Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Research Article Volume 2 Issue 2

Psychosexual Dysfunction and Quality of Life of Hemodialysis Male Patients at Mansoura, Egypt

Ahmed Hashem El-Sayed El-Monshed1*, Nelly Ahmed Mahgoub2, Hassan Abol-Enein Abdel-Baky3 and Samah Mohammed Taha1

1Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Mansoura University, Egypt
2Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Cairo University, Egypt
3Nephrology and Urology Department, Faculty of Medicine - Urology and Nephrology Center, Mansoura University, Egypt

*Corresponding Author: Ahmed Hashem El-Sayed El-Monshed, Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Mansoura University, Egypt.

Received: November 21, 2019; Published: January 07, 2020

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Abstract

Background:Sexual health is an important aspect of Quality of life (QoL). It is a basic human right and a fundamental part of a full healthy life. Patients with Chronic kidney disease (CKD) world-wide suffer many physical dysfunctions including sexual activity. Psychological impacts may also contribute to changes in sexual functioning and further complicate CKD patients’ problems. Therefore, this study aims to assess the relationship between psychosexual dysfunctions experienced by hemodialysis male patients and their evaluation of their QoL.

Methods: A descriptive correlational research design is conducted in the hemodialysis units at Urology and Nephrology Center at Mansoura University. The data were collected from 100 hemodialysis male patients who corresponded to the following inclusion criteria "Male patients on hemodialysis not be the first session for the patient, Both acute and chronic kidney disease, Married before starting hemodialysis and still married after dialysis, Aged 20-60 years, Pre-morbid sexually active adult males, Willing to voluntary participate in the study and Under treatment at the time of data collection". The study Tools included the Arizona Sexual Experience Scale (ASEX), the Psychosexual Dysfunction Questionnaires and the Quality of Life Index (QLI) Dialysis Version III.

Results: Obtained results prevailed that most of the study of sample (94%) complained of many psychosexual dysfunctions while only 6% expressed no significant psychosexual dysfunctions. These psychosexual dysfunctions are found to be highly negatively correlated with CKD patients’ QoL at significant level of p= <0.01.

Conclusion: The vast majority of the study sample does suffer multiple psychosexual dysfunctions which negatively affects their overall QoL. Both physical and psychological distress increase CKD male patients' psychosexual dysfunctions and indicate the necessity of introducing psychiatric liaison nursing programs in the hemodialysis care units.

Keywords: Chronic Kidney Disease; Hemodialysis; Psychosexual Dysfunctions; Quality of Life; Psychiatric Liaison Nursing

