Türkı̇ye'de Hı̇pertansı̇yonlu Kadınlarda Cı̇nsel Yaşam Kalı̇tesı̇ ve Evlı̇lı̇k Uyumu
Year 2024,
Volume: 6 Issue: 2, 242 - 251
Haluk Furkan Şahan
,
Fatma Uslu Şahan
,
Edanur Karayel
Abstract
Amaç: Bu çalışmada hipertansiyonlu kadınlarda cinsel yaşam kalitesi ve evlilik uyumunun bazı tanımlayıcı özelliklere göre farklılaşıp farklılaşmadığı ve cinsel yaşam kalitesinin evlilik uyumu üzerine etkisinin belirlenmesi amaçlanmıştır.
Gereç ve Yöntem: Bu araştırma, 15 Temmuz - 1 Kasım 2023 tarihleri arasında Türkiye'nin başkentinde bulunan bir hastanenin Kardiyoloji polikliniğinde tanımlayıcı kesitsel bir çalışma olarak yürütülmüştür. Çalışma, belirtilen dönemde tıbbi bakım arayan kadın hastalara odaklanmış ve katılımcı seçimi için amaçlı örnekleme kullanılmıştır. Araştırmanın örneklemini 157 hipertansiyonlu kadın oluşturmuştur. “Kişisel bilgi formu”, “Cinsel Yaşam Kalitesi Ölçeği” ve “Evlilik Uyum Ölçeği” veri toplama aracı olarak kullanılmıştır. “Tanımlayıcı istatistikler, Student's t-testi, tek yönlü varyans analizi, Pearson korelasyon analizi ve doğrusal regresyon analizi” verilerin analizinde kullanılmıştır.
Bulgular: Katılımcıların cinsel yaşam kalitesi ölçeği puan ortalaması 59.13 ± 21.37, evlilik uyumu ölçeği puan ortalaması 37.82 ± 11.55 idi. Cinsel yaşam kalitesi ile evlilik uyumu arasında pozitif korelasyon vardı (r=0.645; p=0.001). Katılımcıların cinsel yaşam kalitesi, evlilik uyumu üzerindeki toplam etkinin %42'sini oluşturmaktadır. Cinsel yaşam kalitesindeki bir artış evlilik uyumunda 0,645 kat artışa yol açmaktadır.
Sonuç: Bu çalışma, hipertansif kadınlarda cinsel yaşam kalitesinin göz önünde bulundurulması ve evlilik uyumu konusunda hasta ve eşlere danışmanlık verilmesini önermektedir.
References
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- Assari, S., Lankarani, M. M., Ahmadi, K., Saleh, D. K. (2014). Association between sexual function and marital relationship in patients with ischemic heart disease. The Journal of Tehran University Heart Center, 9(3), 124.
- Ceyhan, O., Ozen, B., Simsek, N., Dogan, A. (2019). Sexualıty and marıtal adjustment ın women wıth hypertensıon ın Turkey: how culture affects sex. Journal of Human Hypertension, 33(5), 378–384. doi: 10.1038/s41371-019-0181-3
- Choy, C. L., Sidi, H., Koon, C. S., Ming, O. S., Mohamed, I. N., Guan, N. C., Alfonso, C. A. (2019). Systematic review and meta-analysis for sexual dysfunction in women with hypertension. The Journal of Sexual Medicine, 16(7), 1029–1048. doi: 10.1016/j.jsxm.2019.04.007
- Çömez İkican, T., Coşansu, G., Erdoğan, G., Küçük, L., Özel Bilim, İ. (2020). The relationship of marital adjustment and sexual satisfaction with depressive symptoms in women. Sexuality and Disability, 38, 247–260. doi: 10.1007/s11195-019-09590-7
- Doumas, M., Tsiodras, S., Tsakiris, A., Douma, S., Chounta, A., Papadopoulos, A., Kanellakopoulou, K., Giamarellou, H. (2006). Female sexual dysfunction in essential hypertension: a common problem being uncovered. Journal of Hypertension, 24(12), 2387–2392. doi: 10.1097/01.hjh.0000251898.40002.5b
- Duncan, L. E., Lewis, C., Jenkins, P., Pearson, T. A. (2000). Does hypertension and its pharmacotherapy affect the quality of sexual function in women? American Journal of Hypertension, 13(6), 640–647. doi: 10.1016/s0895-7061(99)00288-5
- Erbek, E., Beştepe, E., Akar, H., Eradamlar, N., Alpkan, R. L. (2005). Marital adjustment. Dusunen Adam The Journal of Psychiatry and Neurological Sciences, 18(1), 39–47.
