Post-Stroke Sexual Disorders and Its Real-Life Experience within Couples in Brazzaville

• 作者: Josué Euberma Diatewa Prince Eliot Galiéni Sounga Banzouzi Ghislain Armel Mpandzou Dinah Happhia Boubayi Motoula Latou Gabrielle-Gracia Ontsira Karen L. Obondzo Aloba Anani Wanscels Sévérin Odzebe Paul Macaire Ossou-Nguiet
• 来源期刊: 神经科学国际期刊(英文)
• 学科: 医学
• 关键词: POST-STROKE Sexual Disorders BRAZZAVILLE
• 年，卷（期）: 2021,（1）
• 页码范围: 22-33
• 页数: 12页
• 分类号: R74

摘要

<strong>Background:</strong><span><span><span style="font-family:;" "=""> Post-stroke sequelae can have repercussions on the sexual life and relational life of patients and their partners. <b>Objectives:</b> To determine the frequencies of sexual disorders after a first stroke event;to identify the factors associated with sexual disorders;to explore the real-life experience of sexual disorders within couples. <b>Methods:</b> It was an analytical cross</span></span></span><span style="font-family:Verdana;"></span><span><span><span style="font-family:;" "="">-sectional study, conducted on patients followed up for a first stroke and their partners. It was carried out at public and private hospitals in Brazzaville, Congo, during the period of patient follow-up, from May to September 2019 (5 months). The Female Sexual Function Index, International Index of Erectile Function 5 <span>and</span> interviews were used to describe sexual aspects. The real-life experience of couples was explored using standardized and pre-established questionnaires. <b>Results:</b> Of the 36 patients who had taken up again sexual intercourse after stroke, 29 (80.6%) were men. Among the post-stroke sexual disorders, erectile dysfunction (53.2%) and ejaculatory dysfunction (40.4%) were the most frequent in men. <span>Decrease</span> <span>of</span> sexual desire was predominant in women (100%). Factors associated with erectile dysfunction were sleep disorder (p = 0.007) and mean sleep duration per night (p = 0.01). Lack of verbal and non-verbal communication of sexual problems and psychological effects was noted in 77.8% of patients and 60% of their partners. The most frequent psychological effects were: in patients, frustration (52.8%), <span>attitude</span> of person decreased (50%) and sadness (41.7%);in partners, <span>attitude</span> of carer (86.7%). <b>Conclusion:</b> Post-stroke sexual disorders are frequent in our context. Sleep disorders and mean sleep duration per night, psychological factors seem to <span>have a negative impact on<