Departments of Psychiatry in Tarnowskie Góry, Medical University of Silesia, Katowice, Poland.
Department of Psychoprophylaxis, Medical University of Silesia, Katowice, Poland.
Transplant Proc. 2022 May;54(4):1109-1114. doi: 10.1016/j.transproceed.2022.03.013. Epub 2022 May 30.
Lung transplantation (LTx) is the only effective method of treatment for patients with end-stage lung diseases; LTx prolongs and increases the quality of life (QoL). An important aspect of QoL that changes in the course of severe diseases is the quality of sex life. This aspect is yet to be discussed in relationship to LTx. We aim to compare patients' quality of sex life at the qualification process with patients' who underwent LTx.
The studied group consisted of 100 patients (24 women before and 16 after LTx, 39 men before and 21 after LTX) who were admitted to the lung transplantology department for qualification or to control the function after LTx. To assess the patients' quality of sex life, we used The Changes in Sexual Functioning Questionnaire (CSFQ) and World Health Organization (WHO) QoL-BREF. To assess lung function, patients underwent a 6-Minute-Walk-Test (6MWT).
Patients after LTx obtained higher results-compared to patients qualified for LTx-in the WHO QoL-BREF in every domain (somatic, psychological, social, and environment). Men after LTx got more points in every domain and better total score (53 ± 5.62 vs 44.23 ± 10.28 point; P < .05) in CSFQ. Women before and after LTx obtained comparable results in CSFQ. Results of 6-Minute-Walk-Test were better among patients after LTx than in qualified patients (523.62 ± 95.71 vs 333.14 ± 145.38 and 524.12 ± 56.17 vs 317.20 ± 141.6, respectively for men and women).
Patients after LTx show better pulmonary function and quality of sex life than qualified. Preliminary results encourage us to conduct research on a larger group.
肺移植（LTx）是治疗终末期肺部疾病患者的唯一有效方法；LTx 延长并提高了生活质量（QoL）。生活质量的一个重要方面是在严重疾病过程中发生变化的性生活质量。这方面尚未与 LTx 相关讨论。我们旨在比较资格过程中患者的性生活质量与接受 LTx 的患者。
研究组包括 100 名患者（24 名女性在 LTx 前，16 名在 LTx 后，39 名男性在 LTx 前，21 名在 LTx 后），他们被收入肺移植科进行资格鉴定或控制 LTx 后的功能。为了评估患者的性生活质量，我们使用了性功能变化问卷（CSFQ）和世界卫生组织（WHO）生活质量简表（WHOQoL-BREF）。为了评估肺功能，患者进行了 6 分钟步行测试（6MWT）。
LTx 后的患者在每个领域（躯体、心理、社会和环境）的 WHOQoL-BREF 中均获得了更高的分数-与 LTx 资格患者相比。LTx 后的男性在每个领域和总评分（53 ± 5.62 与 44.23 ± 10.28 分；P <.05）中均获得了更多的分数。LTx 前后的女性在 CSFQ 中获得了可比的结果。LTx 后的患者 6MWT 结果优于资格患者（分别为男性 523.62 ± 95.71 与 333.14 ± 145.38 和 524.12 ± 56.17 与 317.20 ± 141.6）。
LTx 后的患者比合格患者显示出更好的肺功能和性生活质量。初步结果鼓励我们在更大的人群中进行研究。
