doktorska disertacija
Dejan Bratuš (Author), Andrej Kmetec (Mentor), Ivan Krajnc (Thesis defence commission member)

Abstract

Erektilna disfunkcija je pogosta težava moških v vseh starostnih obdobjih. Kljub temu, da to stanje ne ogroža življenja prizadetih moških, pa v veliki meri vpliva na kakovost življenja, saj je spolno zdravje pomemben del splošnega zdravja posameznika. Ob težavah, ki jih imajo moški zaradi erektilne disfunkcije, so prizadete tudi njihove partnerke in na ta način trpi tudi medsebojni odnos med prizadetim moškim in njegovo partnerko, tako da ima erektilna disfunkcija tudi psihološke in socialne negativne posledice. Vseeno pa le manjši del prizadetih poišče strokovno pomoč in je tudi deležen zdravljenja svojih težav. Razlogi, zaradi katerih se moški ne odločijo za obravnavo in zdravljenje težav z erekcijo, so slabo poznani in raziskani. Dejstvo je, da so pri teh moških pogosta spremljajoča obolenja. Možno je, da le ta vplivajo na odločitev moških glede iskanja pomoči za svoje težave. Cilj te disertacije je raziskava vpliva resnosti spremljajočih obolenj na pripravljenost moških za zdravljenje erektilne disfunkcije. V raziskavo sem vključil 486 moških, ki sem jih glede na stopnjo resnosti spremljajočega obolenja razvrstil v tri skupine. V prvo skupino sem uvrstil moške z akutnimi stanji brez pridruženih obolenj, v drugo skupino moške z blažjimi kroničnimi obolenjiin v tretjo skupino moške s težjimi kroničnimi in malignimi obolenji . Preiskovance sem povabil k sodelovanju pri njihovem obisku svojega osebnega zdravnika in jih glede na razlog obiska razvrstil v naštete skupine. Z namenom, da bi pridobili čimbolj primerljive skupine bolnikov, se je vključevanje začelo v istem mesecu pri vseh sodelujočih zdravnikih splošne in družinske medicine. S tem sem se izognil vplivu sezonskih obolenj. Vsi moški, ki so pristali na sodelovanje, so izpolnili vprašalnik, v katerem so odgovorili na vprašanje o pomembnosti spolnosti v njihovem življenju in pripravljenosti za zdravljenje morebitnih težav z erekcijo. Dodatno sem jim postavil vprašanje o tem, ali bi kakšna značilnost načina zdravljenja erektilne disfunkcije kar se tiče zahtevnosti, cene in varnosti, lahko vplivala na njihovo odločitev o pripravljenosti za zdravljenje njihovih težav z erekcijo. Za statistično obdelavo prvih dveh vprašanj je bil uporabljendvostranski z-test, medtem ko je bil za ocenitev odgovorov na tretje vprašanje uporabljen Pearsonov hi-kvadrat test. Analiza dobljenih odgovorov je pokazala, da se moški s težjimi kroničnimi in malignimi obolenji manj zanimajo za spolnost in jim ta predstavlja manj pomemben del njihovega življenja v primerjavi z moškimi brez pridruženih obolenj. Odstotek pozitivnih odgovorov na vprašanje o pomembnosti spolnosti v življenju preiskovancev je bil 72,7 pri prvi in 94,3 pri slednji skupini (p=0,005). Kar se tiče pripravljenosti za zdravljenje morebitnih težav z erekcijo, so moški s težjimi kroničnimi in malignimi obolenji izrazili manjši interes za zdravljenje teh težav tako v primerjavi z moškimi brez pridruženih obolenj kot tudi v primerjavi s tistimi, ki imajo spremljajoče blažje kronične bolezni (69,7%, 88,1% in 89,3% pozitivnih odgovorov). Opisane razlike so bile statistično pomembne (p=0,03, p=0,01). Glede vpliva, ki ga imajo na pripravljenost za zdravljenje težav z erekcijo značilnosti možnega zdravljenja, nisem ugotovil statistično pomembnih razlik v nobenem od preiskovanih značilnosti, tako da pripreiskovancih na pripravljenost za zdravljenje niso vplivali niti cena, niti zahtevnost zdravljenja, niti varnost. Prisotnost težjega kroničnega ali malignega obolenja pri moških je eden izmed razlogov, da se moški ne odločijo za posvet in zdravljenje svojih težav z doseganjem ali vzdrževanjem erekcije, tej skupini moških spolnost tudi predstavlja manj pomemben del njihovega življenja v primerjavi z moškimi brez spremljajočih obolenj.