- Gülsün, M., Ak, M., Bozkurt, A. (2009). Marriage and sexuality from a psychiatric point of view. Current Approaches in Psychiatry, 1(1), 68–79.
- Kaplan Serin, E., Duman, M., Yilmaz, S. (2020). Sexual life quality and marital adjustment in women with and without diabetes. Sexuality and Disability, 38, 625–635. doi: 10.1007/s11195-020-09663-y
- Karakaş Uğurlu, G., Uğurlu, M., Çayköylü, A. (2020). Prevalence of female sexual dysfunction and associated demographic factors in Turkey: a meta-analysis and meta-regression study. International Journal of Sexual
Health, 32(4), 365–382. doi: 10.1080/19317611.2020.1819503
- Kazemi-Saleh, D., Pishgou, B., Farrokhi, F., Assari, S., Fotros, A., Naseri, H. (2008). Gender impact on the correlation between sexuality and marital relation quality in patients with coronary artery disease. The Journal of Sexual Medicine, 5(9), 2100–2106. doi: 10.1111/j.1743-6109.2007.00724.x
- Kışlak, T. Ş. (1999). Evlilikte Uyum Ölçeğinin (EUÖ) güvenirlik ve geçerlik çalışması. Psikiyatri Psikoloji Psikofarmakoloji Dergisi, 7(1), 50–57.
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- Lou, I. X., Chen, J., Ali, K., Chen, Q. (2023). Relationship Between Hypertension, Antihypertensive Drugs and Sexual Dysfunction in Men and Women: A Literature Review. Vascular Health and Risk Management, 691–705. doi: 10.2147/VHRM.S439334
- Lunelli, R. P., Irigoyen, M. C., Goldmeier, S. (2018). Hypertension as a risk factor for female sexual dysfunction: cross-sectional study. Revista Brasileira de Enfermagem, 71, 2477–2482. doi: 10.1590/0034-7167-2017-0259
- Mangolian Shahrbabaki, P., Mehdipour-Rabori, R., Gazestani, T., Forouzi, M. A. (2021). Iranian nurses’ perspective of barriers to sexual counseling for patients with myocardial infarction. BMC Nursing, 20(1), 1–8. doi: 10.1186/s12912-021-00697-x
- Manolis, A., Doumas, M. (2009). Hypertension and sexual dysfunction. Archives of Medical Science Special Issues, 2009(2), 350.
- Morokoff, P. J., Gillilland, R. (1993). Stress, sexual functioning, and marital satisfaction. Journal of Sex Research, 30(1), 43–53. doi: 10.1080/00224499309551677
- Mulhall, J., King, R., Glina, S., Hvidsten, K. (2008). Importance of and satisfaction with sex among men and women worldwide: Results of the global better sex survey. The Journal of Sexual Medicine, 5(4), 788–795. doi: 10.1111/j.1743-6109.2007.00765.x
- Okeahialam, B. N., Obeka, N. C. (2006). Sexual dysfunction in female hypertensives. Journal of the National Medical Association, 98(4), 638.
