患有慢性疾病女性的性健康結局：性功能障礙、性生活質量及婚姻狀況

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

——《性與殘疾》第44卷第35號文，2026年6月16日——

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

【摘要】本研究旨在探討患有慢性疾病的女性其性功能障礙、性生活質量與婚姻滿意度之間的關係，並分析這些變量間的相互影響。研究採用相關性橫斷面設計，於2024年12月至2025年6月期間在伊斯坦布爾的一家私立醫院對18歲以上的女性進行。數據收集工具包括由研究人員編制的參與者信息表、女性性功能指數問卷（FSFQI）、女性性生活質量量表（SLQS-WS）及婚姻適應量表（MAS）。研究使用Kolmogorov-Smirnov檢驗和Shapiro-Wilk檢驗評估連續變量的正態性。由於變量不符合正態分布，故採用非參數檢驗方法，包括描述性統計（標準差、頻數、百分比、平均值、最小值、最大值）、Mann-Whitney U檢驗、Kruskal-Wallis檢驗及Spearman相關性分析。顯著性水平設定為p<0.05。研究納入的慢性病女性平均年齡為39.50±10.29歲，平均婚齡為15.81±11.45年。女性性功能指數問卷（FSFQI）總平均分為23.05±11.11分，女性性生活質量量表（SLQS-WS）總平均分為42.89±19.59分，婚姻適應量表（MAS）總平均分為45.51±7.19分。結果顯示，慢性病女性的FSFQI（r=-0.518, p=0.000）、SLQS-WS（r=-0.477, p=0.000）與MAS（r=0.333, p=0.000）得分之間存在統計學顯著相關性。研究發現，慢性疲勞的發生率很高，且與性功能、性生活質量及婚姻適應存在顯著關聯，這表明其可能對這些相互關聯的領域產生影響。

【關鍵詞】慢性病；女性；性功能；性；婚姻滿意度

[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

論文原文：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

（翻譯兼責任編輯：MARY）

（需要英文原文的朋友，請聯繫微信：millerdeng95或iacmsp）