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References

  1. Kamal NN., et al. “Health-Related Quality of Life among Hemodialysis Patients at El-Minia University Hospital, Egypt”. Journal of Public Health 21.2 (2013): 193-200.
  2. Ahmed A., et al. “Development of Practice Guidelines for Hemodialysis in Egypt”. Indian Journal of Nephrology 20.4 (2010): 193-202.
  3. Palmer BF. “Sexual Dysfunction in Men and Women with Chronic Kidney Disease and End-Stage Kidney Disease”. Advanced Renal Replacement Therapy 10 (2003): 48-60.
  4. Finkelstein FO., et al. “Therapy Insight: Sexual Dysfunction in Patients with Chronic Kidney Disease”. National Clinical Practice Nephrology 3 (2007): 200-207.
  5. Ayub W and Fletcher S. “End Stage Renal Disease and Erectile Dysfunction. Is There Any Hope?” Nephrology Dialysis Transplantation 15 (2000): 1525-1528.
  6. Verschuren JEA., et al. “Chronic Disease and Sexuality: A Generic Conceptual Framework”. Journal of Sex Research 47 (2010): 1-18.
  7. Laumann EO., et al. “Sexual Problems among Women and Men Aged 40-80 Y: Prevalence and Correlates Identified in the Global Study of Sexual Attitudes and Behaviors”. International Journal of Impotence Research 17 (2005): 39-57.
  8. World Health Organization: Sexual Health (2002). 
  9. WordWeb Online. Physical Condition (2013).
  10. Safer DA. “Psychosexual Dysfunction (Sexual Aversion Sexual Apathy Hypoactive Sexual Desire)” (2012).
  11. Soykan A., et al. “Do Sexual Dysfunctions Get Better During Dialysis? Results of A Six-Month Prospective Follow-Up Study from Turkey”. International Journal of Impotence Research 17 (2005): 359-363.
  12. Black K. “Sexual Function and End Stage Renal Failure, Educational Supplement”. Renal Society of Australasia Journal 5 (2008): 27-30.
  13. Ali M., et al. “Erectile Dysfunction in Chronic Renal Failure Patients Undergoing Hemodialysis in Egypt”. International Journal of Impotence Research 17 (2005): 180-185.
  14. Makarem AR., et al. “Erectile Dysfunction among Hemodialysis Patients”. International journal of Urology and Nephrology 43 (2011): 117-123.
  15. Navaneethan SD., et al. “Prevalence and Correlates of Self-Reported Sexual Dysfunction in CKD: A Meta-analysis of Observational Studies”. American Journal of Kidney Diseases 56 (2010): 670-685.
  16. Vecchio M., et al. “Interventions for Treating Sexual Dysfunction in Patients with Chronic Kidney Disease, Cochrane Database of Systematic Reviews”. Clinical journal of the American Society of nephrology 6 (2010): 985-995.
  17. Moriyama T. “Sexual Dysfunction in Chronic Renal Failure”. Journal of Men's Health 8 (2011): 29-S32.
  18. Cos TA. “Stress, Coping and Psychological Distress: An Examination into the Experience of Individuals Utilizing Dialysis For End-Stage Renal Disease”. Journal of NEFROLOGÍA 26 (2008).
  19. Anantharaman P and Schmidt RJ. “Sexual Function in Chronic Kidney Disease”. Advances in Chronic Kidney Disease 14 (2007): 119-125.
  20. Peng Y., et al. “The Association of Higher Depressive Symptoms and Sexual Dysfunction in Male Haemodialysis Patients”. Nephrology Dialysis Transplantation 22 (2007): 857-861.
  21. Edgell ET., et al. “A Review of Health-Related Quality-of-Life Measures Used in End-Stage Renal Disease”. Clinical Therapeutics 18 (1996): 888- 938.
  22. Ferrans CE., et al. “Conceptual Model of Health-Related Quality of Life”. Journal of Nursing Scholarship 37 (2005): 336-342.
  23. Frank A., et al. “Quality of Life of Patients with End-Stage Renal Disease at Various Stages of the Illness”. Social Work in Health Care 38 (2003): 1-27.
  24. Cleary J and Drennan J. “Quality of Life of Patients on Haemodialysis for End-Stage Renal Disease”. Journal of Advanced Nursing 51 (2005): 577-586.
  25. Phillips L., et al. “Health-Related Quality of Life Assessment in End-Stage Renal Failure”. NT Research 6 (2001): 658-670.
  26. Weisbord SD., et al. “Symptom Burden, Quality of Life, Advance Care Planning, and the Potential Value of Palliative Care in Severely Ill Hemodialysis Patients”. Nephrology Dialysis Transplantation 18 (2003): 1345-1352.
  27. Muehrer RJ. “Sexuality, An Important Component of the Quality of Life of the Kidney Transplant Recipient”. Transplantation Reviews 23 (2009): 214-223.
  28. Varcarolis E., et al. Foundations of Psychiatric Mental Health Nursing, A Clinical Approach, Chapter 29, Psychological Needs of Medically Ill Patients 5th edition, China (2006): 588-635.
  29. Ayaz S. “Sexuality and Nursing Process: A Literature Review”. Sexual Disability 31 (2013): 3-12.
