糖尿病男性患者的性功能障碍,抑郁症和婚姻调整
Anuradha Rathod1, Neena Sawant1, Tushar Bandgar2
1Department of Psychiatry, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India.
Indian journal of psychiatry
|November 6, 2024
概括
性功能障碍和抑郁症状在2型糖尿病男性中很常见,影响婚姻满意度. 血糖控制不良会使性功能障碍恶化,强调需要综合护理.
科学领域:
- 内分泌学 在内分泌学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 精神病学是一个精神病学.
背景情况:
- 2型糖尿病影响全球10.5%的成年人.
- 性功能障碍,特别是勃起功能障碍 (35-90%的患病率) 是一个常见的并发症.
- 关于糖尿病患者性功能障碍,抑郁症和婚姻满意度之间的相互作用的研究有限.
研究的目的:
- 为了确定男性2型糖尿病患者的性功能障碍,抑郁症状和婚姻满意度的患病率.
- 为了研究这三个参数之间的相关性.
主要方法:
- 评估了120名患有2型糖尿病的男性患者.
- 使用ICD-10标准和国际勃起功能指数评估的性功能障碍.
- 用贝克抑郁症清单测量抑郁症症状.
- 婚姻满意度使用二度性调整量表 (DAS) 进行评估.
主要成果:
- 88名患者报告性功能障碍 (例如,缺少生殖器反应,早泄).
- 32名患者出现了抑郁症状.
- 婚姻满意度受到负面影响 (平均DAS得分为93.95±18.34).
- 发现性功能和抑郁症状/年龄之间的负相关性;与婚姻满意度的积极相关性.
- 低血糖控制 (平均HbA1c 9.05 ± 2.25%) 与勃起和高潮功能障碍有关.
结论:
- 性功能障碍,抑郁症状和婚姻困境在2型糖尿病中非常普遍.
- 这些情况显著相关,需要及时检测和管理.
- 血糖控制不佳是性功能障碍的一个重要因素;精神病学联系可能会改善结果.
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