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肝移植候选者和受者的性方面:文献中的现有证据1

Sexual aspects of liver transplant candidates and recipients: evidence available in the literature1.

作者信息

Magro Jennifer Tatisa Jubileu, Mendes Karina Dal Sasso, Galvão Cristina Maria

机构信息

MSc, RN, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.

PhD, RN, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.

出版信息

Rev Lat Am Enfermagem. 2018 Sep 3;26:e3033. doi: 10.1590/1518-8345.2744.3033.

DOI:10.1590/1518-8345.2744.3033
PMID:30183871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6136547/
Abstract

OBJECTIVE

to analyze the evidence available in the literature on the alterations in the sexuality of candidates and recipients of liver transplantation.

METHOD

integrative review of the literature with search for primary studies in the databases MEDLINE (via PUBMED), CINAHL e LILACS, published in English, Portuguese and Spanish.

RESULTS

the 16 primary studies included were grouped into three categories: 1) female sexuality (n=5), 2) male sexuality (n=5) and 3) male and female sexuality (n=6). In category 1, the subjects investigated were contraception, pregnancy, sexual dysfunction, presence of gynecological symptoms and sexually transmitted infections. In category 2, the main focus of the studies was erectile dysfunction, sexual desire and satisfaction, and consequences of the immunosuppressive regimen with mycophenolic acid in men. In category 3, the evaluation of sexual function was the main topic.

CONCLUSION

the scientific evidence generated provides support to encourage health professionals to incorporate the topic of sexuality in the routine of care. Knowledge gaps were identified and new studies should be conducted in order to implement interventions to prevent, minimize and/or control changes related to the patient's sexuality.

摘要

目的

分析文献中有关肝移植候选者和接受者性功能改变的现有证据。

方法

对文献进行综合回顾,检索MEDLINE(通过PUBMED)、CINAHL和LILACS数据库中以英文、葡萄牙文和西班牙文发表的原始研究。

结果

纳入的16项原始研究分为三类:1)女性性功能(n = 5),2)男性性功能(n = 5),3)男性和女性性功能(n = 6)。在第1类中,研究的主题包括避孕、怀孕、性功能障碍、妇科症状的存在以及性传播感染。在第2类中,研究的主要重点是勃起功能障碍、性欲和满意度,以及男性使用霉酚酸的免疫抑制方案的后果。在第3类中,性功能评估是主要主题。

结论

所产生的科学证据为鼓励卫生专业人员将性功能主题纳入日常护理提供了支持。发现了知识空白,应开展新的研究以实施干预措施,预防、最小化和/或控制与患者性功能相关的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/6136547/0deb3f56bb48/0104-1169-rlae-26-e3033-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/6136547/584a801902a8/0104-1169-rlae-26-e3033-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/6136547/c3ec77a3cdcd/0104-1169-rlae-26-e3033-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/6136547/a145b2290248/0104-1169-rlae-26-e3033-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/6136547/d9b065b5209f/0104-1169-rlae-26-e3033-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/6136547/0deb3f56bb48/0104-1169-rlae-26-e3033-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/6136547/584a801902a8/0104-1169-rlae-26-e3033-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/6136547/c3ec77a3cdcd/0104-1169-rlae-26-e3033-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/6136547/a145b2290248/0104-1169-rlae-26-e3033-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/6136547/d9b065b5209f/0104-1169-rlae-26-e3033-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e97/6136547/0deb3f56bb48/0104-1169-rlae-26-e3033-gf5.jpg

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本文引用的文献

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U.S. Medical Eligibility Criteria for Contraceptive Use, 2016.美国避孕方法医学适用标准,2016 年版。
MMWR Recomm Rep. 2016 Jul 29;65(3):1-103. doi: 10.15585/mmwr.rr6503a1.
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Effects of liver transplantation on endocrine function: a systematic review.肝移植对内分泌功能的影响:系统评价。
Liver Int. 2016 Oct;36(10):1401-11. doi: 10.1111/liv.13158. Epub 2016 Jun 23.
4
Pregnancy outcomes in liver transplant patients, a population-based study.肝移植患者的妊娠结局:一项基于人群的研究
J Matern Fetal Neonatal Med. 2017 Feb;30(3):261-266. doi: 10.3109/14767058.2016.1173671. Epub 2016 Apr 25.
5
Hysteroscopic sterilization in immunocompromised patients who have intrauterine devices in place: two case reports.有宫内节育器的免疫功能低下患者的宫腔镜绝育术:两例病例报告。
J Med Case Rep. 2015 Oct 28;9:239. doi: 10.1186/s13256-015-0729-y.
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Erectile function in men with end-stage liver disease improves after living donor liver transplantation.终末期肝病男性患者在活体肝移植后勃起功能得到改善。
BMC Urol. 2015 Aug 13;15:83. doi: 10.1186/s12894-015-0078-6.
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