Mollaoğlu Mukadder, Tuncay Fatma Özkan, Fertelli Tülay K
Department of Nursing, Health Sciences Faculty, Cumhuriyet University, Sivas, Turkey.
J Clin Nurs. 2013 Dec;22(23-24):3484-91. doi: 10.1111/jocn.12170. Epub 2013 Oct 8.
To evaluate sexual dysfunction and the factors that affect sexual dysfunction in women with chronic disease.
Sexual dysfunction is one of the most common problems in women with chronic disease. There is limited understanding of the related factors of sexual dysfunction in women with chronic disease, with research currently limited to other problems and problems related to chronic diseases.
This research was conducted as a descriptive survey.
This study involved 100 female inpatients at clinics of internal medicine of a university hospital. Data were collected with a patients identification form and a female sexual function index (KCFI). Kruskal-Wallis test, test of significance of difference between two means and test of significance of difference between two pairs were used in the data analysis.
Sixty-five percentage of women in the sample were defined to have sexual dysfunction. The majority of women expressed pain during sexual intercourse, problems in orgasm and satisfaction, and reluctance to have sex. Older age, being unemployed, being in menopause, fatigue, sleep disorder, and pain and weakness in extremities were the factors that were found to significantly affect the prevalence of sexual dysfunction (p < 0.05).
This study concluded that sexual function of women with chronic disease is affected negatively. Chronic disease-related symptoms, experienced changes in the body and psychosocial problems are changing the lives of women. Ultimately, these changes also affect sexual activity.
Determination of the factors affecting sexual activity in women with chronic disease is important for women' ability to cope with sexual dysfunction and keep it under control. To be able to accomplish this, it is necessary for healthcare personnel, the partners and family to work together.
评估慢性病女性的性功能障碍及影响性功能障碍的因素。
性功能障碍是慢性病女性最常见的问题之一。对慢性病女性性功能障碍相关因素的了解有限，目前的研究仅限于其他问题以及与慢性病相关的问题。
本研究为描述性调查。
本研究纳入了某大学医院内科门诊的100名女性住院患者。通过患者识别表和女性性功能指数（KCFI）收集数据。数据分析采用Kruskal-Wallis检验、两均数差异显著性检验和两组配对差异显著性检验。
样本中65%的女性被定义为患有性功能障碍。大多数女性表示性交时疼痛、性高潮和满意度方面存在问题，以及不愿进行性行为。年龄较大、失业、处于更年期、疲劳、睡眠障碍以及四肢疼痛和无力是被发现显著影响性功能障碍患病率的因素（p < 0.05）。
本研究得出结论，慢性病女性的性功能受到负面影响。与慢性病相关的症状、身体经历的变化以及心理社会问题正在改变女性的生活。最终，这些变化也会影响性活动。
确定影响慢性病女性性活动的因素对于女性应对性功能障碍并加以控制的能力很重要。要做到这一点，医护人员、伴侣和家人必须共同努力。
