Sexuality in Patients with Noninvasive Mechanical Ventilation Due to Chronic Respiratory Failure

Abstract

In patients with chronic respiratory failure (CRF) noninvasive mechanical ventilation (NMV) improves quality of life. We studied some basic issues concerning sexuality in patients with NMV. In 383 patients with NMV for CRF (age, > 40 yr) physiologic data (lung function, blood gases, and exercise) were taken from within the 6 mo period before enrollment. The questionnaire was focused on sexuality after initiation of NMV. Of the patients, 54.3% sent back the questionnaire. NMV was used for 41.1 +/- 27.0 mo. A total of 34.1% of patients were sexually active. Compared with patients receiving NMV, control persons had a higher rate of sexual activity (84%, p < 0.0001) and masturbation rate (13 versus 40%). Sexually active patients had greater VC (2.1 versus 1.8 L), higher FEV(1) (1.4 versus 1.1 L), higher Pa(O(2)) at rest (64.0 versus 60.4 mm Hg), a higher maximal work load (72.0 versus 58.8 W), were younger, and most of them were married or had sexual partners. Changes in sexual activity after NMV initiation were reported to be as follows: "Nothing changed," 46.3%; "less active," 35.8%; "more active," 12.6%; and "fantasy increased," 10.5%. Increased sexual fantasy predominated in men. "Sexually active" patients with NMV had sexual intercourse 5.4 +/- 4.8 times per month. Sexuality in patients receiving NMV for CRF is markedly reduced compared with normal subjects. In half of the patients, sexual activity is influenced by initiation of NMV.

Factors Affecting Self-Reported Sexuality in Men with Obstructive Sleep Apnea Syndrome

“…The University of Zurich research team translated them into German and tested them before using for their own research. This questionnaire has also been applied to study sexuality in patients who were chronically ventilated [23]. Men were asked questions about sexuality divided into 4 sections with answers provided on Likert Scales [24].…”

Chronic respiratory care for neuromuscular diseases in adults

“…Other studies also consistently show that long-term NIV may improve symptoms and QoL, although the effects on sexual activity are unclear [31,32]. One study assessed physical disability, pulmonary function and QoL using Short-Form 36 of the medical outcome questionnaire in 35 patients with DMD [31].…”

Noninvasive Lung Ventilation in Patients With Severe and Complicated Thoracic Trauma

“…Такое расхождение в оценке эффективности метода связано с большой неоднородностью пациентов и способов проведения неинвазивной вентиляции. На результаты лечения влияют, прежде всего, исход ная патология, вид и тяжесть дыхательной недоста точности [16][17][18]. Прогностическими признаками "неудачи" НМВЛ при гипоксемической ОДН, по дан ным различных авторов, являются возраст, тяжесть состояния больного, некорригируемая гипоксемия после 1 ч вентиляции [16], уровень альбумина сыво ротки крови [10], шок и метаболический ацидоз [19].…”