺癌切除患者心理痛苦及术后性生活质量有一定的影响，特别是患者共情能力高能减轻其心理痛苦，有利于其性生活质量提升。

Objective: To explore the effects of conjugal empathy on psychological distress and sexual life quality of patients after breast cancer resection, so as to provide reference for improving their physical and mental health. Methods: A total of 153 patients with breast cancer resection admitted to the department of breast surgery of the First Affiliated Hospital of Xi'an Jiaotong University from June 2022 to September 2024 were investigated by means of the general data questionnaire, the Chinese version of Interpersonal Response Index-C(IRI-C), Distress Thermometer for Breast Cancer(DT-BC) and the Female Sexual Function Index(FSFI). Pearson correlation coefficient or Spearman correlation coefficient were used for correlation analysis, and influencing factors were analyzed by Logistic regression or multiple stepwise linear regression analysis. Results: The IRI-C score of breast cancer patients was significantly higher than that of their spouses(t=5.902, P<0.001); the total score of IRI-C in patients with psychological distress and their spouses were significantly lower than those with non-psychological distress and their spouses(t=3.350, 2.934, all P<0.05). Correlation analysis showed that score of IRI-C in breast cancer patients was positively correlated with spousal IRI-C and FSFI total score(r=0.437, 0.234, all P<0.05), the score of spousal IRI-C was positively correlated with FSFI total score of patients(r=0.261, P<0.05); psychological distress was negatively correlated with patient IRI-C score and spousal IRI-C score(r=-0.245,-0.220, all P<0.05). Logistic regression analysis showed that patient IRI-C score(OR=0.930, 95%CI 0.880-0.983) and age(OR=2.086, 95%CI 1.195-6.589) were independent factors for psychological distress in breast cancer patients(all P<0.05); surgical method was the influencing factors of sexual life quality of breast cancer patients(R²=0.349, F=27.278, P<0.001). Conclusion: Conjugal empathy has certain effects on psychological distress and sexual life quality of patients with breast cancer resection, especially the ability of empathy can alleviate psychological pain and improve sexual life quality.

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