ประสบการณ์อาการการทำหน้าที่ด้านเพศสัมพันธ์ วิธีการจัดการ และคุณภาพชีวิตในผู้ป่วยมุสลิมโรคไตเรื้อรังระยะสุดท้ายที่ได้รับการบำบัดทดแทนไต

Abstract

This descriptive research study aimed to examine sexual function experience, management strategies and quality of life in Muslim patients with end stage renal disease (ESRD) receiving renal replacement therapy (RRT), and to examine the relationship between sexual function and quality of life in Muslim patients with ESRD receiving RRT. The samples of the study were Muslim patients with ESRD receiving hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD). Purposive sampling was used to recruit 85 participants. The instruments of the study included: (1) The demographic information form, (2) The Quality of Sexual Function Scale, (3) Symptoms of Sexual Dysfunction, (4) Response to Sexual Dysfunction Symptoms, (5) Sexual Dysfunction Management Strategies and (6) Thai Health Related Quality of Life Dialysis. Content validity of all instruments was examined by five experts. Cronbach’s alpha coefficient of instruments number 2, 3, 4, 5 and 6 were .74, .70, .83, .73, and .70, respectively. Data were statistically analyzed using frequency, percentage, mean, standard deviation and Pearson’s Correlation Coefficient. The results showed the following: 1. Sixty percent of participants were male and 40 percent were female and aged between 28 and 81 years old (M = 51.41, SD = 11). The overall sexual function score was at the mild level (M = 45.42, SD = 5.94). Participants (56.5%) reported symptoms related to sexual dysfunction (SD) were decreased sexual desire, and erectile dysfunction in male participants (45.9%), which was the most frequently reported symptom related to SD. Whereas, females reported less lubrication in the vagina during sex (11.8%). Responses to symptoms included: fatigue (30.6%), irritability (35.3%), and reducing amount of sexual intercourse (44.7%). 2. The most commonly used management strategies were: (1) using various methods of relaxation including: reading the Quran, prayer, and blessing (91.8%), (2) create a comfortable atmosphere suitable for sleep and sexual intercourse (44.7%) and (3) regular dialysis treatment according to advice from physicians and nurses (96.5%). 3. The level of quality of life of participants was good (50.6%) and overall score of quality of life was good (M = 3.95, SD = .37). 4. No significant difference was found between sexual function and quality of life in Muslim patients with ESRD receiving RRT (r = .18, p = .10). The results of this study provide basic information to assist nurses and health care providers, to assess sexual dysfunction symptoms, and manage sexual dysfunction, in order to enhance the quality of life for Muslim patients with ESRD receiving RRT.