免疫介导炎症性疾病中的性功能:生物心理社会系统性审查
Carmen Heredia Coca1, Laura Lorena Castiblanco Orozco2, Cristian Aragón-Benedí3
1Camilo José Cela University, Spain.
Journal of health psychology
|July 15, 2025
概括
免疫媒介性炎症疾病 (IMIDs) 显著损害性功能和生活质量. 多学科的方法对于IMID患者的性健康管理至关重要.
科学领域:
- 生殖医学 生殖医学
- 类风湿病学 类风湿病学
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
背景情况:
- 免疫媒介性炎症疾病 (IMIDs) 涵盖了一系列影响多个器官系统的慢性疾病.
- 性健康和与健康相关的生活质量 (HR-QoL) 是整体福祉的关键组成部分,但在IMID管理中经常被忽视.
- 生物心理社会框架对于理解IMID对患者生活的多方面的影响至关重要.
研究的目的:
- 系统地审查IMIDs对男性和女性性功能和HR-QoL的影响.
- 为了确定与IMID患者性功能障碍相关的风险因素.
- 强调需要综合,多学科的护理来解决性健康问题.
主要方法:
- 在PubMed/MEDLINE发表的42项研究的系统综述.
- 遵守PRISMA指南和PROSPERO注册 (CRD42024518043) 的要求.
- 疾病的评估包括类风湿性关节炎,牛皮性关节炎,牛皮,性脊柱炎,克罗恩病和性结肠炎.
- 使用女性性功能指数 (FSFI) 和国际勃起功能指数 (IIEF) 进行评估.
主要成果:
- 在IMID患者中报告的性功能障碍的高患病率,显著影响HR-QoL.
- 妇女,特别是那些患有类风湿性关节炎和炎症性肠病的妇女,表现出更大的脆弱性.
- 确定的主要危险因素包括疾病的严重程度,疼痛,抑郁和焦虑.
结论:
- IMIDs对性功能和HR-QoL产生了相当大的负面影响.
- 生物心理社会和多学科的方法是必要的,涉及专家,如风湿病学家,胃肠病学家,心理学家和性学家.
- 定期评估和针对性性健康的干预措施对于优化患者护理和结果至关重要.
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