转诊至罗扬研究所的不孕夫妇的健康素养与性功能及性满意度之间的关系
Relationship between Health Literacy and Sexual Function and Sexual Satisfaction in Infertile Couples Referred to The Royan Institute.
作者信息
Sahebalzamani Mohammad, Mostaedi Zahra, Farahani Hojjatollah, Sokhanvar Mobin
机构信息
Department of Management, Tehran Medical Sciences Branch Islamic Azad University, Tehran, Iran.
Department of Nursing and Midwifery, Tehran Medical Sciences Branch Islamic Azad University, Tehran, Iran.
出版信息
Int J Fertil Steril. 2018 Jul;12(2):136-141. doi: 10.22074/ijfs.2018.5185. Epub 2018 Mar 18.
BACKGROUND
Health science and technology today is a rapidly growing field. Health is a multifaceted concept influenced by several factors, and health literacy is essential to deal properly with the current situation. In this study, the association between health literacy and sexual function and sexual satisfaction were investigated in 2016.
MATERIALS AND METHODS
This descriptive and correlational study was conducted on 193 couples in the Royan Institute, Tehran. Data collection instruments were three standard questionnaires which included the Test of Functional Health Literacy, the Female Sexual Function Index (FSFI) and the International Index of Erectile Function, and the Iranian version of the Sexual Satisfaction Scale. The data were analyzed using SPSS-v23 software at a significance level of 0.05.
RESULTS
Marginal health literacy, 49.7% among men and 44.1% among women, was more common than adequate or inadequate health literacy. Erectile function for the majority of men was appropriate (53.3%), compared to 16.6% who had perfect function and 30.1% for whom function was less than appropriate. The majority of women (57.0%) had sexual dysfunction. One hundred and three (53.3%) men had appropriate sexual function and 57% of women had normal sexual function. The greater proportion of men (50.8%) and women (46.1%) had good, rather than very good or less than good, sexual satisfaction. The results of chi-square tests indicated that greater health literacy was associated with higher levels of sexual function and sexual satisfaction among men and women. However, application of the Cramer's V test indicates that the strength of these associations is moderate to weak.
CONCLUSION
Health literacy was marginal among most couples and its adverse impacts on sexual function and sexual satisfaction were confirmed. Accordingly, it is recommended that plans be developed to promote health literacy among infertile couples.
背景
当今健康科学技术是一个快速发展的领域。健康是一个受多种因素影响的多方面概念，而健康素养对于妥善应对当前形势至关重要。在本研究中，于2016年调查了健康素养与性功能及性满意度之间的关联。
材料与方法
本描述性和相关性研究在德黑兰罗扬研究所的193对夫妇中进行。数据收集工具为三份标准问卷，包括功能性健康素养测试、女性性功能指数（FSFI）和国际勃起功能指数，以及伊朗版性满意度量表。使用SPSS - v23软件对数据进行分析，显著性水平为0.05。
结果
边缘健康素养在男性中占49.7%，在女性中占44.1%，比充足或不足的健康素养更为常见。大多数男性的勃起功能适宜（53.3%），相比之下，16.6%的男性功能完美，30.1%的男性功能欠佳。大多数女性（57.0%）存在性功能障碍。103名（53.3%）男性性功能适宜，57%的女性性功能正常。男性（50.8%）和女性（46.1%）中较大比例的人性满意度良好，而非非常好或不太好。卡方检验结果表明，较高的健康素养与男性和女性较高水平的性功能及性满意度相关。然而，克莱默V检验的应用表明这些关联的强度为中等至较弱。
结论
大多数夫妇的健康素养处于边缘水平，且其对性功能和性满意度的不利影响得到证实。因此，建议制定计划以提高不育夫妇的健康素养。
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