Disfunção sexual e qualidade de vida em mulheres em diálise crônica

Abstract

Introduction: The focus of discussions about chronic kidney disease has gradually turned to quality of life (QoL) and its determinants. Sexual function is one of them and its dysfunction is a common advent un end- stage chronic renal failure. Objective: assess the prevalence of female sexual disorder among dialysis patients, recognizing possible correlation with QoL. Methods: descriptive, cross-sectional, observational study with female patients on hemodialysis (HD) and peritoneal dialysis (PD). Obtained sample of 104 women, 80 from HD and 24 from PD. Sexual dysfunction (SD) was evaluated by Female Sexual Function Index (FSFI) and QoL by Kidney Disease Quality of Life Short Form (KDQOL-SF). Measures of central tendency were applied to characterize the population at clinical and demographic aspects. The analysis of asymmetric variables was made from the U Mann-Whitney and Spearman test. Results: the overall prevalence of SD was found to be 91.3% (85.8% in PD and 90% HD). The mean score of FSFI was 9.34 ± 12.0 points. PD patients had worse scores of FSFI compared to HD (z=-2.33, p=0.02). The overall score of FSFI was positively correlated with six domains of the KDQOL-SF, namely sexual function (p <0.01), sleep (p <0.01); physical functioning (p <0.01), pain (p <0.01), emotional role (p <0.03) and social functioning (p <0.01). Conclusion: It is suggested from the results that there is a significant association between QoL and female SD.