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Sexual Function in Patients with Chronic Renal Failure on Hemodialysis and Its Effects on Patients’ Perception of Health and Life Satisfaction

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Abstract

This descriptive and correlational study was conducted to determine both sexual functions of patients with chronic renal failure on hemodialysis and the relationship between sexual function and “life satisfaction and perception of health”. The study was conducted with 125 patients with chronic renal failure who were treated at dialysis centers. Data were collected with the socio-demographic information form, Arizona Sexual Experience Scale (ASEX), Satisfaction with Life Scale and Nottingham Health Profile questionnaire. Of the participants, 72 % were over the age of 50 and 64.8 % had a chronic illness for six or more years. All the participants were receiving hemodialysis treatment. Of the participants, 85.6 % suffered from sexual dysfunction. There was a moderately significant positive correlation between the participants’ ASEX scores and the scores they obtained from the general perception of health, pain, physical fatigue, sleep and emotional subscales. However, there was not a significant relationship between ASEX mean scores and Satisfaction with Life Scale mean scores. The results of this study revealed that sexual dysfunction was common among patients with chronic renal failure and having hemodialysis therapy, and adversely affected their perception of health.

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References

  1. Woloski-Wruble, A.C., Oliel, Y., Leefsma, M., Hochner-Celnikier, D.: Sexual activities, sexual and life satisfaction, and successful aging in women. J. Sex. Med. 7, 2401–2410 (2010)

    PubMed  Google Scholar 

  2. Basson, R., Rees, P., Wang, R., Montejo, A.L., Incrocci, L.: Sexual function in chronic illness. J. Sex. Med. 7, 374–388 (2010)

    Article  PubMed  Google Scholar 

  3. Barsky, J.L., Friedman, M.A., Rosen, C.R.: Sexual dysfunction and chronic illness: the role of flexibility in coping. J. Sex. Marital. Ther. 32, 235–253 (2006)

    Article  PubMed  Google Scholar 

  4. Sánchez-Fuentes, M.M., Santos-Iglesias, P., Sierra, J.C.: A systematic review of sexual satisfaction. Int. J. Clin. Health Psychol. 14, 67–75 (2014)

    Article  Google Scholar 

  5. Doss, F., Polaschek, N.: Assessing sexual dysfunction in people living on dialysis in a New Zealand renal service. Ren. Soc. Aust. J. 8(3), 104–108 (2012)

    Google Scholar 

  6. Heiman, J.: Sexual dysfunction: overview of prevalence, etiological factors, and treatments. J. Sex Res. 39(1), 31–33 (2002)

    Article  Google Scholar 

  7. Martin-Diaz, F., Reig-Ferrer, A., Ferrer-Cascales, R.: Sexual function and quality of life in hemodialysis male patients. Nefrologia 26(4), 452–460 (2006)

    PubMed  Google Scholar 

  8. French, K.: Sexual health, 1st edn, pp. 1–7. Blackwell, Oxford (2009)

    Book  Google Scholar 

  9. Enkvist, A., Ekström, H., Elmstahl, S.: What factors affect life satisfaction among the oldest-old? Arch. Gerontol. Geriatr. 54, 140–145 (2012)

    Article  PubMed  Google Scholar 

  10. Shields, M.: Community belonging and self-perceived health. Health Rep. 19(2), 51–60 (2008)

    PubMed  Google Scholar 

  11. Gwozdz, E., Sousa-Poza, A.: Ageing, health and life satisfaction of the oldest old: an analysis for Germany. Soc. Indic. Res. 97, 397–417 (2010)

    Article  Google Scholar 

  12. Feller, S., Teucher, B., Kaaks, R., Boeing, H., Vigl, M.: Life satisfaction and risk of chronic diseases in the European prospective investigation into cancer and nutrition (EPIC)-Germany study. PLoS One 8(8), e73462 (2013)

    Article  PubMed Central  PubMed  Google Scholar 

  13. Verschuren, J.E.A., Enzlin, P., Dijkstra, P.U., Geertzen, J.H.B., Dekker, R.: Chronic disease and sexuality: a generic conceptual framework. J. Sex Res. 47, 153–170 (2010)

    Article  PubMed  Google Scholar 

  14. Mahomed, R., St John, W., Patterson, E.: Understanding the process of patient satisfaction with nurse-led chronic disease management in general practice. J. Adv. Nurs. 68(11), 2538–2549 (2012)

    Article  PubMed  Google Scholar 

  15. Küçük, L., Türkmen, A., Küçük, M.: Sexual dysfunction in women after renal transplantation. Sex Disabil. 31, 155–166 (2013)

    Article  Google Scholar 

  16. Köker, S.: A comparison of life satisfaction levels of normal and problematic adolescent. Unpublished master’s thesis. A. Ü. Institute of Social Sciences, Ankara (1991)

