患有风湿性疾病的女性患者中的性功能障碍
Ayten Dag1, Tumay Ak2, Eda Kaya3
1Institute of Graduate Studies, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Rheumatology international
|August 17, 2024
概括
性功能障碍 (SD) 在患有系统性硬化症 (SSc),狼 (SLE) 和贝赫塞特综合征 (BS) 等类风湿性疾病的女性中普遍存在. 身体形象满意度差是这些患者SD的关键预测因素.
科学领域:
- 类风湿病学 类风湿病学
- 性医学性医学性医学性医学
- 精神病体医学是一种精神病体医学.
背景情况:
- 类风湿性疾病对患者的生活质量,包括性健康有重大影响.
- 性功能障碍 (SD) 是患有全身性硬化症 (SSc),全身性红斑狼 (SLE) 和贝赫塞特综合征 (BS) 的女性常见但尚未研究的并发症.
研究的目的:
- 量化性功能障碍在被诊断为SSc,SLE和BS的女性患者中的负担.
- 与健康对照组相比,在这些患者群体中确定性功能障碍的预测因子.
主要方法:
- 一项横截面比较研究包括50名SSc,49名SLE,54名BS患者和52名健康对照 (HC).
- 心理测量评估包括女性性功能指数 (FSFI),贝克抑郁 inventory (BDI),体质测量尺度和婚姻调整测试 (MAT).
- 采用二进制逻辑回归分析来确定SD的独立预测因素.
主要成果:
- 与HC相比,患有风湿性疾病的患者的FSFI和体质检测得分明显较低 (p < 0.001).
- 抑郁症在患者组中更频繁;SSc患者在所有心理指数中报告了最低的得分.
- 降低体质 (OR 0.974),低婚姻调整 (OR 0.937) 和SSc (OR 6.6),SLE (OR 2.7) 和BS (OR 2.8) 的诊断是SD的独立预测因素.
结论:
- 性功能障碍对患有SSc,SLE和BS的女性来说是一个重大负担.
- 身体触感 (身体形象满意度) 成为SD最关键的预测因素.
- 医疗保健提供者应解决身体形象问题,以减轻风湿性疾病患者的性功能障碍,特别是SSc.
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