Study of Sexual Problems of Hemodialysis Patients in Teaching Hospitals, Tabriz, 1996.

Abstract

Abstract: Objective: Sexual problem of Hemodialysis patient. Design: This research is descriptive and analytical study. The method of data gathering using structured interview including 54 questions and 4 sections: 1) Individual and social particulars. 2) Questions related to the sexual problem. 3) The serum levels of testosterone, FSH, LH, PTH and prolactin, 4) psycho-social problem. Setting: The field of this study is hospitals dependent on Tabriz Medical Science University. Participants: 52 male hemodialysis patients. Results: The results of research, by using descriptive and deductive statistic in 39 diagrams and 123 tables, have been represented that showing the sexual function parameters of (libido, orgasm, and frequency of intercourse, erection, and erection retaining and ejaculation volume) in most of researched units decreased or vanished and most units had been afflicted with testicular atrophy. Meanwhile, there was not NPT in most of them. The hormones rate of LH, FSH, PTH and prolactin had increased in most of researched units that this increment is meaningful with P<0.05 (exception of FSH). And testosterone hormone rate reduced in most of researched units that this reduction is also meaningful with p<0.05. Between sexual function parameters with variables: Simultaneous chronic disease, chronic disease precedent, smoking precedent, antihypertensive drug using, the frequency of dialysis in a week, NPT, testicular atrophy and alteration of researched hormone rate, meaningful relationship was observed with P<0.05. In terms of psycho –social problems, most of the researched units had lost their self- confidence and tranquility and the father and husband role and body image in most of them had changed. Among sexual function parameters and the above psycho –social factors with P<0.05 a meaningful relationship was obtained. Conclusion: Regarding the role nurses as a most important member of health and therapeutic team, and also increasing number of hemodialysis patients, the finding of the research in relation with sexual problems can be a comprehensive guide for nurses because by recognizing the physical, psychological and social problems, the nurses can establish a constructive relation with patient by suitable psychological supporting of hemodialysis patients, they can prevent extra stress.