生活的性质在左心室辅助装置中 患者及其伴侣
Johanna S Van Zyl1, Catherine Shelton2, Komal Alam3
1Baylor Scott & White Research Institute, Baylor Scott & White Health, Dallas, Texas; Texas A&M University College of Medicine Health Science Center, Dallas, Texas.
Journal of cardiac failure
|May 16, 2024
概括
携带左心室辅助装置 (LVAD) 的生活对患者和伴侣的性生活质量产生了重大影响,驱动线干扰是主要问题. 患者表示他们更喜欢用书面资源来解决这些性健康挑战.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 医疗器械 医疗器械
背景情况:
- 携带左心室辅助装置 (LVAD) 的生活会带来诸如电池组和驱动器等挑战.
- 持久性LVAD对患者和伴侣的性生活质量 (QOL),抑郁和焦虑的影响尚未完全理解.
研究的目的:
- 描述与持久的LVAD生活对患者及其伴侣的性生活质量,抑郁和焦虑的影响.
- 确定患者和伴侣面临的与LVAD和性活动相关的具体挑战.
主要方法:
- 进行了一项单中心,前性,观察性研究.
- 患者 (LVAD植入后≥4个月) 和他们的伴侣填写了评估性QOL,抑郁症 (PHQ-8) 和焦虑症 (GAD-7) 的问卷.
- 在植入后2.3±1.9年,从60名患者和60名伴侣收集了数据.
主要成果:
- 49%的参与者报告说LVAD影响了性活动,而驱动线障碍是最常见的问题.
- 24%的参与者在轻度至中度抑郁症范围内得分,28%的参与者在轻度至重度焦虑范围内得分.
- 与伴侣相比,患者报告了较高的抑郁症得分 (PHQ-8),而焦虑得分 (GAD-7) 是可比的.
结论:
- 持久的LVAD显著影响患者及其伴侣的性生活质量.
- 传动线的存在是影响性福利的一个主要问题.
- 患者表示他们更喜欢书面信息来改善性生活质量,而在LVAD支持.
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