- Peixoto, M. M., Lopes, J., Rodrigues, A. L. (2022). Quality of Life, Sexual Functioning and Chronic Disease: A Comparative Study with Portuguese Women without Chronic Disease, and Women with Diabetes Type 1 and 2, and Arterial Hypertension. International Journal of Sexual Health, 34(2), 209–220. doi:
10.1080/19317611.2021.2015038
- Ruiz-Marin, C. M., Molina-Barea, R., Slim, M., Calandre, E. P. (2021). Marital adjustment in patients with cancer: association with psychological distress, quality of life, and sleep problems. International Journal of Environmental Research and Public Health, 18(13), 7089. doi: 10.3390/ijerph18137089
- Santana, L. M., Perin, L., Lunelli, R., Inácio, J. F. S., Rodrigues, C. G., Eibel, B., Goldmeier, S. (2019). Sexual dysfunction in women with hypertension: A systematic review and meta-analysis. Current Hypertension Reports, 21, 1–10. doi: 10.1007/s11906-019-0925-z
- Sengul, S., Akpolat, T., Erdem, Y., Derici, U., Arici, M., Sindel, S., …, Caglar, S. (2016). Changes in hypertension prevalence, awareness, treatment, and control rates in Turkey from 2003 to 2012. Journal of Hypertension,
34(6), 1208–1217. doi: 10.1097/HJH.0000000000000901
- Symonds, T., Boolell, M., Quirk, F. (2005). Development of a questionnaire on sexual quality of life in women. Journal of Sex & Marital Therapy, 31(5), 385–397. doi: 10.1080/00926230591006502
- Tuğut, N., Gölbaşı, Z. (2010). Cinsel yaşam kalitesi ölçeği-Kadın Türkçe versiyonunun geçerlik ve güvenirlik çalışması. Cumhuriyet Medical Journal, 32(2), 172–180.
- Von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., Vandenbroucke, J. P. STROBE Initiative (2014). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies. International Journal of Surgery, 12(12), 1495–1499. doi: 10.1016/j.ijsu.2014.07.013
- World Health Organization. (2023). Hypertension. Accessed Date: 13.12.2023, https://www.who.int/news-
room/fact-sheets/detail/hypertension
- Zhong, Q., Anderson, Y. (2022). Management of Hypertension with Female Sexual Dysfunction. Medicina, 58(5), 637. doi: 10.3390/medicina58050637
Sexual Quality of Life and Marital Adjustment in Women With Hypertension in Türkiye
Year 2024,
Volume: 6 Issue: 2, 242 - 251
Haluk Furkan Şahan
,
Fatma Uslu Şahan
,
Edanur Karayel
Abstract
Aim: This study aimed to determine whether the sexual quality of life and marital adjustment in women with hypertension differ according to some descriptive characteristics and the effect of sexual quality of life on marital adjustment.
Material and Method: This research was conducted as a descriptive cross-sectional study within the Cardiology outpatient clinic of a hospital located in the Turkish capital between July 15 and November 1, 2023. The study focused on female patients seeking medical care during this specified period, and purposive sampling was employed for participant selection. The study sample consisted of 157 women with hypertension. “Personal information form,” "Sexual Quality of Life Scale," and "Marital Adjustment Scale" were used as data collection tools. “Descriptive statistics, Student's t-test, one-way analysis of variance, Pearson correlation analysis, and linear regression analysis” were used to analyze the data.
Results: The mean score of the sexual quality of life scale was 59.13 ± 21.37, and the mean score of the marital adjustment scale was 37.82 ± 11.55 in participants. There was a positive correlation between the sexual quality of life and the marital adjustment scale (r=0.645; p=0.001). The sexual quality of life of participants accounted for 42% of the total effect on marital adjustment. An increase in the sexual quality of life leads to a 0.645-fold increase in marital adjustment.
Conclusion: The study suggests counseling patients and spouses about marital adjustment and considering the sexual quality of life in hypertensive women.
Ethical Statement
Ethics committee approval was obtained from the Ethics Committee of a university (Number: 2023/12-17; Date: 11.07.2023), and written permission was obtained from the hospital where the study was conducted. Before the application, the purpose of the study was explained to the participants in detail, and necessary information was provided. The participants then signed the "Informed Voluntary Consent Form" prepared in line with the Declaration of Helsinki, and their written consent was obtained in this way. Written permission was obtained from the authors of the scales used in the study.
