左心室辅助装置患者及其伴侣的性生活质量

IF 6.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Johanna S. Van Zyl PhD , Catherine Shelton RN , Komal Alam MPH , Lesia Parker , Aayla K. Jamil MBBS, MPH , Joost Felius PhD , Christo Mathew MD , Sandra A. Carey PhD , Christine Funk PsyD , Ann Marie Warren PhD , Susan M. Joseph MD , Shelley A. Hall MD , Amit Alam MD
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引用次数: 0

摘要

导言:与左心室辅助装置(LVAD)一起生活可能会给生活带来负担,例如电池组和装置的传动系统。我们旨在描述与耐用的 LVAD 共同生活对患者及其伴侣的性生活质量(QOL)、抑郁和焦虑的影响:在这项单中心、前瞻性、观察性研究中,植入 LVAD 后≥4 个月的患者及其伴侣填写了左心室辅助装置患者或伴侣性活动(SALVADOR)问卷,以评估他们的性生活质量;填写了 8 个项目的患者健康问卷(PHQ-8),以评估抑郁症状;填写了 7 个项目的广泛性焦虑症(GAD-7),以评估焦虑症状:60 名患者和 60 名伴侣在植入后 2.3 ± 1.9 年完成了问卷调查。87%的患者和13%的伴侣为男性。患者的平均年龄为(57.4 ± 13.3)岁,90%的患者与伴侣同居。10%的患者和18%的伴侣目前被诊断患有心理疾病,其中最常见的是抑郁症和/或焦虑症。总体而言,49% 的参与者表示 LVAD 影响了他们的性活动(患者 53% 对伴侣 45%,P=0.33)。传动系统的干扰是最常见的问题。24%的参与者在PHQ-8中被评为轻度至中度抑郁,28%的参与者在GAD-7中被评为轻度至严重焦虑。患者和伴侣的 GAD-7 总分中位数(1 [0, 4.25] vs. 2.5 [0, 5],p=0.06)相当;而患者的 PHQ-8 总分更高(3 [0, 5.25] vs. 1 [0, 3.25],p=0.02)。54%的参与者表示希望在接受 LVAD 支持时获得性方面的信息,患者和伴侣之间没有差异(P>0.99)。结论:LVAD 严重影响性生活质量:结论:LVAD 严重影响患者及其伴侣的性生活质量。结论:LVAD 严重影响患者及其伴侣的性生活质量。患者更愿意接受有关如何改善性生活质量的书面信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Sexual Quality of Life in Left Ventricular Assist Device Patients and Their Partners

Sexual Quality of Life in Left Ventricular Assist Device Patients and Their Partners

Background

Living with a left ventricular assist device (LVAD) comes with potentially burdensome aspects posed by, for example, battery packs and device drivelines. We aim to describe the impact of living with a durable LVAD on sexual quality of life (QOL), depression, and anxiety in patients and their partners.

Methods and Results

In this single-center, prospective, observational study, patients ≥4 months after LVAD implantation and their partners completed the Sexual Activities in Left Ventricular Assist Device Patients or Partners questionnaire to assess their sexual QOL, the 8-item Patient Health Questionnaire (PHQ-8) to assess symptoms of depression and the 7-item Generalized Anxiety Disorder (GAD-7) to assess symptoms of anxiety. Sixty patients and 60 partners completed the questionnaires 2.3 ± 1.9 years after implantation. Eighty-seven percent of the patients and 13% of partners were male. The mean age of patients was 57.4 ± 13.3 years, with 90% living with their partner. Ten percent of patients and 18% of partners had a current diagnosis of a psychological condition, most frequently depression and/or anxiety. Overall, 49% of participants indicated the LVAD influenced their sexual activity (patients 53% vs partners 45%; P = .33). Disturbances from the driveline were the most common problem indicated. Twenty-four percent of participants had scored in the mild to moderate depression range on the PHQ-8 and 28% scored in the mild to severe anxiety range on the GAD-7. The median total GAD-7 (1 [interquartile range (IQR) 0–4.25] vs 2.5 [IQR 0–5]; P = .06) were comparable between patients and partners; whereas patients had a higher total PHQ-8 score (3 [IQR 0–5.25] vs 1 [IQR 0–3.25]; P = .02). A preference to receive information regarding sexuality while on LVAD support was indicated by 54% of participants and did not differ between patients and partners (P > .99). Written resources were the most commonly preferred source of information.

Conclusions

LVADs severely affect the sexual QOL for patients and their partners. The presence of a driveline is a major cause for concern. Patients prefer receiving written information on how to improve their sexual QOL.
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来源期刊
Journal of Cardiac Failure
Journal of Cardiac Failure 医学-心血管系统
CiteScore
7.80
自引率
8.30%
发文量
653
审稿时长
21 days
期刊介绍: Journal of Cardiac Failure publishes original, peer-reviewed communications of scientific excellence and review articles on clinical research, basic human studies, animal studies, and bench research with potential clinical applications to heart failure - pathogenesis, etiology, epidemiology, pathophysiological mechanisms, assessment, prevention, and treatment.
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