Watts R J
Nurs Res. 1982 Sep-Oct;31(5):278-83.
This study compared sexual functioning in 84 hypertensive subjects enrolled in an inner city hypertensive program with a matched group of 84 nonhypertensive subjects attending ambulatory care. Using the Sexual Functioning Questionnaire (SFQ), hypertensive subjects achieved lower levels of sexual functioning than nonhypertensive subjects (F = 21.60, df = 1/164, p less than .001). The 84 hypertensive subjects were categorized according to drug regimen (simple, moderate, and complex) and diastolic blood pressure measurement (DBP) (controlled and uncontrolled). Health beliefs of both sexes, relationship between type of drug regimen and sexual functioning, and association between self-report compliance and sexual functioning were examined. In the health belief survey, males reported a greater frequency of drug-induced sex problems than females (p less than .01), use of a complex drug regimen was associated with low level of sexual functioning (p les than .01), and type of self-report compliance was not related to level of sexual functioning. Hydrochlorothiazide, propranolol, and hydralazine were used by 80 percent, 43 percent, and 20 percent of clients. Self-report compliance was significantly related to controlled DBP (p less than .001).
本研究比较了参加市中心高血压项目的84名高血压患者与84名接受门诊护理的匹配非高血压患者的性功能。使用性功能问卷（SFQ），高血压患者的性功能水平低于非高血压患者（F = 21.60，自由度 = 1/164，p小于0.001）。84名高血压患者根据药物治疗方案（简单、中度和复杂）和舒张压测量值（DBP）（控制和未控制）进行分类。研究了两性的健康观念、药物治疗方案类型与性功能之间的关系以及自我报告依从性与性功能之间的关联。在健康观念调查中，男性报告药物引起的性问题频率高于女性（p小于0.01），使用复杂药物治疗方案与性功能水平低相关（p小于0.01），自我报告依从性类型与性功能水平无关。80%、43%和20%的患者使用了氢氯噻嗪、普萘洛尔和肼屈嗪。自我报告依从性与控制的DBP显著相关（p小于0.001）。