  17. Küçükdeveci, A.A., McKenna, S.P., Kutlay, S., Gürsel, Y., Whalley, D., Arasıl, T.: The devolopment and psychometric assesmant of the Turkish version of the Nottingham Health Profile. Int. J. Rehabil. Res. 23, 31–38 (2000)

    Article  PubMed  Google Scholar 

  18. Soykan, A.: The reliability and validity of Arizona sexual experiences scale in Turkish ESRD patients undergoing hemodialysis. Int. J. Impot. Res. 16, 531–534 (2004)

    Article  PubMed  Google Scholar 

  19. Finkelstein, F.O., Shirani, S., Wuerth, D., Finkelstein, S.H.: Therapy insight: sexual dysfuntion in patients with chronic kidney disease. Nat. Clin. Pract. Nephrol. 3, 200–207 (2007)

    Article  PubMed  Google Scholar 

  20. Elnashar, M.E., İbrahim, M.M., Desoky, A.O.M., Hassan, M.E.: Female sexual dysfunction in lower egypt. BJOG 114, 201–206 (2007)

    Article  PubMed  Google Scholar 

  21. Amuk, T., Oğuzhanoğlu, N.K., Oğuzhanoğlu, A., Varma, G.S., Karadağ, F.: The prevalence of dementia in nursing home residents, associated risk factors and comorbid psychiatric diagnoses. Anatol. J. Psychiatry 10, 301–309 (2009)

    Google Scholar 

  22. Smeltzer, S.C., Bare, B.G., Hinckle, J.L., Cheever, K.H. (eds.): Textbook of medical-surgical nursing, 12th edn. Lippincott Williams & Wilkins, Philadelphia (2010)

    Google Scholar 

  23. Yıldız, N., Topuz, O., Güngen, G.O., Deniz, S., Alkan, H., Ardıç, F.: Health-related quality of life (Nottingham Health Profile) in knee osteoarthritis: correlation with clinical variables and self reported disability. Rheumatol. Int. 3(30), 1595–1600 (2010)

    Google Scholar 

  24. Kıyak, E., Akdemir, N., Fesci, H.: The evaluation of the impact of the use of wool in patients with fibromyalgia on life quality. Aust. J. Adv. Nurs. 26(3), 47–52 (2008)

    Google Scholar 

  25. Boonstra, A.M., Reneman, M.F., Stewart, R.E., Post, M.W., Preuper, H.R.S.: Life satisfaction in patients with chronic musculoskeletal pain and its predictors. Qual. Life Res. 22, 93–101 (2013)

    Article  PubMed  Google Scholar 

  26. An, Y.J., An, K., O’Connor, L., Wexler, S.: Life satisfaction, self-esteem, and perceived health status among elder Korean women: focus on living arrangement. J. Transcult. Nurs. 19, 151–160 (2008)

    Article  PubMed  Google Scholar 

  27. Açıksöz, S., Uzun, Ş., Arslan, F.: Relationship between perceptions of health status and health promotion behaviors in nursing students. Gulhane Med. J. 55, 181–187 (2013)

    Google Scholar 

  28. Zaybak, A., Fadıloğlu, Ç.: Determining of the health promotion behaviors of university students and the factors affecting these behaviors. J. Ege Univ. Sch. Nurs. 20(1), 77–95 (2004)

    Google Scholar 

  29. Ernstsen, L., Nilsen, S.M., Espnes, G.A., Krokstad, S.: The predictive ability of self-rated health on ischaemic heart disease and all-cause mortality in elderly women and men: the Nord-Trøndelag Health Study (HUNT). Age Ageing 40, 105–111 (2011)

    Article  PubMed  Google Scholar 

  30. Akandere, M.: The effect on life satisfaction of physical activity levels in elderly nursing home residents. Selcuk Univ. J. Inst. Soc. Sci. 18, 1–9 (2007)

    Google Scholar 

  31. Cloninger, C.R., Zohar, A.H.: Personality and the perception of health and happiness. J. Affect. Disord. 128, 24–32 (2011)

    Article  PubMed  Google Scholar 

  32. Inal, S., Subasi, F., Ay, S.M., Hayran, O.: The link between health-related behaviours and life satisfaction in elderly individuals who prefer institutional living. BMC Health Serv. Res. 7, 30–37 (2007)

    Article  PubMed Central  PubMed  Google Scholar 

  33. Yılmaz, A., Goker, C., Kocak, O.M., Aygor, B., Şenturk, V., Nergizoğlu, G., Soykan, A., Kumbasar, H.: Sexual functioning in hemodialysis patients and their spouses: results of a prospective study from Turkey. Turk. J. Med. Sci. 39(3), 405–414 (2009)

