Sexual function, depressive symptoms and quality of life of people undergoing hemodialysis therapy

Abstract

Objective to analyze the correlation between sexual function, depressive symptomatology and quality of life of people on hemodialysis treatment. Method a cross-sectional study developed with 54 participants. Data collection occurred between the months of March and May 2020. The data were analyzed with the Mann-Whitney and Spearman Correlation tests, with a 95% confidence interval. Results the correlation between sexual function and depressive symptomatology was only clinically relevant for women (ρ= -0.724). Regarding quality of life, it was observed that the overall sexual function of men is negatively correlated with the pain dimension (ρ= -0.349) and with the social function (ρ= -0.347). For women, overall sexual function is positively correlated with physical function (ρ= 0.501), general health (ρ= 0.737), mental component (ρ= 0.497), sleep (ρ= 0.753), quality of social interaction (ρ= 0.621), and patient satisfaction (ρ= 0.457). Conclusion and implications for the practice increased sexual function was strongly correlated with reduced depressive symptoms and increased quality of life, implying the need to strengthen sexual approaches through protocols that provide referral flows to specialized trans-disciplinary teams.

Coping strategies and its relationship with sexual dysfunction in adults receiving haemodialysis and peritoneal dialysis: A cross‐sectional study

“…The pathophysiology of sexual dysfunction in adults receiving dialysis is complex (Johansen, 2020). It is stated that many factors, such as age, duration of dialysis treatment, comorbid diseases, depression, anxiety and sleep problems, may affect sexual dysfunction in dialysis patients (Cruz et al., 2022; Guven et al., 2018; Pyrgidis et al., 2021). It is also reported that long‐term chronic kidney disease, comorbid diseases and medication use may increase sexual dysfunction (Chou et al., 2021).…”

“…In addition, it is stated in the literature that coping strategies may also be associated with sexual dysfunction in the general population (Crisp et al., 2015). In the literature, the studies explored the relationships between sexual dysfunction and depression, anxiety, and quality of life in adults receiving dialysis or with chronic kidney disease (Cruz et al., 2022; Guven et al., 2018; Jarullah et al., 2020). However, the relationship between coping strategies and sexual dysfunction has not yet been explored in adults receiving HD or PD.…”