定性研究探讨了经历性功能障碍的经验,在绝经前的妇女1型糖尿病
Rahab Hashim1,2, Rita Forde1,3, Judith Parsons1
1Division of Care in Long-Term Conditions, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
患有1型糖尿病的女性经历复杂的性功能障碍,影响生活质量. 了解这些挑战对于开发有针对性的护理和改善这一群体的性健康结果至关重要.
科学领域:
- 生殖健康 生殖健康
- 内分泌学 在内分泌学.
- 心理社会健康 心理健康
背景情况:
- 1型糖尿病 (T1D) 可以影响妇女健康的各个方面,包括性功能.
- 性功能障碍 (SD) 是患有慢性疾病的女性普遍存在但经常被低估的问题.
- 需要全面了解T1D女性的SD,以告知患者护理.
研究的目的:
- 探索患有1型糖尿病的绝经前妇女的性经验.
- 了解T1D对女性性功能和生活质量的影响.
- 在这个人群中为SD提供患者报告的结果指标的开发信息.
主要方法:
- 使用面对面和虚拟半结构面试进行的定性研究.
- 从英国NHS网站和社交媒体招募了18名患有T1D和自我报告的性困难的绝经前妇女.
- 采访数据采用框架分析方法进行主题分析.
主要成果:
- 关于女性的性功能障碍经历,出现了五个关键主题:性活动的开始,性自信,性享受,性参与和性欲望.
- 参与者的经验突出了影响性功能的糖尿病相关因素的复杂相互作用.
- 这些发现强调了T1D妇女SD的多面性质.
结论:
- 1型糖尿病女性的性功能障碍是一个复杂的,多因素的问题,影响他们的经历和生活质量.
- 生物心理社会因素,包括血糖控制,治疗,技术和并发症,相互作用影响SD.
- 建议在例行临床评估中采取一项具体的,有针对性的措施来评估T1D妇女的SD.
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