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Association of sexual functioning and quality of partnership in patients in cardiovascular rehabilitation--a gender perspective.

机译:心血管康复患者性功能和伙伴关系质量的关联-性别观点。

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INTRODUCTION: In the general population, studies indicate a strong association between sexual dysfunction and partnership quality. Despite a high prevalence of sexual problems in patients with cardiovascular diseases, this association has not yet been examined in this sample. AIM: The central task of this paper is to determine the association between sexual dysfunction and quality of partnership under a gender-specific view. METHODS: A written survey was handed out to all newly admitted patients in five participating inpatient rehabilitation centers for cardiovascular diseases in Germany. The survey included a gender-specific questionnaire to assess sexual functioning (International Index of Erectile Function for men, and Female Sexual Function Index for women), and a Partnership Questionnaire. MAIN OUTCOME MEASURES: Correlations were calculated between sexual function and relationship satisfaction, and differences between groups (cardiovascular diseased men and women with and without sexual problems) were tested using covariance analyses. RESULTS: Overall, 44.3% of 98 female participants and 52.7% of 395 male participants stated to have at least one sexual problem. Patients with sexual problems showed significantly more quarrelling (P = 0.001), significantly less tenderness (P < 0.001), communication (P < 0.001), as well as significantly lower overall quality of partnership (P < 0.001), compared with cardiac men and women without sexual problems. Suffering from a sexual problem impaired partnership quality for women to a significantly greater extent than for men. CONCLUSIONS: Possible shortcomings of our study are selection bias, i.e., it is unknown whether all newly admitted patients received the questionnaire by their physician, as well as an overall low response rate, probably because of the private character of questions. This study suggests for the first time that men and women who suffer from cardiovascular diseases and sexual problems show a significantly decreased partnership satisfaction compared with those without sexual dysfunction. Further longitudinal studies might confirm the causal nature of found correlations.
机译:简介:在一般人群中,研究表明,性功能障碍与伴侣质量之间有很强的联系。尽管在心血管疾病患者中性问题的患病率很高,但在本样本中尚未检查这种关联。目的:本文的中心任务是根据性别观点确定性功能障碍与伴侣质量之间的关联。方法:在德国五个参与的心血管疾病住院康复中心对所有新入院的患者进行了书面调查。该调查包括针对性功能的性别问卷(男性勃起功能国际指数和女性性功能指数),以及合作伙伴问卷。主要观察指标:计算性功能与关系满意度之间的相关性,并使用协方差分析检验各组之间的差异(有或没有性问题的心血管疾病男性和女性)。结果:总体而言,98名女性参与者中的44.3%和395名男性参与者中的52.7%表示存在至少一个性问题。与有心脏疾病的男性和女性相比,有性问题的患者表现出明显更多的争吵(P = 0.001),压痛(P <0.001),沟通(P <0.001)以及整体伴侣质量(P <0.001)显着降低。没有性问题的女性。与男性相比,患有性问题的妇女的伴侣质量大大受到损害。结论:我们研究的可能缺点是选择偏倚,即尚不清楚所有新入院的患者是否都接受了医生的问卷调查,以及总体响应率较低,这可能是由于问题的私密性所致。这项研究首次表明,患有心血管疾病和性问题的男性和女性与没有性功能障碍的男性和女性相比,伴侣满意度明显降低。进一步的纵向研究可能会证实发现的相关性的因果性质。

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