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[从精神层面看血液透析期间及肾移植后男性性功能的变化(作者译)]

[Changes in male sexual function during hemodialysis and after renal transplantation under psychiatric aspects (author's transl)].

作者信息

Pach J, Waniek W, Hartmann H G

出版信息

Med Klin. 1977 Feb 11;72(6):216-20.

PMID:402544
Abstract

20 patients with well functioning kidneys were investigated psychiatrically and had to judge on their libido and potency prior to the onset of their illness under chronic hemodialysis and after transplantation. The psychometric instrument used was the FPI (Freiburger Persönlichkeits-Inventar). The sexual activity was found to be either significantly reduced or absent in 80% during hemodialysis. Following transplantation more than 50% sexually fully recovered. In patients with persistent sexual dysfunction in the post-transplant period depressive symptoms were found four times as much as in those with a complete recovery. Psychometrically the latter characterized themselves as more active, optimistic but even as less self-critical. Therapeutic aspects are being discussed.

摘要

对20名肾功能良好的患者进行了精神方面的调查,这些患者需要对自己在慢性血液透析疾病发作前、疾病发作期间以及移植后的性欲和性功能进行评估。所使用的心理测量工具是FPI(弗莱堡人格问卷)。结果发现,80%的患者在血液透析期间性活动显著减少或完全没有。移植后,超过50%的患者性功能完全恢复。在移植后仍存在性功能障碍的患者中,抑郁症状的出现频率是完全康复患者的四倍。从心理测量角度来看,后者表现得更加积极、乐观,但自我批评较少。文中还讨论了治疗方面的问题。

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