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Rehabilitation Practice and Science

Translated Title

腦中風病人性活動之臨床報告

Abstract

The clinical features of sexual activity of stroke patients were studies and reported in 55patients(38 males.17 females) through interview at out-patient service/The mean age of all patients was 58.6± 9.6 years. Duration after stroke ranged from 6 months to 11 years. Among them,35 patients(63.6%) reported no sexual activity while20 patients (36.4%) still had sexual activity. In the sexually inactive group (24 males, 11 females), the mean age was 61.4 ± 7.2 years. The major cause for sexual inactivity was fear of further harm to their health in 20 patients (57.1%).In the sexually active group (14 males,6 females),their mean age was 53.5 ± 11.4 years. Most patients(40%) resumed sexual activity by the fourth month after onset of stroke. Diminished libido was present in 13 patients (65%), three of them with obvious decline; while the other seven (35%) did not show any change in libido. Coital frequency in this group decreased in 15 patients(75%) and the interval lengthened to 30 days or more. Even in the sexually active group, fear of adverse effect after sexual activity was reported by 16 patients(80%). With regard to age, the mean age for sexually active group was significantly lower than that of the inactive group and the significant difference was also observed between the sexually active and inactive male patients. However no such statistical difference could be found between these twogroups of the female patients. Sex of patients, type of CVA and motor ability after stroke were found to have no effect on sexual activity. Sex education or counselling to provide patients proper sexual attitude in order to achieve a more satisfactory quality of life after stroke will also be emphasized in our rehabilitation programs.

Language

English

First Page

29

Last Page

33

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