Thanks
We thank all women with hypertension who participated in the study.
References
- Anastasiadis, A. G., Davis, A. R., Ghafar, M. A., Burchardt, M., Shabsigh, R. (2002). The epidemiology and definition of female sexual disorders. World Journal of Urology, 20, 74–78. doi: 10.1007/s00345-002-0272-5
- Assari, S., Lankarani, M. M., Ahmadi, K., Saleh, D. K. (2014). Association between sexual function and marital relationship in patients with ischemic heart disease. The Journal of Tehran University Heart Center, 9(3), 124.
- Ceyhan, O., Ozen, B., Simsek, N., Dogan, A. (2019). Sexualıty and marıtal adjustment ın women wıth hypertensıon ın Turkey: how culture affects sex. Journal of Human Hypertension, 33(5), 378–384. doi: 10.1038/s41371-019-0181-3
- Choy, C. L., Sidi, H., Koon, C. S., Ming, O. S., Mohamed, I. N., Guan, N. C., Alfonso, C. A. (2019). Systematic review and meta-analysis for sexual dysfunction in women with hypertension. The Journal of Sexual Medicine, 16(7), 1029–1048. doi: 10.1016/j.jsxm.2019.04.007
- Çömez İkican, T., Coşansu, G., Erdoğan, G., Küçük, L., Özel Bilim, İ. (2020). The relationship of marital adjustment and sexual satisfaction with depressive symptoms in women. Sexuality and Disability, 38, 247–260. doi: 10.1007/s11195-019-09590-7
- Doumas, M., Tsiodras, S., Tsakiris, A., Douma, S., Chounta, A., Papadopoulos, A., Kanellakopoulou, K., Giamarellou, H. (2006). Female sexual dysfunction in essential hypertension: a common problem being uncovered. Journal of Hypertension, 24(12), 2387–2392. doi: 10.1097/01.hjh.0000251898.40002.5b
- Duncan, L. E., Lewis, C., Jenkins, P., Pearson, T. A. (2000). Does hypertension and its pharmacotherapy affect the quality of sexual function in women? American Journal of Hypertension, 13(6), 640–647. doi: 10.1016/s0895-7061(99)00288-5
- Erbek, E., Beştepe, E., Akar, H., Eradamlar, N., Alpkan, R. L. (2005). Marital adjustment. Dusunen Adam The Journal of Psychiatry and Neurological Sciences, 18(1), 39–47.
- Gülsün, M., Ak, M., Bozkurt, A. (2009). Marriage and sexuality from a psychiatric point of view. Current Approaches in Psychiatry, 1(1), 68–79.
- Kaplan Serin, E., Duman, M., Yilmaz, S. (2020). Sexual life quality and marital adjustment in women with and without diabetes. Sexuality and Disability, 38, 625–635. doi: 10.1007/s11195-020-09663-y
- Karakaş Uğurlu, G., Uğurlu, M., Çayköylü, A. (2020). Prevalence of female sexual dysfunction and associated demographic factors in Turkey: a meta-analysis and meta-regression study. International Journal of Sexual
Health, 32(4), 365–382. doi: 10.1080/19317611.2020.1819503
- Kazemi-Saleh, D., Pishgou, B., Farrokhi, F., Assari, S., Fotros, A., Naseri, H. (2008). Gender impact on the correlation between sexuality and marital relation quality in patients with coronary artery disease. The Journal of Sexual Medicine, 5(9), 2100–2106. doi: 10.1111/j.1743-6109.2007.00724.x
- Kışlak, T. Ş. (1999). Evlilikte Uyum Ölçeğinin (EUÖ) güvenirlik ve geçerlik çalışması. Psikiyatri Psikoloji Psikofarmakoloji Dergisi, 7(1), 50–57.
