PDF(Pubmed)
Abstract：
In the context of evolving perceptions of sexuality, particularly within the realm of health and disability, this study investigates the impact of multiple sclerosis (MS) on female sexual function and quality of life. A quantitative study involving 130 female MS patients aged 35 to 50 was conducted, employing measures such as The Female Sexual Function Index (FSFI), The Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19), and The Fatigue Severity Scale (FSS). Results indicate a significant association between greater sexual dysfunction and poorer quality of sex life, alongside the correlation of increased fatigue with diminished sexual satisfaction. Specifically, the mean FSFI score was 20.8 (SD = 9.36), with 83.8% of participants experiencing severe fatigue (FSS score ≥ 36). Sexual dysfunction demonstrated a strong, negative correlation with all FSFI subscales (p < 0.01). Factors such as education level (p = 0.016), time of diagnosis (p = 0.035), and treatment regimen (p = 0.041) also significantly influenced outcomes. Findings underscore the importance of supportive interventions, including counseling, to enhance the quality of sex life for women with disabilities, particularly those with MS.
摘要：
在对性观念不断发展的背景下，特别是在健康和残疾领域，这项研究调查了多发性硬化症（MS）对女性性功能和生活质量的影响。进行了一项涉及130名35至50岁女性MS患者的定量研究，采用女性性功能指数(FSFI)等措施，多发性硬化症亲密关系和性行为问卷-19（MSISQ-19），和疲劳严重程度量表(FSS)。结果表明，性功能障碍越大，性生活质量越差，除了疲劳增加与性满意度下降的相关性。具体来说,平均FSFI得分为20.8（SD=9.36），83.8%的参与者出现严重疲劳（FSS评分≥36）。性功能障碍表现出强烈的，与所有FSFI分量表呈负相关(p<0.01)。受教育程度等因素(p=0.016)，诊断时间（p=0.035），和治疗方案(p=0.041)也显著影响结局。研究结果强调了支持性干预措施的重要性，包括咨询,提高残疾妇女的性生活质量，特别是那些有女士的人。
