COPD 对性健康的影响。
COPD burden on sexual well-being.
机构信息
Univ-Bordeaux, Centre de Recherche Cardio-Thoracique de Bordeaux, U1045, CIC 1401, 33604, Pessac, France.
Service Des Maladies Respiratoires, Hôpital Haut-Lévèque CHU Bordeaux, 33604, Pessac, France.
出版信息
Respir Res. 2020 Nov 25;21(1):311. doi: 10.1186/s12931-020-01572-0.
BACKGROUND
Sexual function is often affected in patients suffering from chronic diseases especially chronic obstructive pulmonary disease (COPD). However, the effect of COPD on sexual satisfaction is underappreciated in clinical practice. The aim of this study is to evaluate the impact of COPD on patient's sexuality and the explanatory variables of sexual dissatisfaction.
METHODS
Questionnaires were emailed to participants and they submitted their responses on the Santé Respiratoire France website. Data about sexual well-being (Arizona Sexual Experience Scale, ASEX), Quality of life (VQ11), anxiety, depression (Hospitalized anxiety and depression, HAD) and self-declared COPD grade were collected.
RESULTS
Seven hundred and fifty one subjects were included and were characterized as follows: women-51%, mean age-61 years, in a couple-62% and 70%-retired. Every grade of COPD was represented. Out of 751 participants, 301 participants (40%) had no sexual activity and 450 (60%) had sexual activity. From the 450 participants, 60% needed to change their sexual life because of their disease (rhythm, frequency and position). Subjects often used medications to improve sexual performance (43% used short-acting bronchodilator and 13% -specific erectile dysfunction drugs). ASEX questionnaire confirmed patients' dissatisfaction (diminution of sexual appetite for 68% and sexual desire for 60%) because of breathlessness and fatigue. Eighty one percent of the responders had an altered quality of life (VQ11 mean score 35) and frequent suspected anxiety or depression (HAD mean score 10.8). Ninety percent declared that sexual dysfunction had never been discussed by their doctors, while 36% of patients would have preferred to undergo a specialized consultation.
CONCLUSION
Sexual dysfunction is frequent among COPD patients and leads to an altered well-being, however being a cultural taboo, it remains frequently neglected. Sexual guidance should be a part of patient's consultations improve quality of sexual life.
背景
患有慢性疾病，尤其是慢性阻塞性肺疾病（COPD）的患者，其性功能往往会受到影响。然而，在临床实践中，COPD 对患者性生活满意度的影响并未得到充分重视。本研究旨在评估 COPD 对患者性生活的影响以及导致性生活不满意的解释变量。
方法
通过电子邮件向参与者发送问卷，并在 Santé Respiratoire France 网站上提交回复。收集了与性健康相关的（Arizona 性体验量表，ASEX）、生活质量（VQ11）、焦虑和抑郁（住院焦虑和抑郁量表，HAD）以及自我报告的 COPD 严重程度等数据。
结果
共纳入 751 名受试者，其特征为：女性占 51%，平均年龄为 61 岁，62%的人处于伴侣关系中，70%的人已退休。所有 COPD 严重程度的患者都有代表。751 名参与者中，301 名（40%）没有性生活，450 名（60%）有性生活。在这 450 名参与者中，60%的人因疾病（节奏、频率和体位）需要改变性生活。患者经常使用药物来改善性功能（43%使用短效支气管扩张剂，13%使用特定的勃起功能障碍药物）。ASEX 问卷证实了患者的不满（68%的患者性欲减退，60%的患者性欲望减退），原因是呼吸困难和疲劳。81%的应答者生活质量受到影响（VQ11 平均得分为 35），且经常出现疑似焦虑或抑郁（HAD 平均得分为 10.8）。90%的患者表示，他们的医生从未讨论过性功能障碍问题，而 36%的患者更希望接受专门的咨询。
结论
COPD 患者常存在性功能障碍，这会导致其生活质量下降，但由于该问题是一种文化禁忌，故其常常被忽视。在患者咨询中，应将性指导作为一个组成部分，以改善其性生活质量。
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