患有慢性疾病女性的性健康结局：性功能障碍、性生活质量及婚姻状况

Sexual Health Outcomes in Women with Chronic Diseases: Sexual Dysfunction, Quality of Sexual Life and Marital

——《性与残疾》第44卷第35号文，2026年6月16日——

<Sexuality and Disability>, Volume 44, Article number 35, 16 June 2026

【摘要】本研究旨在探讨患有慢性疾病的女性其性功能障碍、性生活质量与婚姻满意度之间的关系，并分析这些变量间的相互影响。研究采用相关性横断面设计，于2024年12月至2025年6月期间在伊斯坦布尔的一家私立医院对18岁以上的女性进行。数据收集工具包括由研究人员编制的参与者信息表、女性性功能指数问卷（FSFQI）、女性性生活质量量表（SLQS-WS）及婚姻适应量表（MAS）。研究使用Kolmogorov-Smirnov检验和Shapiro-Wilk检验评估连续变量的正态性。由于变量不符合正态分布，故采用非参数检验方法，包括描述性统计（标准差、频数、百分比、平均值、最小值、最大值）、Mann-Whitney U检验、Kruskal-Wallis检验及Spearman相关性分析。显著性水平设定为p<0.05。研究纳入的慢性病女性平均年龄为39.50±10.29岁，平均婚龄为15.81±11.45年。女性性功能指数问卷（FSFQI）总平均分为23.05±11.11分，女性性生活质量量表（SLQS-WS）总平均分为42.89±19.59分，婚姻适应量表（MAS）总平均分为45.51±7.19分。结果显示，慢性病女性的FSFQI（r=-0.518, p=0.000）、SLQS-WS（r=-0.477, p=0.000）与MAS（r=0.333, p=0.000）得分之间存在统计学显著相关性。研究发现，慢性疲劳的发生率很高，且与性功能、性生活质量及婚姻适应存在显著关联，这表明其可能对这些相互关联的领域产生影响。

【关键词】慢性病；女性；性功能；性；婚姻满意度

[Abstract] This study examines the relationships between sexual dysfunction, quality of sexual life, and marital satisfaction in women with chronic diseases and determines how these variables affect each other. This study employs a correlational and cross-sectional design. The study was conducted with women over the age of 18 in a private hospital in Istanbul between December 2024 and June 2025. Data were collected using the Participant Information Form, Female Sexual Function Questionnaire Index (FSFQI), Sexual Life Quality Scale-Women Scale SLQS-WS), and Marital Adjustment Scale (MAS), all of which were prepared by the researchers. Kolmogorov-Smirnov and Shapiro-Wilk tests were used to assess whether continuous variables demonstrated normality. Since the variables did not exhibit a normal distribution, nonparametric tests were used. Descriptive statistical methods (standard deviation, number, percentage, mean, minimum, maximum), Mann-Whitney U, Kruskal-Wallis, and Spearman correlation tests were used. Significance was set at p < .05.The average age of women with chronic diseases included in the study was 39.50 ± 10.29, and the average duration of marriage was 15.81 ± 11.45. The total average score of the women’s Sexual Function Questionnaire Index was 23.05 ± 11.11, the total average score of the Sexual Life Quality Scale-(Women’s Scale) was 42.89 ± 19.59, and the total average score of the Marital Adjustment Scale was 45.51 ± 7.19. A statistically significant relationship was found between FSFQI (r=-.518, p = .000), SLQS-WS (r=-.477, p = .000)and MAS (r = .333, p = .000) scores of women with chronic diseases. Chronic fatigue was found to be highly prevalent and showed a meaningful association with sexual function, sexual quality of life, and marital adjustment, indicating its potential impact on these interrelated domains.

[Key words] Chronic disease, Women, Sexual function,  Sexuality, Marital satisfaction

论文原文：Ülkü Yılmaz, Tuğba Öz & Behice Belkıs Çalışkan (2026). Sexual Health Outcomes in Women with Chronic Diseases: Sexual Dysfunction, Quality of Sexual Life and Marital. Sexuality and Disability, Volume 44, article number 35. 16 June 2026.

https://doi.org/10.1007/s11195-026-09952-y

（翻译兼责任编辑：MARY）

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