Keywords

erektilna disfunkcija;zdravljenje;epidemiologija;pridružene bolezni;disertacije;Bolezni urogenitalnega sistema;Disertacije;Erektilna disfunkcija;Zdravljenje;Zapleti;

Data

Language: Slovenian
Year of publishing:
Typology: 2.08 - Doctoral Dissertation
Organization: UM - University of Maribor
Publisher: D. Bratuš]
UDC: 616.69-008.14:615.03(043.3)
COBISS: 512906552 Link will open in a new window
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Other data

Secondary language: English
Secondary title: IMPACT OF UNDERLYING HEALTH CONDITION ON MEN'S WILLINGNESS TO SEEK HELP FOR COEXISTING ERECTILE DYSFUNCTION
Secondary abstract: Erectile dysfunction is a common condition that can affect men at any age. Although this condition doesn't represent a life threatening disease for the affected men it nevertheless significantly lowers their quality of life since the sexual health is an important part of overall wellbeing of an individual. The problems with acquiring and sustaining an adequate erection also affect their partners and can therefore also be a reason for the interrelationship problems. In this way the erectile dysfunction has a negative impact psychologically and socially. Despite all this only a small fraction of affected men seeks professional help and are treated for this condition. The reasons for this lack of interest to seek help for erectile dysfunction is poorly known or researched. The fact is that these men frequently have an underlying disease. It is possible that these underlying conditions influence men when considering getting help for their problems with erections. We have studied the possible impact of such an underlying disease on willingness to seek help for impaired erections. 486 men were included in the study and assigned to one of the three groups based on the severity of their underlying disease. First group included men with acute conditions with no underlying disease. The second group included men with mild chronic conditions, whereas men with severe chronic and malignant illnesses formed the third group. We recruited men into the study during their visit to their general practitioner and assigned them into the aforementioned groups according to the reason for their visit. The recruitment of the individuals has started in the same month at all the participating physicians thus avoiding the influence of seasonal diseases. All men were asked a question about the importance of sexual activity in their lives and about the willingness to be treated for erectile dysfunction if such arose. We additionally asked men if a specific characteristic of the treatment modality regarding the price, safety and aggressiveness could influence their decision about being treated or not. Two proportion z-test was used to analyze the answers to the first two questions while the Pearson's Chi-Squared Test was used to analyze the answers to the third question. Analysis of the answers indicated that men with severe chronic and malignant diseases show less interest in sexual activity and that this is less important to them in comparison with men with no underlying disease. The percentage of positive answers to the question about the importance of sexuality in their lives was 72,7 in first and 94,3 in the last group. As far as willingness to treat a coexisting erectile dysfunction, men with severe chronic and malignant diseases showed less interest when compared to men with mild coexisting chronic conditions or with no underlying chronic health issues (69,7%, 88,1% and 89,3% of positive answers, respectively). The mentioned differences were statistically significant. The influence of different characteristics of the treatment modalities was not proven as the differences between the answers to the third question among groups were not statistically significant. A coexistence of a severe chronic or malignant disease is one of the reasons why men don't seek help and are not treated for their inability to develop or maintain a satisfying erection.
Secondary keywords: erectile dysfunction;treatment;epidemiology;underlying diseases;
Type (COBISS): Dissertation
Thesis comment: Univ. v Mariboru, Medicinska fak.
Pages: 82 str.
ID: 8751943