Qualitative study exploring the experiences of sexual dysfunction in premenopausal women with type 1 diabetes.

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2024-09-20 DOI:10.1111/dme.15439

Rahab Hashim, Rita Forde, Judith Parsons, Davide Ausili, Angus Forbes

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Abstract

Aims: To explore the sexual experiences and interactions of women with type 1 diabetes to explicate an understanding of the impact of diabetes on women's sexual function. The study was conducted as part of a wider project to develop a patient-reported outcome measure to assess sexual dysfunction (SD) in premenopausal women with type 1 diabetes.

Methods: A qualitative study using face-to-face and virtual semi-structured interviews was conducted with premenopausal women with type 1 diabetes who have had some difficulties related to sexual functioning. Participants were recruited from two National Health Services (NHS) sites in the UK and from social media platforms. The data were analysed to generate themes using Framework Analysis approach.

Results: Eighteen women, aged 22-49, were interviewed (NHS sites n = 13; online n = 5). Five themes related to women experiences of SD were identified, these were; initiation of sexual activity, sexual confidence, sexual enjoyment, sexual engagement and sexual desire.

Conclusions: SD in women with type 1 diabetes is a complex phenomenon impacting their experiences and quality of life. SD is related to multiple interacting biopsychosocial factors related to diabetes, including blood glucose levels, diabetes treatments, technologies and complications. A targeted measure of SD for women with type 1 diabetes specifically would allow for these factors to be assessed routinely in clinical care.

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探讨 1 型糖尿病绝经前妇女性功能障碍经历的定性研究。

目的：探讨 1 型糖尿病女性患者的性经历和互动，以了解糖尿病对女性性功能的影响。这项研究是一个更广泛的项目的一部分，该项目旨在开发一种由患者报告的结果测量方法，以评估 1 型糖尿病绝经前女性患者的性功能障碍（SD）：采用面对面和虚拟半结构化访谈的方式，对在性功能方面遇到困难的 1 型糖尿病绝经前女性患者进行了定性研究。研究人员从英国的两个国家医疗服务机构（NHS）和社交媒体平台上招募参与者。采用框架分析法对数据进行分析，以生成主题：18 名年龄在 22-49 岁之间的女性接受了访谈（NHS 站点 n = 13；在线 n = 5）。结果：18 位年龄在 22-49 岁之间的女性接受了访谈（NHS 站点 n = 13；在线 n = 5），确定了与女性 SD 体验相关的五个主题，分别是：开始性活动、性自信、性享受、性参与和性欲：结论：1 型糖尿病女性患者的 SD 是一个复杂的现象，影响着她们的经历和生活质量。SD 与糖尿病相关的多种相互作用的生物-心理-社会因素有关，包括血糖水平、糖尿病治疗、技术和并发症。专门针对 1 型糖尿病女性患者的 SD 针对性测量方法可以在临床护理中对这些因素进行常规评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”