혈액투석을 받는 남성의 성기능 관련 요인

Abstract

The purpose of this study was to maintain basic data for nursing plannings and mediations improving sexual function in male patients undergoing hemodialysis in Jeju-do by examining their sexual function and by identifying the related factors. For research tools, the International Index of Erectile Function was used to measure levels of sexual function, the Visual Analogue Scale-Fatigue and self rating depression scale were used to measure levels of fatigue and depression, and spouse's support measuring tool was used to measure spouse's support levels. Data collection was performed by using structured questionnaires and clinical records for 101 hemodialysis

outpatients who had agreed to the survey and were suitable for the conditions of subjects from Nov. 24, 2004 to Jan. 20, 2005 in the artificial kidney rooms of 7 hospitals located in Jeju-Do. Data were analyzed using the SPSS/PC 10.0. For data analysis, descriptive statistics, Man-Whitney test, Kruskal-Wallis test and Spearman's correlation coefficient were used. The results of this study were as follows: 1. The mean of subject's sexual function score was 22.22 and it showed that the prevalence of any level of erectile dysfunction, orgasmic dysfunction, sexual desire dysfunction, sexual intercourse satisfaction dysfunction, and overall satisfaction dysfunction was 93.1%, 90.1%, 96.0%, 99.0%, and 98.8% respectively. 2. Sexual function was significantly different by age( 2 =19.467, p=.000), education( 2 =15.941, p=.003), monthly income( 2 =6.564, p=.038), exercise( 2 =5.924 p=.015). duration of dialysis( 2 =8.301, p=.016), dialysis times on week( 2 =5.352, p=.021), serum hemoglobin( 2 =10.169, p=.017) and fatigue( 2 =6.667, p=.036). 3. There were significant positive correlations between sexual function and serum hemoglobin levels(r=.351 p=.001), exercise(r=.243, p=.014), dialysis times on week(r=.233, p=.020), and negative correlations between sexual function and age(r=-.388, p=.000),

levels of fatigue(r=-.256, p=.010). The results of this study demonstrated that sexual function in male patients undergoing hemodialysis was lower and was correlated with age, serum hemoglobin levels, levels of fatigue, exercise, and dialysis times on week. There were great needs for development of intervention programs improving sexual function of male patients undergoing hemodialysis.