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不育女性性功能相关因素的评估

Evaluation of Factors Associated with Sexual Function in Infertile Women.

作者信息

Alirezaei Somayeh, Ozgoli Gity, Alavi Majd Hamidreza

机构信息

Student Research Committee, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic Address:

Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Int J Fertil Steril. 2018 Jul;12(2):125-129. doi: 10.22074/ijfs.2018.5193. Epub 2018 Mar 18.

Abstract

BACKGROUND

Infertility is a major and problem influencing different aspects of couples life, especially those of women. Sexual dysfunction is the silent partner of infertility. This study aimed to identify the above-mentioned factors to make necessary decisions and perform efficient interventions to improve the sexual health of infertile women. This study investigated the factors influencing sexual dysfunction in infertile women in Mashhad, Iran.

MATERIALS AND METHODS

This cross-sectional study was conducted on 85 infertile women visiting governmental Infertility Clinic and Research Center in Mashhad, Iran. The convenience sampling method was used in this study. The research tools included a demographic and infertility information form, a sexual self-efficacy questionnaire based on Schwarzer's General Self-Efficacy Scale, Female Sexual Function Index (FSFI), and Evaluation and Nurturing Relationship Issues, Communication, and Happiness (ENRICH) Marital Satisfaction Scale. The descriptive statistical tests and logistic regression method were used to analyze data.

RESULTS

The mean age of women was 31.18 ± 5.56 years old. The majority of participants (36.7%) had higher educations, and 60% of them were housewives. Most of their husbands (49.4%) were self-employed. The mean period of infertility awareness was 6.02 ± 4.47 years, and the mean period of infertility treatment was 4.11 ± 4.46 years. The following variables influenced the sexual function of infertile women: sexual self-efficacy, sexual satisfaction, marital satisfaction, the educational level of both wife and husband, income, satisfaction with spouse appearance, and the high costs of infertility treatment.

CONCLUSION

The findings indicated that some factors such as sexual self-efficacy, marital satisfaction, sexual satisfaction, education, and cost of infertility treatment are associated with sexual function in infertile women.

摘要

背景

不孕症是一个影响夫妻生活各个方面的主要问题,对女性影响尤甚。性功能障碍是不孕症的“沉默伙伴”。本研究旨在识别上述因素,以便做出必要决策并进行有效干预,从而改善不孕女性的性健康。本研究调查了伊朗马什哈德不孕女性性功能障碍的影响因素。

材料与方法

本横断面研究对85名前往伊朗马什哈德政府不孕症诊所及研究中心就诊的不孕女性进行。本研究采用便利抽样法。研究工具包括一份人口统计学和不孕症信息表、一份基于施瓦泽一般自我效能感量表的性自我效能量表、女性性功能指数(FSFI)以及评估与培育关系问题、沟通与幸福(ENRICH)婚姻满意度量表。采用描述性统计检验和逻辑回归方法分析数据。

结果

女性的平均年龄为31.18 ± 5.56岁。大多数参与者(36.7%)受过高等教育,其中60%为家庭主妇。她们的丈夫大多(49.4%)为个体经营者。不孕知晓的平均时长为6.02 ± 4.47年,不孕治疗的平均时长为4.11 ± 4.46年。以下变量影响不孕女性的性功能:性自我效能感、性满意度、婚姻满意度、夫妻双方的教育水平、收入、对配偶外貌的满意度以及不孕治疗的高昂费用。

结论

研究结果表明,性自我效能感、婚姻满意度、性满意度、教育程度以及不孕治疗费用等因素与不孕女性的性功能相关。

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