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        "resumen" => "Introducción: La disfunción sexual es un síntoma altamente prevalente en los pacientes con insuficiencia renal crónica. En el presente estudio nos proponemos determinar la función sexual en los pacientes varones de nuestro programa de hemodiálisis (HD), identificar la naturaleza del problema en caso de disfunción y analizar su repercusión sobre la calidad de vida relacionada con la salud (CVRS). Métodos: Para ello se estudiaron 103 varones en programa de HD crónica en nuestro Centro. La función sexual y la CVRS se determinaron mediante la cumplimentación del test internacional de función eréctil (IIEF) y las láminas COOP/WONCA respectivamente. Resultados: El 47% de los pacientes carecía de actividad sexual. Estos tenían una edad más avanzada (p < 0,001), llevaban más tiempo en diálisis (p < 0,01), tenían mayor índice de comorbilidad (p < 0,05) y menores niveles séricos de albúmina (p < 0,05) que los sexualmente activos. Los pacientes activos sexualmente tenían mejor forma física (p < 0,001), estado de salud (p < 0,05) y presentaron menor dificultad para realizar las actividades cotidianas (p < 0,05) y dolor (p < 0,05) que los sexualmente inactivos. De acuerdo a la puntuación en función eréctil sólo el 40% carecía de problemas de impotencia, el 34,5% padecía una disfunción eréctil leve, el 16,4% moderada y el 9,1% severa. Los principales determinantes para la existencia de actividad sexual fueron la edad, la forma física y el tiempo de permanencia en HD, explicando entre los tres el 32,7% de la varianza. Existe una correlación estadísticamente significativa de la puntuación global del IIEF con las láminas sentimientos (r = -0,34&#59; p < 0,05), actividades cotidianas (r = -0,27&#59; p < 0,05), actividades sociales (r = -0,30&#59; p < 0,05), apoyo social (r = -0,45&#59; p < 0,01) y calidad de vida (r = -0,29&#59; p < 0,05). Los pacientes sin actividad sexual no percibieron esta carencia como un problema, asimilándola dentro del proceso natural de envejecimiento. Conclusiones: Aunque la disfunción sexual es un problema altamente prevalente entre los varones en HD, no se asocia necesariamente con un deterioro severo en la CVRS. De hecho, la presencia o no de actividad sexual no presenta efecto significativo sobre las cosas que uno tiene o desea hacer. Con todo, el paciente sin actividad sexual suele ser mayor, refiere peor estado de salud y presenta más problemas de funcionamiento físico y a la hora de llevar a cabo las diversas actividades de la vida cotidiana."
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        "resumen" => "Background: The sexual dysfunction is a highly prevalent problem among uremic men that limits their quality of life. The aim of this study was to determine the sexual function in chronic renal failure in males patients on hemodialysis and to find the nature of the problem. Also, we explored the impact of sexual dysfunction on health-related quality of life. Methods: 103 male patients older than 18 years and receiving HD treatment were studied. The sexual function was evaluated with the International Index of Erectile Function, and the health-related quality of life was quantified with the COOP-WONCA Charts, both in their Spanish versions. Results: 47% of the patients didn¿t have any kind of sexual activity. These ones presented a more advanced age (p < 0,001), a longer stay on dialysis (p < 0,001), a greater comorbidity index (p < 0,05) and smaller levels of seric albumin (p < 0,05). The sexually active patients presented a better physical fitness (p < 0,001) and overall health (p < 0,05), and a smaller difficulty to carry out the daily activities (p < 0,05) and pain (p < 0,05). A 40% of the patients with some kind of sexual function had a good erectile function, the 34,5% suffered a slight erectile dysfunction, the 16,4% a moderate one and the 9,1% a severe one. Multiple linear regression analysis demonstrated that the main determinant of the sexual activity was the age, followed by the physical fitness and the time on HD (32,7% of the variance explained). We found statistically significative correlation between the total score of IIEF and felings (r = -0,34&#59; p < 0,05), daily activities (r = -0,27&#59; p < 0,05), social activities (r = -0,30&#59; p < 0,05), social support (r = -0,45&#59; p < 0,01) and quality of life (r = -0,29&#59; p < 0,05). The patients without sexual activity didn¿t perceive their deficiency as a problem and considered this situation inherent to the ageing process. Conclusions: The sexual dysfunction is a highly prevalent problem in the uremic male, but it doesn¿t have to be necessarily associated to a serious deterioration of the HRQOL. In this way, the presence or not of sexual activity doesn¿t present significant effect on the things that one has or wants to do. With everything, the patient without sexual activity frequently has advanzed age, refers worse state of health and presents more problems of physical functioning and at the moment of taking to daily activities."