  30. Shives LR. “Basic Concepts of Psychiatric Mental Health Nursing”. 7th edition (2008): 474-489.
  31. Susan AN., et al. “Cox’s Clinical Applications of Nursing Diagnosis”. 5th edition, USA (2004): 718-771.
  32. McGahuey CA., et al. “The Arizona Sexual Experience Scale (ASEX): Reliability and Validity”. Journal of Sex and Marital Therapy 26 (2000): 25-40.
  33. Infrasca R. “Sexual Dysfunction Questionnaire: Scale Development and Psychometric Validation”. Giornale Italiano di Psicopatologia 17 (2011): 523-260.
  34. Ferrans CE and Powers MJ. “Quality of Life Index: Development and Psychometric Properties”. Advances in Nursing Science 8 (1998): 15-24.
  35. Fortinash KM and Worret PAH. “Psychiatric Mental Health Nursing”. 4th edition, USA (2008): 427-611.
  36. Al Khallaf HH. “Analysis of Sexual Functions in Male Nondiabetic Hemodialysis Patients and Renal Transplant Recipients”. European Society for Organ Transplantation 23 (2010): 176-181.
  37. Zamd M., et al. “Sexual Dysfunction in Male Patients Undergoing Hemodialysis in Morocco”. Saudi Journal of Kidney Diseases and Transplantation 16 (2005): 33-39.
  38. Doss F and Polaschek N. “Assessing Sexual Dysfunction in People Living on Dialysis in A New Zealand Renal Service”. Renal Society of Australasia Journal 8 (2012): 104-110.
  39. Özdemir C., et al. “Sexual Functioning after Renal Transplantation”. Transplantation Proceedings 39 (2007): 1451-1454.
  40. Rathi M and Ramachandran R. “Sexual and Gonadal Dysfunction in Chronic Kidney Disease: Pathophysiology”. Indian Journal Endocrinology Metabolism 16 (2012): 214-219.
  41. Hoe KK., et al. “The Prevalence of Sexual Dysfunction among Patients with End Stage Renal Disease in Jamaica”. The West Indian Medical Journal 62.9 (2013): 234-247.
  42. Mehrsai A., et al. “Improvement of Erectile Dysfunction after Kidney Transplantation: The Role of the Associated Factors”. Urology Journal 3 (2006): 240-244.
  43. Neto AF., et al. “The Epidemiology of Erectile Dysfunction and Its Correlates in Men with Chronic Renal Failure on Hemodialysis in Londrina, Southern Brazil”. International Journal Impotence Research 14 (2002): 19-26.
  44. Al Nazly E., et al. “Hemodialysis Stressors and Coping Strategies among Jordanian Patients on Hemodialysis: A Qualitative Study”. Nephrology Nursing Journal 40.4 (2013): 321-327.
  45. Martiny C., et al. “Factors Associated with Risk of Suicide in Patients with Hemodialysis”. Comprehensive Psychiatry Journal 52 (2011): 465-468.
  46. Charnow JA. “Erectile Dysfunction Highly Prevalent among Men on Hemodialysis” (2014).
  47. Watnick S., et al. “Validation of Two Depression Screening Tools in Dialysis Patients”. American Journal of Kidney Diseases 46 (2005): 919-924.
  48. Čengić B and Resić H. “Depression in Hemodialysis Patients”. Bosnian Journal of Basic Medical Sciences 10 (2010): 74-78.
  49. Kurella M., et al. “Suicide in the United States End-Stage Renal Disease Program”. Journal American Society Nephrology 16 (2005): 774-781.
  50. Chen CK., et al. “Depression and Suicide Risk in Hemodialysis Patients with Chronic Renal Failure”. Psychosomatics 51 (2010): 528-528.
  51. Ayoub A., et al. “Comparing Health-Related Quality of Life between Haemodialysis Patients and A Community Sample in the United Arab Emirates”. Renal Society of Australasia Journal 10 (2014): 34-43.
  52. Althof SE. “Quality of Life and Erectile Dysfunction”. Journal of Urology 59 (2002): 803-810.
  53. Tsai TF., et al. “Effect of Erectile Dysfunction on the Health-Related Quality of Life of Elderly People”. Journal of Taiwan Urological Association 19 (2008): 216-221.
  54. Hedayati SS., et al. “The Predictive Value of Self-Reported Questionnaires Compared to Physician Diagnosis of Depression in End Stage Renal Disease Patients Receiving Chronic Hemodialysis”. Kidney International 69 (2006): 1662-1668.
  55. Mollaoglu M. “Depression and Health-Related Quality of Life in Hemodialysis Patients”. Dialysis and Transplantation 33 (2004): 544-549.
  56. Nabolsi MM., et al. “Quality of Life, Depression, Adherence to Treatment and Illness Perception of Patients on Haemodialysis, Faculty of Nursing, The University of Jordan”. International Journal of Nursing Practice (2013).
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Citation

Citation: Ahmed Hashem El-Sayed El-Monshed., et al. “Psychosexual Dysfunction and Quality of Life of Hemodialysis Male Patients at Mansoura, Egypt”. Acta Scientific Women's Health 2.2 (2020): 01-10.




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