뇌졸중 후 성생활의 임상양상
Clinical Manifestations of Post-stroke Sexual Lives
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Abstract
Objective: To assess the impacts of stroke on sexual activities and functioning of patients with stroke and to study the associations of clinical and psychosocial factors with sexual changes following stroke. Method: Ninety-seven patients with stroke were interviewed and completed questionnaire concerning their prestroke and poststroke coital frequency, sexual satisfaction, and sexual functions such as erection, ejaculation, and vaginal lubrication. Results: Sexual activities such as coital frequency and sexual satisfaction were decreased in patients after stroke. Sexual dysfunctions including impotence (68%), a decline in ejaculation (66.7%), and a decline in vaginal lubrication(89.5%) were high. Subjective reasons for decreased sexual life after stroke were denial of spouse, impotence, decreased libido, no opportunity of sexual activity due to hospitalization or no sexual partner, fear of relapse, physical discomfort due to hemiparesis and so on. Comparing sexual group with no sexual group after stroke, there were different in age (p=0.040), brain lesion site (p=0.036), prestroke coital frequency (p=0.048), erectile ability (p=0.005), and ejaculation (p＜0.001). Conclusion: The decline in sexual activities and functioning was due to interpersonal, physical, psychological factors among patients following stroke.
참고문헌 (21)
- "뇌졸중 환자의 성기능 장애.", pp.342~348 (2001)
- "뇌졸중의 재활. In", pp.349~364 (2002), 군자출판사
- "Male sexual function:Impairment after right hemisphere stroke", 43, pp.1036~1039 (1986)
- "editors. 재활의학", pp.337~364 (2002), 군자 출판사
- "Sexual intercourse and risk of ischaemic stroke and coronary heart disease:the Caerphilly study", 56, pp.99~102 (2002)
- "Interactions between the amygdala and vental striatum in stimulus-reward associations:studies using a second-order schedule of sexual reinforcement", 30, pp.63~75 (1989)
- "뇌졸중 장애인의 성생활 실태. In editor.", pp.47~55 (2001), 국립재활원
- "Evaluation of sexual changes after stroke", 64, pp.302~307 (2003)
- "Sexual dysfunction during antidepressant treatment.", pp.209~212 (1993)
- "Pharmacological analysis of male rat sexual behavior. 1987", pp.365~389
- "Poststroke sexual activity of CVA patients", 13, pp.16~30 (1979)
- "Life expectancies among survivors of acute cerebrovascular disease", 32, pp.1739~1744 (2001)
- "Sexual changes in hemiparetic patients. Arch Phys Med Rehabil 1991", pp.202~207
- "Elicitation of penile erection following activation of the hippocampal formation in the rat. Neurosci Lett 1992", pp.218~222
- "Sexual dysfunction in stroke patients", 98, pp.400~405 (1998)
- "Sexual functioning among stroke patients and their spouses", 30, pp.715~719 (1999)
- "Sexual functioning in Chinese stroke patients with mild or no disability.", pp.125~129 (2002)
- "Sexual dysfunction in stroke patients", 67, pp.19~22 (1986)
- "Sexuality after stroke with hemiplegia with special regard to partnership adjustment and to fulfilment", pp.63~69 (1983)
- "The psychopharmacology of sex Neurotransmitters and the 3 phases of the human sexual response", pp.80~81 (2001)
- "Sildenafil improves nocturnal penile erections in organic impotence", 13, pp.125~129 (2001)