中风后个体的性功能和生活质量
Sexual Function and Quality of Life in Individuals Post Stroke
——《国际物理治疗研究》2025年第30卷第1期——
<Physiotherapy Research International> Volume 30, Issue 1, 2025
【摘要】背景:性功能通常会在中风后受到影响,并影响个人的生活质量。本研究旨在确定与中风后个人性功能相关的因素及其与生活质量的关系。方法:这项横断面研究包括56名中风前3至24个月的参与者。对参与者进行评估:使用改良Rankin量表 (MRS) 评估残疾程度;使用中风特定生活质量量表 (SSQOL) 评估生活质量;使用性功能变化问卷 (CSFQ-14) 评估性功能,并进行开放式问卷调查。结果:参与者的平均年龄为51.32岁(SD=±13.24),其中32名(57.1%)为男性,24名(42.9%)为女性。根据CSFQ-14,大多数研究参与者(n=35,62.5%)在中风后出现性功能障碍。与中风后性功能障碍相关的因素包括年龄、残疾、合并症、自尊等社会心理因素、角色变化和抑郁。研究发现,性功能障碍患者的平均SSQOL评分 (139.94±33.89) 低于无性功能障碍患者 (149.76±33.77),但两组之间没有显著差异 (p=0.298)。大多数参与者 (n=37; 66.1%) 不知道医疗保健专业人员可以帮助治疗性功能障碍。结论:大多数参与者在中风后都有性功能障碍。疼痛、定位困难、自尊问题、缺乏动力和欲望改变等因素是多学科团队在中风后患者性功能康复中的重要考虑因素。
【关键词】生活质量;康复服务;性;中风
[Abstract] Background: Sexual function is commonly affected post stroke and impacts an individual's quality of life. This study aimed to determine the factors associated with sexual function in an individual post stroke and the association with quality of life. Method: This cross-sectional study included 56 participants who had a stroke between three and 24 months prior. The participants were assessed for: level of disability with the Modified Rankin Scale (MRS); quality of life with the Stroke Specific Quality of Life scale (SSQOL); and sexual function with the Changes in Sexual Functioning Questionnaire (CSFQ-14), and an open-ended questionnaire was administered. Results: The average age of the participants was 51.32 (SD = ±13.24) years, with 32 (57.1%) males and 24 (42.9%) females. According to the CSFQ-14, the majority of the study participants (n = 35, 62.5%) had sexual dysfunction after their stroke. The factors associated with sexual dysfunction post stroke included age, disability, comorbidities, psychosocial factors such as self-esteem, role changes, and depression. Those with sexual dysfunction were found to have a lower mean SSQOL score (139.94 ± 33.89) than those without sexual dysfunction (149.76 ± 33.77), however, there was no significant difference (p = 0.298) between the groups. Majority of the participants (n = 37; 66.1%) did not know that healthcare professionals can assist with sexual dysfunction. Conclusion: The majority of participants experienced sexual dysfunction after their stroke. Factors such as pain, difficulty with positioning, self-esteem issues, lack of motivation, and change in desire, are important considerations for the multidisciplinary team in the rehabilitation of a patient's sexual function post stroke.
[Key words] quality of life; rehabilitation services; sexuality; stroke
论文原文:Danielle Schneider, Nicolette Comley-White (2025). Sexual Function and Quality of Life in Individuals Post Stroke. Physiotherapy Research International, Volume 30, Issue 1, January 2025.
https://doi.org/10.1002/pri.70004
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