生物心理社会因素与墨西哥风湿性关节炎患者的性功能受损有关
Loraine Ledón-Llanes1, Irazú Contreras-Yáñez2, Guillermo Arturo Guaracha-Basáñez2
1Department of Biology of Reproduction, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
PloS one
|August 26, 2024
概括
类风湿性关节炎显著影响性健康,尤其是女性. 诸如男性性别,较低的疲劳和与伴侣生活等因素可以防止RA患者的性功能受损.
科学领域:
- 类风湿病学 类风湿病学
- 性健康 性的健康
- 生殖健康 生殖健康
背景情况:
- 类风湿性关节炎 (RA) 是一种慢性系统性自身免疫性疾病.
- 关节炎会影响生活的多个领域,包括性和生殖健康 (SH&RH).
- 了解RA患者的SH和RH对于综合护理至关重要.
研究的目的:
- 描述墨西哥RA门诊患者的性健康 (SH) 和生殖健康 (RH).
- 在RA患者中识别与性功能受损 (ISF) 相关的因素.
主要方法:
- 使用了半结构面试和自我管理的问卷.
- 经过验证的尺度如FACIT-F,IIEF和FSFI评估了结果.
- 多变量后勤回归确定了与ISF相关的因素.
主要成果:
- 性功能障碍 (ISF) 很普遍,特别是在女性RA患者中 (62.3%).
- 男性性别,较低的疲劳 (较高的FACIT-F得分) 和同居对ISF有保护作用.
- 尽管使用了致病药物,但仍注意到了低于最佳的避孕药的使用.
结论:
- 患有RA的女性经历了不成比例的ISF负担.
- 男性性别,减少疲劳和同居是RA性功能保护因素.
- 改善避孕咨询和获得避孕措施对于RA妇女至关重要.
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