臺灣博碩士論文加值系統

研究背景：全球約有3.71億位糖尿病，性功能障礙是糖尿病引起常見的問題，性健康是照顧病患的一部分，然而常被忽略未處理，造成心理上的低自尊及影響生活品質。
研究目的：探討糖尿病患性功能障礙的盛行率及糖尿病控制與性功能障礙之相關。
研究方法：本研究採橫斷式研究，以方便取樣於台南某醫學中心收集糖尿病患資料進行調查，以結構式問卷包括人口學屬性、男性國際勃起功能指標問卷量表（IIEF）、女性性功能指標量表（FSFI）問卷量表，並以病歷瀏覽方式針對美國糖尿病衛教學會建議十項糖尿病控制資料收集進行相關性分析。
結果：共有224位糖尿病患參與(124位男性，100位女性)，男性糖尿病性功能障礙盛行率為55.8%，女性糖尿病患性功能障礙63.8%。糖尿病控制與性功能障礙相關性為eGFR及抽菸有顯著性相關。
結論：糖尿病性功能障礙不論男性或女性盛行率高，eGFR、抽菸與性功能障礙有其相關性，應加強腎功能異常者及抽菸患者腎病變預防及戒菸之重要性，能夠及早發現性健康相關問題並及早處理並轉介。

Background: There are 371 million patients of diabetes in the world and sexual dysfunction is the common problem caused by diabetes. Sexual health is part of care for patients. However, it tends to be neglected and it results in low self-esteem and impact on quality of life.
Research Purposes: This study aims to probe into prevalence rate of sexual dysfunction caused by diabetes and correlation between diabetes control and sexual dysfunction.
Research Method: By cross-sectional method, this study collected and investigated diabetes patients’ data in one medical center of Tainan through convenience sampling. Structural questionnaire includes demographic variables, IIEF and FSFI. By review of case reports, this study conducted correlation analysis on ten diabetes control data suggested by American Association of Diabetes Educators.
Results: There are 224 participants of diabetes (124 males and 100 females)1u4u,4. Prevalence rate of sexual dysfunction of diabetes for males is 55.8%. Sexual dysfunction of diabetes for females is 63.8%. As to correlation between diabetes control and sexual dysfunction, eGFR and smoking have significant correlation.
Conclusion: Prevalence rate of sexual dysfunction of diabetes is high for males or females. eGFR and smoking are related to sexual dysfunction. Prevention of nephropathy for patients with abnormal kidney functions and quitting of smoking for smokers should be reinforced to discovery the problems and have intervened treatment.

第一章 緒論 1
第一節 背景 1
第二節 研究目的 2
第二章 文獻查證 3
第一節 性功能障礙定義 3
第二節 糖尿病性功能障礙之盛行率 5
第三節 影響糖尿病病患性功能障礙的因素 9
第四節 糖尿病控制照護的指標與性功能障礙之關係 12
第三章 研究方法 18
第一節 研究設計及研究對象 18
第二節 研究架構 19
第三節 研究工具 19
第四節 研究步驟 25
第五節 倫理考量 25
第六節 資料整理與分析 26
第四章 研究結果 27
第一節 糖尿病患之人口學資料分布情形 27
第二節 性功能障礙盛行率及有無性功能障礙與人口學資料 28
第三節 糖尿病性功能障礙與糖尿病控制之相關性 31
第四節 糖尿病患性功能障礙危險因子 32
第五章 討論 34
第一節 糖尿病患性功能障礙之盛行率 34
一、男女性糖尿病患性功能障礙盛行率 34
二、男女性糖尿病患性功能障礙盛行率之差異 35
第二節 糖尿病性功能障礙與糖尿病控制之相關性 35
第三節 糖尿病患性功能障礙危險因子 36
第六章 結論與建議 37
第一節 結論 37
第二節 建議 37
一、未來研究面 37
二、教育面 38
第三節 研究限制 38
參考文獻 40
附錄一 人體研究受試者同意書 47
附錄二 男性性功能評估問卷 50
附錄三 女性性功能評估問卷 56
附錄四 女性性功能指標問卷 中文版問卷同意書 65
附錄五 人體試驗委員會 同意臨床試驗證明書 66

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