Abstract: Objectives　To investigate the objective needs of spinal cord injury patients for sexual health education in the context of their society, culture, and experience, and to analyze the influencing factors. Methods　One hundred and fifty patients with spinal cord injury who were hospitalized in a hospital in Guangzhou from February 2020 to March 2021 were selected as the study objects. The self-translated Chinese version of Male Sexual Health Questionnaire (MSHQ), Chinese version of Female Sexual Function Index (FSFI), and self-designed Sexual Needs Questionnaire (male and female) were used to surveyed the patients' sexual function and health. The relationship between the variables was analyzed by the univariate analysis and multiple linear regression. Results　The sexual health score was (15.52 ± 13.08) in the male patients, and was 15.0 (9.5, 58.0) in the female patients. Multiple linear regression analysis showed that the erectile dysfunction, injury severity, and level of nerve lesion were influential factors for the sexual health in the male patients (all P<0.05). Conclusions　The patients in this study were middle-aged and young adults, 21-62 years old, so they had high demand for sex; however they had poor cognition about sexual life. Healthcare professionals should pay attention to and strengthen sexual health education for patients with spinal cord injury, pay attention to and understand their socio-cultural cognition and sense of shame, and explore modes of sexual health education, so as to ultimately improve their quality of life and satisfaction.

Key words: Spinal cord injury, Health education, Sexual dysfunction, Influencing factors, Mixed study

摘要： 目的　探究脊髓损伤患者在其社会、文化、经历等的背景下，对性健康教育的客观需求并分析影响因素。方法　采用方便抽样，选取2020年2月至2021年3月在广州市某医院住院的150例脊髓损伤患者作为研究对象。采用自行翻译的中文版《男性性健康问卷（MSHQ）》、中文版《女性性功能量表（FSFI）》、自行设计的《性需求调查表》（男性和女性）对患者进行性功能、性健康情况调查，采用单因素分析、多重线性回归分析变量间的关系。结果　男性脊髓损伤患者性健康得分为（15.52±13.08）分，女性脊髓损伤患者性健康得分为15.0（9.5，58.0）分。多重线性回归分析显示：勃起功能障碍、神经损伤平面、损伤程度均是男性脊髓损伤性健康的影响因素（均P<0.05）。结论　本组研究患者年龄均在21～62岁，处于中青年，对性需求大，但对性生活认知欠佳，医护人员应关注和加强脊髓损伤患者的性健康教育，重视和了解其社会文化认知情况和羞耻感，探究性健康教育的模式，最终提高脊髓损伤患者的生活质量及其满意度。

关键词: 脊髓损伤, 健康教育, 性功能障碍, 影响因素, 混合性研究