- Locke, H. J., Wallace, K. M. (1959). Short marital-adjustment and prediction tests: Their reliability and validity. Marriage and Family Living, 21(3), 251–255. doi: 10.2307/348022
- Lou, I. X., Chen, J., Ali, K., Chen, Q. (2023). Relationship Between Hypertension, Antihypertensive Drugs and Sexual Dysfunction in Men and Women: A Literature Review. Vascular Health and Risk Management, 691–705. doi: 10.2147/VHRM.S439334
- Lunelli, R. P., Irigoyen, M. C., Goldmeier, S. (2018). Hypertension as a risk factor for female sexual dysfunction: cross-sectional study. Revista Brasileira de Enfermagem, 71, 2477–2482. doi: 10.1590/0034-7167-2017-0259
- Mangolian Shahrbabaki, P., Mehdipour-Rabori, R., Gazestani, T., Forouzi, M. A. (2021). Iranian nurses’ perspective of barriers to sexual counseling for patients with myocardial infarction. BMC Nursing, 20(1), 1–8. doi: 10.1186/s12912-021-00697-x
- Manolis, A., Doumas, M. (2009). Hypertension and sexual dysfunction. Archives of Medical Science Special Issues, 2009(2), 350.
- Morokoff, P. J., Gillilland, R. (1993). Stress, sexual functioning, and marital satisfaction. Journal of Sex Research, 30(1), 43–53. doi: 10.1080/00224499309551677
- Mulhall, J., King, R., Glina, S., Hvidsten, K. (2008). Importance of and satisfaction with sex among men and women worldwide: Results of the global better sex survey. The Journal of Sexual Medicine, 5(4), 788–795. doi: 10.1111/j.1743-6109.2007.00765.x
- Okeahialam, B. N., Obeka, N. C. (2006). Sexual dysfunction in female hypertensives. Journal of the National Medical Association, 98(4), 638.
- Peixoto, M. M., Lopes, J., Rodrigues, A. L. (2022). Quality of Life, Sexual Functioning and Chronic Disease: A Comparative Study with Portuguese Women without Chronic Disease, and Women with Diabetes Type 1 and 2, and Arterial Hypertension. International Journal of Sexual Health, 34(2), 209–220. doi:
10.1080/19317611.2021.2015038
- Ruiz-Marin, C. M., Molina-Barea, R., Slim, M., Calandre, E. P. (2021). Marital adjustment in patients with cancer: association with psychological distress, quality of life, and sleep problems. International Journal of Environmental Research and Public Health, 18(13), 7089. doi: 10.3390/ijerph18137089
- Santana, L. M., Perin, L., Lunelli, R., Inácio, J. F. S., Rodrigues, C. G., Eibel, B., Goldmeier, S. (2019). Sexual dysfunction in women with hypertension: A systematic review and meta-analysis. Current Hypertension Reports, 21, 1–10. doi: 10.1007/s11906-019-0925-z
- Sengul, S., Akpolat, T., Erdem, Y., Derici, U., Arici, M., Sindel, S., …, Caglar, S. (2016). Changes in hypertension prevalence, awareness, treatment, and control rates in Turkey from 2003 to 2012. Journal of Hypertension,
34(6), 1208–1217. doi: 10.1097/HJH.0000000000000901
- Symonds, T., Boolell, M., Quirk, F. (2005). Development of a questionnaire on sexual quality of life in women. Journal of Sex & Marital Therapy, 31(5), 385–397. doi: 10.1080/00926230591006502
- Tuğut, N., Gölbaşı, Z. (2010). Cinsel yaşam kalitesi ölçeği-Kadın Türkçe versiyonunun geçerlik ve güvenirlik çalışması. Cumhuriyet Medical Journal, 32(2), 172–180.
- Von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., Vandenbroucke, J. P. STROBE Initiative (2014). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies. International Journal of Surgery, 12(12), 1495–1499. doi: 10.1016/j.ijsu.2014.07.013
- World Health Organization. (2023). Hypertension. Accessed Date: 13.12.2023, https://www.who.int/news-
room/fact-sheets/detail/hypertension
- Zhong, Q., Anderson, Y. (2022). Management of Hypertension with Female Sexual Dysfunction. Medicina, 58(5), 637. doi: 10.3390/medicina58050637