配偶干预对男性勃起功能障碍患者的治疗作用
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摘要
目的探讨配偶干预对男性勃起功能障碍患者的治疗作用。方法选取2015年6月至2017年10月就诊于我院的158例勃起功能障碍患者,随机分为对照组和观察组,对照组患者给予药物治疗并辅助相应的心理治疗,观察组患者在给予药物治疗和心理干预的同时,要求配偶根据既定的实验方案参与治疗。治疗前后分别采用IIEF勃起功能专项评分、勃起功能障碍治疗满意度量表、自尊心及性关系问卷来评价干预效果。结果治疗前,两组勃起功能专项评分、勃起功能障碍治疗满意度,自尊心、总体关系满意度与性关系满意度评分比较,差异无统计学意义(均P> 0. 05);治疗后,两组各项评分均较治疗前有所提升,观察组各项指标显著优于对照组(均P <0. 01)。结论配偶干预可有效改善男性勃起功能障碍患者的治疗效果,提高患者治疗满意度,提升患者自尊心以及性关系满意度。
Objective To explore the effect of spouse intervention on treatment of male erectile dysfunction. Methods Totally,158 erectile dysfunction patients,admitted from June 2015 through October 2017,were randomly divided into 2 groups. The control group was given drug treatment and psychological therapy. For the observation group,beside drug treatment and psychological intervention,their spouse were designed to participate in the treatment according to established experimental scheme at the same time. Before and after treatment,the erectile function domain of the International Index of Erectile Function (IIEF),the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS),the Self-esteem and Sexual Relationship Questionnaire were used mea-sure the 2 groups. Results Before treatment,there was no significant differences regarding erectile function,treatment satisfaction,and self-esteem,overall relationship satisfaction and sexual relationship satisfaction scores between the two groups ( P > 0. 05 for all); after treatment,the patients scored higher in the indexes,with the observation group achieving better results than the controls ( P < 0. 01 for all). Conclusion Spouse interventions could have remarkable effect in patients' erectile function,improve treatment satisfaction,enhance self-esteem and sexual relationship satisfaction of patients.
Objective To explore the effect of spouse intervention on treatment of male erectile dysfunction. Methods Totally,158 erectile dysfunction patients,admitted from June 2015 through October 2017,were randomly divided into 2 groups. The control group was given drug treatment and psychological therapy. For the observation group,beside drug treatment and psychological intervention,their spouse were designed to participate in the treatment according to established experimental scheme at the same time. Before and after treatment,the erectile function domain of the International Index of Erectile Function (IIEF),the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS),the Self-esteem and Sexual Relationship Questionnaire were used mea-sure the 2 groups. Results Before treatment,there was no significant differences regarding erectile function,treatment satisfaction,and self-esteem,overall relationship satisfaction and sexual relationship satisfaction scores between the two groups ( P > 0. 05 for all); after treatment,the patients scored higher in the indexes,with the observation group achieving better results than the controls ( P < 0. 01 for all). Conclusion Spouse interventions could have remarkable effect in patients' erectile function,improve treatment satisfaction,enhance self-esteem and sexual relationship satisfaction of patients.
引文
[1]金重睿,徐月敏.中老年男性勃起功能障碍的危险因素及研究进展[J].中国男科学杂志,2008,22(4):69-72.
[2]Tan H M,Low W Y,Ng C J,et al.Prevalence and correlates of erectile dysfunction(ED)and treatment seeking for ED in Asian men:the Asian Men's Attitudes to Life Events and Sexuality (MALES)study[J].J Sex Med,2007,4(6):1582-1592.
[3]Hartmann U.Psychological stress factors in erectile dysfunctions.Causal models and empirical results[J].Urologe A,1998,37(5):487-494.
[4]刘明矾.性操作焦虑对阴茎勃起障碍的影响研究[J].中国临床心理学杂志,2002,10(1):47-49.
[5]Aghighi A,Grigoryan V H,Delavar A.Psychological determinants of erectile dysfunction among middle-aged men[J].Int J Impot Res,2015,27(2):63-68.
[6]徐红红,胡佩诚.年轻已婚女性人格、社会支持与婚姻质量的相关研究[J].中国健康心理学杂志,2010,18(6):680-682.
[7]Chi P,Tsang S K M,Chan K S,et al.Marital satisfaction of Chinese under stress:Moderating effects of personal control and social support[J].Asian Journal of Social Psychology,2011,14(1):15-25.
[8]Beach S R,Martin J K,Blum T C,et al.Effects of marital and co-worker relationships on negative affect:testing the central role of marriage[J].Carbohydrate Research,1993,21(4):313-323.
[9]袁亦铭,周苏,张凯.勃起功能障碍的诊断和疗效评估相关问卷[J].中华男科学杂志,2008,14(12):1121-1125.
[10]Lewis R,Bennett C J,Borkon W D,et al.Patient and partner satisfaction with Viagra (sildenafil citrate) treatment as determined by the Erectile Dysfunction Inventory of Treatment Satisfaction Questionnaire[J].Urology,2001,57(5):960-965.
