| Summary: | 碩士 === 國立陽明大學 === 護理學系 === 102 === This study is aimed to investigate the relationship between erectile dysfunction and demographic data, fatigue level, as well as depression trend in ESRD patients undergoing different treatments with the hope to find out the predicting factors for erectile dysfunction.
By cross-section study method, we obtained 222 valid questioners from male ESRD patients in one north teaching hospital in Taiwan. The analysis methods included in the study contain BDI, FAT, and IIEF. The participants were within the age of 50.69±10.38, with 42.3% having the education level of senior high school degree, 78.8% living with their wives or direct relatives, 57.7% jobless, and 71.6% having sexual partners. In terms of sexual activities, 56.3% of the participants did not have any sexual activities. ESRD patients under HD has the highest trend of fatigue (49.64±18.67%). Regarding erectile function, HD patients gets the lowers points （7.30±7.48）, belonging to moderate to severe erectile dysfunction group. About the demographic data in ESRD patients with different dialysis method, age, education level, living with or without families, occupation, income source, with or without sexual partners, with or without sexual activities, sexual activity frequency, accompanied diseases are factors with significant meaning associated with erectile function.
All participants have their fatigue level positively associated with depression trend significantly. Erectile function is negatively associated with fatigue level and depression trend. 96.3% HD patients, 90% 4-5 stage chronic renal disease patients, 89.1% PD patients, and 88.9% renal transplant patients have erectile dysfunction as evaluated by IIEF table with points lower than 21. Using different dialysis methods have significant different with erectile function After Scheffe’s exam test, renal transplantation has the better outcome than HD.
The combined explanation ability for erectile function reaches 31.2% as we took age, living with or without families, occupation, with or without sexual partners, accompanied diseases, and fatigue level into consideration together.
The result of our study supports the early intervention for patients with renal disease especially for those accompanied with hypertension or diabetes mellitus. When patients needed long-term dialysis, partners and family support play a vital role in the patients’ sexual quality. Thus, our results could be applied to set up comprehensive guidelines to evaluate the conditions of ESRD patients.
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