患有慢性非生殖器生理疾病的患者的性功能障碍:一个总体审查
Charlotte Leemans1, Stephan Van den Broucke1, Céline Jeitani1
1IPSY, 1348 Louvain-la-Neuve, Wallonia, Belgium.
慢性疾病 (CD) 对男性和女性的性功能 (SF) 产生重大影响,导致各种形式的性功能障碍 (SD). 医疗保健提供者应定期查患有非生殖器CD的患者是否患有SD,以改善整体生活质量.
科学领域:
- 医学科学 医学科学 医学科学
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 众所周知,慢性疾病会影响性健康,但非生殖器疾病在研究中代表性不足.
- 性功能障碍 (SD) 是影响生活质量的常见问题.
研究的目的:
- 为了确定非生殖器CDs患者中SD的患病率.
- 评估非生殖器CDS对性功能的整体影响.
主要方法:
- 根据PRISMA指南,对已公布的系统性审查进行了总体审查.
- 在多个数据库 (PubMed,EMBASE,Cochrane,PsycInfo,Scopus,CINAHL) 中进行了搜索.
- 数据提取和质量评估由两名独立研究人员完成;Amstar-2被用于质量评估.
主要成果:
- 分析了43个系统性审查,包括30个元分析,包括880,586名患者.
- 患有CD的男性经历了勃起功能障碍;女性报告了欲望,兴奋,滑,高潮,满意度和疼痛的问题.
- 两种性别都报告了抑郁,焦虑和疲劳;女性更容易受到身体形象不佳的影响.
结论:
- 患有非生殖器CD的患者,特别是女性,需要对SD进行例行评估.
- 虽然研究了男性的勃起功能,但忽视了男性性行为的其他方面.
- 医疗保健专业人员必须解决非生殖器CDS患者的性障碍.
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