[11]Cappelleri J C,Althof S E,Siegel R L,et al.Development and validation of the Self-Esteem And Relationship (SEAR) questionnaire in erectile dysfunction[J].Int J Impot Res,2004,16(1):30-38.
[12]肖玉芳,孙力,王辉.心理因素导致的性功能障碍[J].邯郸医学高等专科学校学报,2001,14(5):483-484.
[13]马磊,樊鹏侠,石兴民.配偶同期系统心理干预对长期血糖控制不良的中青年2型糖尿病性勃起功能障碍患者的影响[J].成都医学院学报,2016,11(5):573-577.
[14]Kim S C,Park H S.Five years after the launch of Viagra in Korea:changes in perceptions of erectile dysfunction treatment by physicians,patients,and the patients'spouses[J].J Sex Med,2006,3(1):132-137.
[15]汪保霞,颜芳,王小英.照顾者对慢性阻塞性肺疾病用药依从性的干预研究[J].中国实用医药,2017,12(15):188-189.
[16]Delavierre D,Poisson E.Female partners confronted with erectile dysfunction.A series of 137 patients[J].Prog Urol,2011,21(1):59-66.
[17]Singh J,Devasia A,Gnanaraj L.Erectile dysfunction[J].Natl Med J India,2005,18(3):139-143.
[18]林敏,黄惠君,陈慧月.自我信心及技能训练对恢复期精神分裂症患者康复的影响[J].护理学杂志,2015,30(09):20-23.
[19]陈心佳,乐丽丽.心理干预对勃起功能障碍病人焦虑情绪的影响[J].护理学杂志,2003,18(4):289.
[2]Tan H M,Low W Y,Ng C J,et al.Prevalence and correlates of erectile dysfunction(ED)and treatment seeking for ED in Asian men:the Asian Men's Attitudes to Life Events and Sexuality (MALES)study[J].J Sex Med,2007,4(6):1582-1592.
[3]Hartmann U.Psychological stress factors in erectile dysfunctions.Causal models and empirical results[J].Urologe A,1998,37(5):487-494.
[4]刘明矾.性操作焦虑对阴茎勃起障碍的影响研究[J].中国临床心理学杂志,2002,10(1):47-49.
[5]Aghighi A,Grigoryan V H,Delavar A.Psychological determinants of erectile dysfunction among middle-aged men[J].Int J Impot Res,2015,27(2):63-68.
[6]徐红红,胡佩诚.年轻已婚女性人格、社会支持与婚姻质量的相关研究[J].中国健康心理学杂志,2010,18(6):680-682.
[7]Chi P,Tsang S K M,Chan K S,et al.Marital satisfaction of Chinese under stress:Moderating effects of personal control and social support[J].Asian Journal of Social Psychology,2011,14(1):15-25.
[8]Beach S R,Martin J K,Blum T C,et al.Effects of marital and co-worker relationships on negative affect:testing the central role of marriage[J].Carbohydrate Research,1993,21(4):313-323.
[9]袁亦铭,周苏,张凯.勃起功能障碍的诊断和疗效评估相关问卷[J].中华男科学杂志,2008,14(12):1121-1125.
[10]Lewis R,Bennett C J,Borkon W D,et al.Patient and partner satisfaction with Viagra (sildenafil citrate) treatment as determined by the Erectile Dysfunction Inventory of Treatment Satisfaction Questionnaire[J].Urology,2001,57(5):960-965.
[11]Cappelleri J C,Althof S E,Siegel R L,et al.Development and validation of the Self-Esteem And Relationship (SEAR) questionnaire in erectile dysfunction[J].Int J Impot Res,2004,16(1):30-38.
[12]肖玉芳,孙力,王辉.心理因素导致的性功能障碍[J].邯郸医学高等专科学校学报,2001,14(5):483-484.
[13]马磊,樊鹏侠,石兴民.配偶同期系统心理干预对长期血糖控制不良的中青年2型糖尿病性勃起功能障碍患者的影响[J].成都医学院学报,2016,11(5):573-577.
[14]Kim S C,Park H S.Five years after the launch of Viagra in Korea:changes in perceptions of erectile dysfunction treatment by physicians,patients,and the patients'spouses[J].J Sex Med,2006,3(1):132-137.
[15]汪保霞,颜芳,王小英.照顾者对慢性阻塞性肺疾病用药依从性的干预研究[J].中国实用医药,2017,12(15):188-189.
[16]Delavierre D,Poisson E.Female partners confronted with erectile dysfunction.A series of 137 patients[J].Prog Urol,2011,21(1):59-66.
[17]Singh J,Devasia A,Gnanaraj L.Erectile dysfunction[J].Natl Med J India,2005,18(3):139-143.
[18]林敏,黄惠君,陈慧月.自我信心及技能训练对恢复期精神分裂症患者康复的影响[J].护理学杂志,2015,30(09):20-23.
[19]陈心佳,乐丽丽.心理干预对勃起功能障碍病人焦虑情绪的影响[J].护理学杂志,2003,18(4):289.