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慢性肾衰竭行透析患者的性功能障碍及相关变量与性功能

Sexual dysfunctions and related variables with sexual function in patients who undergo dialysis for chronic renal failure.

机构信息

Atatürk Health Care Vocational School, Ege University, İzmir, Turkey.

Nursing Department, Health High School, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.

出版信息

J Clin Nurs. 2019 Jan;28(1-2):257-269. doi: 10.1111/jocn.14602. Epub 2018 Aug 1.

Abstract

AIMS AND OBJECTIVES

To evaluate personality characteristics and psychological symptoms believed to have an effect on the sexual functions and performances of patients undergoing dialysis treatment.

BACKGROUND

Chronic renal failure is a life-threatening condition which can often have a poor prognosis. The loss of vital kidney function and other complications can affect almost all age groups.

DESIGN

A quantitative descriptive study.

METHODS

The study sample included 225 patients selected randomly from patients who have undergone dialysis treatment for at least 3 months at a dialysis centre in a university hospital. In this study, the Golombok Rust Inventory of Sexual Satisfaction (GRISS), the Eysenck Personality Inventory (EPI) and the Brief Symptom Inventory (BSI) were used.

RESULTS

In the correlation test, made to investigate the relation between the patients' sexual satisfaction and their personalities, a significant positive relation was found between the communication subscale of the GRISS and the Lie dimension of the EPI, and a significant negative relation was found between the Communication subscale of the GRISS and the Lie dimension of the EPI, and between the Vaginismus and Orgasm subscales of the GRISS and the Extroversion dimension of the EPI.

CONCLUSION

Results showed that sexual problems, in the areas of nonsensuality, anorgasmia, avoidance and communication, are associated with extroversion and psychological symptoms.

RELEVANCE TO CLINICAL PRACTICE

Sexual health and the psychological well-being of patients with renal failure is an important issue that should be considered in nursing practice. Nurses should take the psychological problems of patients and their relations with partners into account and consider these problems in a holistic manner within the framework of nursing practice. They would then be able to play an effective role in intervening at an early stage and would be better equipped to help and control the psychological and sexual problems that some patients may experience.

摘要

目的和目标

评估人格特征和心理症状,这些特征和症状被认为会影响接受透析治疗的患者的性功能和表现。

背景

慢性肾衰竭是一种危及生命的疾病,其预后通常较差。丧失重要的肾功能和其他并发症可能会影响几乎所有年龄段的人。

设计

定量描述性研究。

方法

研究样本包括从一所大学医院透析中心接受至少 3 个月透析治疗的 225 名患者中随机选择的患者。在这项研究中,使用了戈洛姆鲁斯特性满足量表(GRISS)、艾森克人格问卷(EPI)和简明症状问卷(BSI)。

结果

在对患者性满意度与其人格之间的关系进行的相关测试中,发现 GRISS 的沟通分量表与 EPI 的说谎维度之间存在显著正相关,GRISS 的沟通分量表与 EPI 的说谎维度之间存在显著负相关,GRISS 的阴道痉挛和高潮分量表与 EPI 的外向维度之间存在显著负相关。

结论

结果表明,性问题,在无趣、无性高潮、回避和沟通方面,与外向和心理症状有关。

临床意义

肾衰竭患者的性健康和心理健康是护理实践中一个重要的问题。护士应考虑患者的心理问题及其与伴侣的关系,并在护理实践的框架内以整体的方式考虑这些问题。这样,他们就能在早期阶段发挥有效的干预作用,并更好地帮助和控制一些患者可能经历的心理和性问题。

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