    Google Scholar 

  34. Kim, J.H., Doo, S.W., Yang, W.J., Kwon, S.H., Song, E.S., Lee, H.J., Lim, I.S., Hwang, H., Song, Y.S.: Association between the hemodialysis adequacy and sexual dysfunction in chronic renal failure: a preliminary study. BMC Urol. 14, 4 (2014)

    Article  PubMed Central  PubMed  Google Scholar 

  35. Kettas, E., Cayan, F., Akbay, E., Kiykim, A., Cayan, S.: Sexual dysfunction and associated risk factors in women with end-stage renal disease. J. Sex Med. 5(4), 872–877 (2008)

    Article  PubMed  Google Scholar 

  36. Peng, Y.S., Chiang, C.K., Kao, T.W., Hung, K.Y., Lu, C.S., Chiang, S.S., Yang, C.S., Huang, Y.C., Wu, K.D., Wu, M.S., et al.: Sexual dysfunction in female hemodialysis patients: a multicenter study. Kidney Int. 68(2), 760–765 (2005)

    PubMed  Google Scholar 

  37. Costa, M.R., Bahia Reis, A.M., Pereira, B.P., Ponciano, V.C., de Oliveira, E.C.: Associated factors and prevalence of erectile fysfunction in hemodialysis patients. Int. Braz. J. Urol. 40(1), 44–55 (2014)

    PubMed  Google Scholar 

  38. Küçük, L., Kaya, H., Küçük, M., Yogun, O., Buzlu, S.: The relationship between depression and perception of sexuality in patients with type II diabetes. Turk. Sex Disabil. 31, 43–52 (2013)

    Article  Google Scholar 

  39. Messina, L.E., Claro, J.A., Nardozza, A., Andrade, E., Ortiz, V., Srougi, M.: Erectile dysfunction in patients with chronic renal failure. Int. Braz. J. Urol. 33, 673–678 (2007)

    Article  PubMed  Google Scholar 

  40. Neto, A.F., de Freitas Rodrigues, M.A., Saraiva Fittipaldi, J.A., Moreira Jr, E.D.: The epidemiology of erectile dysfunction and its correlates in men with chronic renal failure on hemodialysis in Londrina, southern Brazil. Int. J. Impot. Res. 14(2), 19–26 (2002)

    Article  Google Scholar 

  41. Moreira Jr, E.D., Lisboa Lôbo, C.F., Villa, M., Nicolosi, A., Glasser, D.B.: Prevalence and correlates of erectile dysfunction in Salvador, northeastern Brazil: a population-based study. Int. J. Impot. Res. 14(2), 3–9 (2002)

    Article  Google Scholar 

  42. Santos, P.R., Frota, J.B., Júnior, G.C., Cavalcanti, J.U., Vieira, C.B., Rocha, A.R.M., Apolônio, N.A.M., Oliveira, E.B.: Quality of life among women with sexual dysfunction undergoing hemodialysis: a cross-sectional observational study. Health Qual. Life Outcomes 10, 103 (2012)

    Article  PubMed Central  PubMed  Google Scholar 

  43. Rebollo, P., Ortega, F., Valdés, C., Fernández-Vega, F., Ortega, T., García-Mendoza, M., et al.: Factors associated with erectile dysfunction in male kidney transplant recipients. Int. J. Impot. Res. 15, 433–438 (2003)

    Article  PubMed  Google Scholar 

  44. Şahin, A.F., Cihan, A., Akgül, K., Demir, O., Gürkan, A., Çelik, A., Can, E., Esen, A.A.: Sexual functions after renal transplantation in males. Turk. J. Urol. 35(1), 23–27 (2009)

    Google Scholar 

  45. Filocamo, M.T., Zanazzi, M., Marzi, V.L., Lombardi, G., Popolo, G.D., Mancini, G., Salvadori, M.: Sexual dysfunction in women during dialysis and after renal transplantation. J. Sex. Med. 6, 3125–3131 (2009)

    Article  PubMed  Google Scholar 

  46. Basson, R., Schultz, W.W.: Sexual sequelae of general medical disorders. Lancet 369, 409–424 (2007)

    Article  PubMed  Google Scholar 

  47. Pertuza, W., Castanedaa, D.A., Rincona, O., Lozanoa, E.: Sexual dysfunction in patients with chronic renal disease: does it improve with renal transplantation? Transpl. Proc. 46, 3021–3026 (2014)

    Article  Google Scholar 

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Correspondence to Selma Sabanciogullari.

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Sabanciogullari, S., Taşkın Yılmaz, F., Güngör, F.İ. et al. Sexual Function in Patients with Chronic Renal Failure on Hemodialysis and Its Effects on Patients’ Perception of Health and Life Satisfaction. Sex Disabil 33, 175–186 (2015). https://doi.org/10.1007/s11195-015-9398-4

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  • DOI: https://doi.org/10.1007/s11195-015-9398-4

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