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Sexual Experiences of Chinese Patients Living With an Ostomy

Zhu, Xiaomei; Chen*, Yongyi; Tang, Xinhui; Chen, Yupan; Liu, Yangyu; Guo, Wei; Liu, Aizhong

Journal of Wound Ostomy & Continence Nursing: September/October 2017 - Volume 44 - Issue 5 - p 469–474
doi: 10.1097/WON.0000000000000357
Ostomy Care
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PURPOSE: The purpose of this study was to examine the sexual experience of Chinese patients with ostomy and associated factors.

DESIGN: A prospective descriptive study using self-report questionnaires.

SUBJECTS AND SETTING: Seventy-five Chinese participants who underwent ostomy surgery in a large cancer specialist hospital in the Hunan province between 2008 and 2013.

METHODS: Data were collected face-to-face by the investigators in an outpatient setting from 75 participants who completed the Arizona Sexual Experience Inventory Scale (ASEX). The t test was used to compare variances between sexual function and dysfunction subgroups. A multiple linear regression model was used to analyze factors influencing sexual life after ostomy surgery.

RESULTS: The mean ASEX score was 20.56 (5.378) years, which is higher than the standard for sexual dysfunction. The main subsection of sexual dysfunction included sexual arousal, orgasm ability, vaginal lubrication/penile erection, and sexual satisfaction. Significant differences in the ASEX score were observed in subgroups of age, gender, educational level, family relations, operation modes, stoma type, operation time, complications, supporters, self-care ability, and sexual life guidance. Multiple stepwise regression analysis indicated that family relations, operation modes, ostomy type, complications, and sexual life guidance affected sexual experience.

CONCLUSION: The findings of this study demonstrate that patients with ostomy experience sexual dysfunction and many factors influence their quality of sexual life. WOC nurses and other healthcare providers should consider providing sexual health education for both the patient and spouse to improve the self-care capacity and quality of sexual life following ostomy surgery.

Xiaomei Zhu, PhD, Wound Ostomy and Continence Nursing Center, Hunan Provincial Tumor Hospital, Changsha, Hunan, China.

Yongyi Chen, PhD, Wound Ostomy and Continence Nursing Center, Hunan Provincial Tumor Hospital, Changsha, Hunan, China.

Xinhui Tang, MS, Wound Ostomy and Continence Nursing Center, Hunan Provincial Tumor Hospital, Changsha, Hunan, China.

Yupan Chen, MD, Wound Ostomy and Continence Nursing Center, Hunan Provincial Tumor Hospital, Changsha, Hunan, China.

Yangyu Liu, MS, Wound Ostomy and Continence Nursing Center, Hunan Provincial Tumor Hospital, Changsha, Hunan, China.

Wei Guo, MS, Wound Ostomy and Continence Nursing Center, Hunan Provincial Tumor Hospital, Changsha, Hunan, China.

Aizhong Liu, PhD, School of Public health, Central South University, Changsha, Hunan, China.

Correspondence: Aizhong Liu, PhD, School of Public Health, Central South University, 238 Shangma Yuanling Alley, Changsha 410008, Hunan, China (lazroy@live.cn).

This study was supported by the Hunan province department of general project (No.: 2013 FJ3085).

The authors declare no conflicts of interest.

© 2017 by the Wound, Ostomy and Continence Nurses Society.