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Sexual functioning and quality of life of male patients on hemodialysis
FUNCION SEXUAL Y CALIDAD DE VIDA EN PACIENTES VARONES DE HEMODIALISIS
F. Martín-Díaz, A. Reig-Ferrer, R. Ferrer-Cascales
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      "titulo" => "Start of renal replacement therapy in a spanish department"
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          "titulo" => "COMIENZO DE TRATAMIENTO RENAL SUSTITUTIVO EN LA PROVINCIA DE CACERES"
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              "nombre" => "I. Castellano, S. Gallego, P. J. Labrador, J. R. Gómez-Martino and A. Covars"
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    "titulo" => "Sexual functioning and quality of life of male patients on hemodialysis"
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        "resumen" => "Introducción: La disfunción sexual es un síntoma altamente prevalente en los pacientes con insuficiencia renal crónica. En el presente estudio nos proponemos determinar la función sexual en los pacientes varones de nuestro programa de hemodiálisis (HD), identificar la naturaleza del problema en caso de disfunción y analizar su repercusión sobre la calidad de vida relacionada con la salud (CVRS). Métodos: Para ello se estudiaron 103 varones en programa de HD crónica en nuestro Centro. La función sexual y la CVRS se determinaron mediante la cumplimentación del test internacional de función eréctil (IIEF) y las láminas COOP/WONCA respectivamente. Resultados: El 47% de los pacientes carecía de actividad sexual. Estos tenían una edad más avanzada (p < 0,001), llevaban más tiempo en diálisis (p < 0,01), tenían mayor índice de comorbilidad (p < 0,05) y menores niveles séricos de albúmina (p < 0,05) que los sexualmente activos. Los pacientes activos sexualmente tenían mejor forma física (p < 0,001), estado de salud (p < 0,05) y presentaron menor dificultad para realizar las actividades cotidianas (p < 0,05) y dolor (p < 0,05) que los sexualmente inactivos. De acuerdo a la puntuación en función eréctil sólo el 40% carecía de problemas de impotencia, el 34,5% padecía una disfunción eréctil leve, el 16,4% moderada y el 9,1% severa. Los principales determinantes para la existencia de actividad sexual fueron la edad, la forma física y el tiempo de permanencia en HD, explicando entre los tres el 32,7% de la varianza. Existe una correlación estadísticamente significativa de la puntuación global del IIEF con las láminas sentimientos (r = -0,34&#59; p < 0,05), actividades cotidianas (r = -0,27&#59; p < 0,05), actividades sociales (r = -0,30&#59; p < 0,05), apoyo social (r = -0,45&#59; p < 0,01) y calidad de vida (r = -0,29&#59; p < 0,05). Los pacientes sin actividad sexual no percibieron esta carencia como un problema, asimilándola dentro del proceso natural de envejecimiento. Conclusiones: Aunque la disfunción sexual es un problema altamente prevalente entre los varones en HD, no se asocia necesariamente con un deterioro severo en la CVRS. De hecho, la presencia o no de actividad sexual no presenta efecto significativo sobre las cosas que uno tiene o desea hacer. Con todo, el paciente sin actividad sexual suele ser mayor, refiere peor estado de salud y presenta más problemas de funcionamiento físico y a la hora de llevar a cabo las diversas actividades de la vida cotidiana."
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        "resumen" => "Background: The sexual dysfunction is a highly prevalent problem among uremic men that limits their quality of life. The aim of this study was to determine the sexual function in chronic renal failure in males patients on hemodialysis and to find the nature of the problem. Also, we explored the impact of sexual dysfunction on health-related quality of life. Methods: 103 male patients older than 18 years and receiving HD treatment were studied. The sexual function was evaluated with the International Index of Erectile Function, and the health-related quality of life was quantified with the COOP-WONCA Charts, both in their Spanish versions. Results: 47% of the patients didn¿t have any kind of sexual activity. These ones presented a more advanced age (p < 0,001), a longer stay on dialysis (p < 0,001), a greater comorbidity index (p < 0,05) and smaller levels of seric albumin (p < 0,05). The sexually active patients presented a better physical fitness (p < 0,001) and overall health (p < 0,05), and a smaller difficulty to carry out the daily activities (p < 0,05) and pain (p < 0,05). A 40% of the patients with some kind of sexual function had a good erectile function, the 34,5% suffered a slight erectile dysfunction, the 16,4% a moderate one and the 9,1% a severe one. Multiple linear regression analysis demonstrated that the main determinant of the sexual activity was the age, followed by the physical fitness and the time on HD (32,7% of the variance explained). We found statistically significative correlation between the total score of IIEF and felings (r = -0,34&#59; p < 0,05), daily activities (r = -0,27&#59; p < 0,05), social activities (r = -0,30&#59; p < 0,05), social support (r = -0,45&#59; p < 0,01) and quality of life (r = -0,29&#59; p < 0,05). The patients without sexual activity didn¿t perceive their deficiency as a problem and considered this situation inherent to the ageing process. Conclusions: The sexual dysfunction is a highly prevalent problem in the uremic male, but it doesn¿t have to be necessarily associated to a serious deterioration of the HRQOL. In this way, the presence or not of sexual activity doesn¿t present significant effect on the things that one has or wants to do. With everything, the patient without sexual activity frequently has advanzed age, refers worse state of health and presents more problems of physical functioning and at the moment of taking to daily activities."
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Article information
ISSN: 20132514
Original language: English
DOI:
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