Sexual Function and Quality of Life in Individuals Post Stroke.

IF 1.5 Q3 REHABILITATION Physiotherapy Research International Pub Date : 2025-01-01 DOI:10.1002/pri.70004
Danielle Schneider, Nicolette Comley-White
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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.

Trial registration: This cross-sectional study did not require study registration.

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中风后患者的性功能和生活质量
背景:中风后性功能通常会受到影响,并影响个人的生活质量。本研究旨在确定与中风后性功能相关的因素以及与生活质量的关系:这项横断面研究包括 56 名在 3 至 24 个月前中风的参与者。方法:这项横断面研究纳入了 56 名在 3 至 24 个月前中风的参与者,对他们进行了以下评估:使用修正兰金量表(MRS)评估残疾程度;使用中风生活质量量表(SSQOL)评估生活质量;使用性功能变化问卷(CSFQ-14)评估性功能,并进行了开放式问卷调查:参与者的平均年龄为 51.32 岁(SD = ±13.24),其中男性 32 人(57.1%),女性 24 人(42.9%)。根据 CSFQ-14 的结果,大多数参与者(35 人,62.5%)在中风后出现了性功能障碍。与中风后性功能障碍相关的因素包括年龄、残疾、合并症、社会心理因素(如自尊、角色改变和抑郁)。有性功能障碍者的平均 SSQOL 得分(139.94 ± 33.89)低于无性功能障碍者(149.76 ± 33.77),但两组间无显著差异(P = 0.298)。大多数参与者(n = 37;66.1%)不知道医护人员可以帮助解决性功能障碍问题:结论:大多数参与者在中风后出现性功能障碍。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过程中需要考虑的重要因素:本横断面研究无需进行研究注册。
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来源期刊
CiteScore
3.30
自引率
5.90%
发文量
53
期刊介绍: Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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