Abstract

Objective

The aim of this study was to evaluate sexual function in male and female COPD (chronic obstructive pulmonary disease) patients and identify associated factors. Methods: This is a cross-sectional study on 52 COPD patients treated at an outpatient pneumology service of a referral hospital in Northeastern Brazil. Information was collected on demographic, clinical and spirometric variables and exercise capacity. The following instruments and scores were used: modified Medical Research Council (mMRC) for dyspnea, SF-36 for quality of life (QoL), the Beck Depression and Anxiety Inventory, Male and Female Sexual Quotient. Results: Sexual function was satisfactory/excellent in 17% (9/52) and poor/absent in 82% (43/52). Patients with poor/absent sexual function tended to have lower scores on the domain mental health summary score of SF-36 (p = 0.007) and higher anxiety and depression scores than patients with satisfactory/excellent sexual function (p = 0.02 and p = 0.01). In the multivariate analysis, patients with high depression scores displayed a greater likelihood of poor/absent sexual function (OR = 1.13; 95% CI = 1.02–1.25). Conclusion: COPD patients presented a high rate of sexual dysfunction and compromised sexuality was associated with depression

中文翻译：

---

在巴西东北部转诊医院就诊的慢性阻塞性肺病 (COPD) 患者的性行为和相关因素

摘要

客观的

本研究的目的是评估男性和女性 COPD（慢性阻塞性肺病）患者的性功能并确定相关因素。方法：这是一项对 52 名在巴西东北部转诊医院的门诊呼吸科服务中接受治疗的 COPD 患者的横断面研究。收集了有关人口统计、临床和肺功能变量和运动能力的信息。使用了以下工具和评分：针对呼吸困难的改良医学研究委员会 (mMRC)、针对生活质量 (QoL) 的 SF-36、贝克抑郁和焦虑量表、男性和女性性商。结果：17% (9/52) 的性功能满意/优秀，82% (43/52) 的性功能差/不存在。性功能差/缺失的患者往往在 SF-36 的心理健康总分上得分较低（p = 0. 007），并且焦虑和抑郁评分高于性功能满意/出色的患者（p = 0.02 和 p = 0.01）。在多变量分析中，抑郁评分高的患者表现出性功能差/缺失的可能性更大（OR = 1.13；95% CI = 1.02-1.25）。结论：COPD患者性功能障碍发生率较高，性功能障碍与抑郁症相关