张燕玲 顾秀兰 梁叶梅

【摘要】 目的：研究与分析初产妇产后生殖保健认知度情况及对性生活质量与情绪状态的影响程度。方法：选取2013年6月-2017年6月本院初产妇80例为A组，同期经产妇80例为B组，体检未育妇女80例为C组。对三组产后生殖保健认知度进行评估比较，同时比较A组中不同认知程度及不同分娩方式者的性生活质量及情绪状态评分。结果：B组产后生殖保健认知度较高率均高于A、C组，且A组高于C组，比较差异均有统计学意义（P<0.05）；A组中认知度较高者的性生活质量评分、情绪状态评分均优于认知度较低者，且不同分娩方式者的评分均优于认知度较低者，比较差异均有统计学意义（P<0.05）。结论：初产妇产后生殖保健认知度相对较低，且对性生活质量与情绪状态的影响较大，应给予充分的重视与干预。

【关键词】 初产妇； 产后生殖保健认知度； 性生活质量； 情绪状态

【Abstract】 Objective：To study and analyze the awareness of postpartum reproductive health care and its influence on sexual life quality and emotional state of primiparas.Method：A total of 80 primiparas in our hospital from June 2013 to June 2017 were selected as A group，80 pluriparas at the same time were selected as B group，80 nullipara women with physical examination were selected as C group.The awareness of postpartum reproductive health care in three groups were evaluated and compared，the quality of life and emotional state scores of different cognitive levels and different delivery modes in A group were compared.Result：The high rate of postpartum reproductive health awareness in B group were higher than those of A and C groups，and A group was higher than that of C group，the differences were statistically significant（P<0.05）.The quality of life and emotional state scores of higher cognition in A group were better than those of lower cognition，and the scores of different delivery methods were better than those of lower cognition，the differences were statistically significant（P<0.05）.Conclusion：The awareness of postpartum reproductive health care of primiparas is relatively low，and it has great influence on the quality of sexual life and emotional state，so they should be paid to enough attention and intervention.

【Key words】 Primiparas； Awareness of postpartum reproductive health care； Sexual life quality； Emotional state

First-authors address：Chen Xinghai Hospital of Zhongshan，Zhongshan 528415，China

doi：10.3969/j.issn.1674-4985.2018.18.036

產妇产后的生殖系统是受影响较大的一个方面，产妇面临较长时间的恢复阶段，加之产褥感染及其他产后并发症的发生进一步影响到产妇的生存状态，因此对产妇产后生殖保健的需求更高[1]。而产妇自身对于产后生殖保健的认知度则关系到其产后的并发症发生情况及恢复效果、速度等方面，尤其是初产妇对于围生期各方面经验与知识均匮乏，因此对初产妇进行上述方面的状况研究更为必要[2]。因此本文中就初产妇产后生殖保健认知度情况及对性生活质量与情绪状态的影响程度进行研究与分析，现报道如下。

1 资料与方法

1.1 一般资料 选取2013年6月-2017年6月本院初产妇80例为A组，同期经产妇80例为B组，体检未育妇女80例为C组。纳入标准：20～40岁；对研究知情同意者。排除标准：妊娠期疾病者；文盲及小学文化者；合并心脑肾肺等疾病者；精神病史者；认知异常者。本研究已经伦理学委员会批准。……