Author/Editor		Pirečnik Noč, Anita; Šega, Saša; Gostečnik, Christian
Title		Spolna disfunkcija pri slovenskih pacientih z multiplo sklerozo
Translated title		Sexual dysfunction in Slovenian patients with multiple sclerosis
Type		članek
Vol. and No.		Letnik 54, št. 3
Publication year		2020
Volume		str. 223-229
ISSN		1318-2951 - Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije
Language		slv
Abstract		Uvod: Spolna disfunkcija je pri pacientih z multiplo sklerozo pogosta, ustreznih podatkov za slovensko populacijo pa ni na voljo. Namen raziskave je bil ugotoviti vrsto in delež spolne disfunkcije, razlike med moškimi in ženskami ter morebitno povezavo med spolno disfunkcijo in značilnostmi pacientov. Metode: Presečna raziskava je bila izvedena pri pacientih z multiplo sklerozo, ki so imeli spolne odnose v zadnjih šestih mesecih in so izpolnili vprašalnik MSISQ-19 (Multiple Sclerosis Intimacy and Sexuality Questionnaire). V raziskavi je sodelovalo 368 pacientov povprečne starosti 40,9 leta in trajanjem bolezni 10,2 leta. Nevrološko prizadetost smo ocenili z EDDS (Expanded Disability Status Scale). Za primerjavo številčnih spremenljivk smo uporabili neparni t-test, za primerjavo kategoričnih spremenljivk hi-kvadrat, povezanost med značilnostmi pacientov ter posamezno obliko spolne disfunkcije pa smo ocenili s pomočjo korelacijskega koeficienta po Spearmanu. Rezultati: Delež spolne disfunkcije, definiran kot odgovor 4 ali 5 na katero koli vprašanje v MSISQ-19, je znašal 37 %, deleži primarne, sekundarne in terciarne spolne disfunkcije pa 39,4 %, 39,9 % in 40,8 %. Med spoloma ni bilo statistično pomembnih razlik. Statistično značilno, a zelo šibko linearno korelacijo smo ugotovili med značilnostmi pacientov (starost, trajanje bolezni, EDSS, trajanje partnerske zveze) ter posamezno obliko spolne disfunkcije. Diskusija in zaključek: Spolno disfunkcijo ima 37 % slovenskih pacientov z multiplo sklerozo. Med spoloma ni statistično pomembnih razlik, kar velja tudi za posamezne vrste spolne disfunkcije, kot so primarna, sekundarna in terciarna.Introduction: Although sexual dysfunction in multiple sclerosis patients is frequent, there is no data for Slovenian population. The purpose of the present study was to examine the form and prevalence of sexual dysfunction, differences between males and females, and a potential link between patient characteristics and sexual dysfunction. Methods: A cross-sectional study was conducted on patients with MS who have had sexual relation within the last 6 months and who completed the MSISQ-19 (Multiple Sclerosis Intimacy and Sexuality Questionnaire). 386 patients were included in the study with an average age of 40.9 years, and a duration of illness of 10.2 years. Neurological dysfunction was assessed with the EDDS (Expanded disability status scale). For a comparison of numerical variables and categorical variables, the unpaired t-test and a hi-square test were used, respectively. The correlation between patient characteristics and the type of sexual dysfunction was assessed by using the Spearman coeficient. Results: The proportion of sexual dysfunction, defined as answer 4 or 5 to any question in the MSISQ-19, was 37 %. The proportions of primary, secondary and tertiary sexual dysfunction were 39.4 %, 39.9 % and 40.8 %, respectfully. There were no statistically significant differences between males and females. A statistically significant but highly weak linear correlation was demonstrated between patient characteristics (age, MS duration, EDSS, duration of partnership) and different forms of sexual dysfunction. Discussion and conclusion: Sexual dysfunction is present in 37 % of Slovenian MS patients. There are no statistically significant differences between men and women, which is also true for individual forms of sexual dysfunction including primary, secondary and tertiary sexual dysfunction.
Keywords		demielinizacija spolnost motnje multipla skleroza demielinization sexuality disability multiple sclerosis