Quality of life and sexual health in patients with hidradenitis suppurativa.
Quality of life and sexual health in patients with hidradenitis suppurativa.
复制标题
DOI：
10.1016/j.ijwd.2017.10.007
复制
发表时间：
2018-06
影响因子：
--
通讯作者：
Chavoshi S
中科院分区：
文献类型：
--
作者：
Alavi A;Farzanfar D;Rogalska T;Lowes MA;Chavoshi S
化脓性汗腺炎（HS）是一种慢性、复发性、使人衰弱的毛囊疾病。HS对性功能的生理和心理方面的影响尚不清楚。本研究的目的是调查性功能障碍对HS患者生活质量（QoL）的贡献，并调查性健康在多大程度上预测这些患者的生活质量。这是一项观察性横断面研究，50例HS患者和50例健康志愿者完成问卷调查，使用四种经验证的工具测量生活质量和性功能。与对照组相比，男性患者经历了更高的性功能障碍和性生活质量降低，而女性患者报告了更高的性困扰。在男性患者中，性生活质量和勃起功能障碍预测生活质量下降72%。在女性患者中，性痛苦和性功能障碍预测46%的变异性生活质量指数评分，超出了疾病严重程度的影响。无论生殖器病变如何，性功能障碍都极大地影响了HS患者的生活质量。医疗保健专业人员应询问并密切关注HS患者的性健康问题。
Hidradenitis suppurativa (HS) is a chronic, recurrent, debilitating follicular disease. The effect of HS on physical and psychological aspects of sexual function is not well understood. The objective of this study is to investigate the contribution of sexual dysfunction to the quality of life (QoL) of patients with HS and to investigate the extent to which sexual health predicts the QoL in these patients. This is an observational cross-sectional study of 50 patients with HS and 50 healthy volunteers who completed questionnaires to measure QoL and sexual functioning using four validated tools. Male patients experienced higher sexual dysfunction and a reduced quality of sexual life, while female patients reported higher sexual distress, compared with control groups. In male patients, sexual QoL and erectile dysfunction predicted a 72% decline in QoL. In female patients, sexual distress and sexual dysfunction predicted 46% variability in QoL index scores, beyond the effects of disease severity. Disruptions to sexual functioning greatly contribute to QoL impairments in patients with HS regardless of genital lesions. Health care professionals should inquire about and pay close attention to sexual health concerns in patients with HS.