Quality of life among patients with patients with chronic renal failure
Ati, N1; Elati, Z2; Manitta, M1; Mnasser, A1; Zakhama, W1; Binous, MY1
1: departement of urology, Taher Sfar Hospital, Mahdia , Tunisia; 2: departement of nephrology hemodialysis,Taher Sfar Hospital, Mahdia , Tunisia
Objective: The proposal of this study is to determine the prevalence and the associated factors of sexual dysfunction among hemodialysis patients.
Material and Method: This study is based on data collected from male and female patients undergoing hemodialysis. Demographic, clinical and laboratory data of all patients were collected; eligible patients were asked three questionnaires: the International Index of Erectile Function (IIEF) or the Index of Female Sexual Function (IFSF) to evaluate sexual function; the Hospital Anxiety and Depression Scale (HADS) to rate the severity of depressive symptoms; and the 36-item Short Form Health Survey Questionnaire (SF-36) to survey their quality of life. The results were analyzed with a significance level of P < 0.05.
Result: 105 hemodialysis patients (55 men and 50 women) were enrolled. All patients had been dialyzed for more than six months. The mean age was 48.5 +/- 11.9 years old. Seniority in dialysis was 4, 33± 3, 65 years. Erectile dysfunction, orgasmic, desire and satisfaction disorders were found in 76,4%(42 patients), 67,3% (37patients), 70,9%(34 patients) et 78,2%(43 patients) respectively. The majority of male patients were dissatisfied with their performance at intercourse after progressing to end stage renal disease. Advance age, diabetes, benign prostatic hyperplasia, anxiety and depression were independent risk factors for the development of erectile dysfunction.The mean IFSF score was 24.7 +/- 8.3. Hypoactive sexual disorder, sexual arousal and orgasmic disorders, and aversion sexual disorder were prevalent, found in 92%, 86% and 82% of female patients. Increasing age, duration of hemodialysis, anemia and depression were the independent factors of dysfunction in each sexual functional dimension. Patients with higher IFSF or IIEF scores had significantly higher scores in physical functioning and mental health.
Conclusion: Sexual dysfunction is frequent in the hemodialysis population. The diagnosis and treatment of sexual dysfunction should be included in the clinical assessment.
Work supported by industry: no.Go Back