牛皮的双向性和性功能:在土耳其人口中的比较研究
Filiz Kulacaoglu1, Yusuf Ezel Yildirim1, Hande Yelgen Ilyas2
1Department of Psychiatry, Health Sciences University Prof. Dr. Mazhar Osman Bakırköy Psychiatric and Neurological Diseases Research and Training Hospital, Istanbul, Türkiye.
概括
牛皮严重影响患者及其配偶的性功能和关系,突出显示了相当大的心理社会负担. 在护理中解决这些问题可以改善受影响夫妇的生活质量.
科学领域:
- 皮肤病学 皮肤病学
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 牛皮是一种慢性炎症性皮肤疾病,具有未被认可的心理和人际关系影响.
- 牛皮的心理社会负担超出了患者的范围,延伸到他们的配偶.
- 评估双层调整和性功能对于了解牛皮的综合影响至关重要.
研究的目的:
- 评估牛皮患者及其配偶的双调整和性功能.
- 将这些结果与健康对照进行比较.
- 为了确定影响银病患者性功能障碍的因素.
主要方法:
- 一项涉及牛皮患者 (n=47),他们的配偶 (n=40) 和健康对照组 (n=42) 的比较研究.
- 使用了经过验证的问卷,包括牛皮区域和严重程度指数 (PASI),皮肤病生活质量指数 (DLQI),简单表格-12 (SF-12),二度性调整尺度修订 (RDAS),贝克抑郁量 (BDI),贝克焦虑量 (BAI) 和亚利桑那州性经验量 (ASEX).
主要成果:
- 与对照组 (50%) 相比,在患者 (83%) 和配偶 (65%) 中观察到高性功能障碍率.
- 患者和配偶报告说,二极度调整得分 (RDAS) 显著低于对照组.
- 抑郁症状和疾病持续时间是牛皮患者性功能障碍的重要预测因素.
结论:
- 牛皮给患者和他们的伴侣带来了重大的心理社会负担.
- 性功能障碍和双调整障碍在牛皮患者及其配偶中很普遍.
- 将关系和性福利的评估整合到临床护理中,可能会提高受牛皮影响的夫妇的整体生活质量.
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