Shen Biyu, He Yan, Chen Haoyang, Zhao Chunmei, Zhu Li, Gao Yingying, Ren Yunli, Wang Xueqing, Liu Jingwei
Department of Nursing, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, China.
Department of Rheumatology, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, China.
J Immunol Res. 2015;2015:204513. doi: 10.1155/2015/204513. Epub 2015 May 18.
SLE might affect all aspects of life including sexual functioning; previous study found that body image disturbance (BID) was the most powerful predictors of impaired partner relationships and sexual function. The current study investigated the relationship among disease parameters, quality of life, the psychological status, BID, and sexual problems in Chinese patients with SLE. A self-report survey design was administered to 168 SLE patients and 210 healthy individuals. Our results showed that 86 (55.1%) SLE patients reported impaired relationships with a sexual partner or partners, and 100 (64.1%) patients reported impaired sexual function which were significantly higher than the control group (31.6%, 35.7%, rep.). Age, marital status, depression, and BIDQ were the most powerful predictors of impaired partner relationships, while BIDQ3 and education, disease activity, and depression were the most significant causes of impaired sexual function. The study for first time reported Chinese SLE patients had sexual problems and BID was associated with sexual problems. So, early detection and interventions might not only rehabilitate the patients and their loved ones, but also improve overall health outcomes and reduce the direct and indirect costs of their medical care.
系统性红斑狼疮(SLE)可能会影响生活的各个方面,包括性功能;先前的研究发现,身体形象障碍(BID)是伴侣关系受损和性功能障碍最有力的预测因素。本研究调查了中国SLE患者的疾病参数、生活质量、心理状态、身体形象障碍和性问题之间的关系。对168例SLE患者和210名健康个体进行了一项自填式问卷调查。我们的结果显示,86例(55.1%)SLE患者报告与性伴侣的关系受损,100例(64.1%)患者报告性功能障碍,这显著高于对照组(分别为31.6%、35.7%)。年龄、婚姻状况、抑郁和身体形象障碍问卷(BIDQ)是伴侣关系受损最有力的预测因素,而BIDQ3、教育程度、疾病活动度和抑郁是性功能障碍最显著的原因。该研究首次报告中国SLE患者存在性问题,且身体形象障碍与性问题相关。因此,早期发现和干预不仅可以使患者及其亲人康复,还可以改善整体健康状况,降低医疗护理的直接和间接成本。