Factores determinantes de la satisfacción del paciente con el tratamiento para la disfunción eréctil
Determining factors in patient satisfaction with erectile dysfunction treatment
J.A. Delgado Martín
, J. Blázquez Izquierdo*, A. Silmi Moyano*, E. Martínez**
,1
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jadelgadomartin@telefonica.net
Correspondencia autor: Dr. J.A. Delgado Martín Servicio de Urología. Hospital Clínico Universitario San Carlos Profesor Martín Lagos, s/n - 28040 Madrid Tel.: 913 303 000
Correspondencia autor: Dr. J.A. Delgado Martín Servicio de Urología. Hospital Clínico Universitario San Carlos Profesor Martín Lagos, s/n - 28040 Madrid Tel.: 913 303 000
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"apellidos" => "Delgado Martín" "email" => array:1 [ 0 => "jadelgadomartin@telefonica.net" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Blázquez Izquierdo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Silmi Moyano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "E." "apellidos" => "Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Urología. 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Hospital Clínico Universitario San Carlos Profesor Martín Lagos, s/n - 28040 Madrid Tel.: 913 303 000" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Determining factors in patient satisfaction with erectile dysfunction treatment" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-05-01" "fechaAceptado" => "2008-07-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88751" "palabras" => array:3 [ 0 => "Disfunción eréctil" 1 => "Tratamiento médico" 2 => "Calidad de vida" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec88752" "palabras" => array:3 [ 0 => "Erectile dysfunction" 1 => "Medical treatment" 2 => "Quality of life" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La disfunción eréctil (DE) se asocia a estados depresivos, de ansiedad y pérdida de autoestima, empeorando la calidad de vida del paciente. El presente estudio tuvo por objetivo, identificar y evaluar los aspectos más relevantes para el paciente en relación con la satisfacción con el tratamiento para la DE, analizar cuales de éstos tienen mayor impacto sobre la autoestima y la satisfacción con diferentes aspectos de la vida</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio epidemiológico, transversal, multicéntrico y observacional. Se incluyeron hombres españoles mayores de 18 años en tratamiento para la DE con cualquier fármaco oral, al menos 4 semanas antes del comienzo del estudio. El coeficiente de correlación de Pearson fue calculado entre los aspectos importantes para el paciente al valorar su satisfacción con el tratamiento (preguntas 4 a 11 del “<span class="elsevierStyleItalic">Erectile Dysfunction inventory of treatment satisfaction</span>”, EDITS) y la satisfacción con el tratamiento (pregunta 1 EDITS), la subescala de autoestima del cuestionario “<span class="elsevierStyleItalic">The Self-esteem and Relationship</span>” (SEAR) y el cuestionario “<span class="elsevierStyleItalic">Fugl-Meyer life satisfaction Check List</span>” (LISAT-8).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron un total de 1.646 pacientes. Los aspectos de mayor relevancia en relación con la satisfacción con el tratamiento para la DE, fueron: duración de los efectos (r=0,7311 p=0,0001), rapidez de acción del fármaco (r=0,7088 p=0,0001), confianza en poder mantener relaciones sexuales (r=0,7021 p=0,0001) y satisfacción de la pareja (r=0,692 p=0,0001). Los aspectos que mayor impacto tuvieron sobre la autoestima fueron: duración de los efectos (r=0,6254 p=0,0001) y confianza en poder mantener relaciones sexuales (r=0,6372 p=0,0001). Los aspectos que mayor impacto tuvieron sobre la mejora de diferentes aspectos de la vida (LISAT-8) fueron: facilidad de uso (r=0,4372 p=0,0001) y rapidez de acción del fármaco (r=0,4131 p=0,0001).</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los aspectos relevantes en la satisfacción con el tratamiento fueron también los que más influían en la autoestima y la vida afectiva del paciente.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Erectile dysfunction (ED) is associated with depression, anxiety and loss of self-esteem, deteriorating patient’s quality of life. The present study aimed, to identify and evaluate key factors influencing patient’s satisfaction with ED treatment. To analyze which of them have a greater impact on patient’s self-esteem and satisfaction with different aspects of life.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The approach used was a multicentre, cross-sectional, epidemiological, observational study. The study group consisted of Spanish men over 18 years of age who received oral drug treatment for ED for at least 4 weeks before the study began. Pearson’s correlation coefficient was calculated from the important aspects for the patient to assess his satisfaction with treatment (“Erectile Dysfunction Inventory of Treatment <span class="elsevierStyleItalic">Satisfaction”</span> (EDITS) questions 4-11) and overall satisfaction with treatment (EDITS question 1), the self-esteem subscale of the “<span class="elsevierStyleItalic">Self-esteem and Relationship</span>” (SEAR) questionnaire, and the “<span class="elsevierStyleItalic">Fugl-MeyerLife Satisfaction Check List</span>” (LISAT-8) questionnaire.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 1,646 patients were included. The most significant factors in connection with satisfaction with treatment for ED were; duration of the effects (r=0.7311 p=0.0001), speed of action of the drug (r=0.7088 p=0.0001), confidence in the ability to have sexual relations (r=0.7021 p=0.0001) and partner satisfaction (r=0.692 p=0.0001). The factors which had greatest impact on self-esteem were duration of the effects (r=0.6254 p=0.0001) and confidence in the ability to have sexual relations (r=0.6372 p=0.0001). The factors with the greatest impact on improvement in quality of life (Lisat-8 questionnaire) were: ease of use (r=0.4372 p=0.0001) and speed of action of the drug (r=0.4131 p=0.0001).</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The factors which most influenced satisfaction with the treatment were also those which had most impact on the patient’s self-esteem and emotional life.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| 2018 Enero | 2 | 0 | 2 |
| 2017 Diciembre | 4 | 3 | 7 |
| 2017 Noviembre | 4 | 3 | 7 |
| 2017 Octubre | 4 | 2 | 6 |
| 2017 Septiembre | 3 | 2 | 5 |
| 2017 Agosto | 8 | 1 | 9 |
| 2017 Julio | 6 | 1 | 7 |
| 2017 Junio | 5 | 1 | 6 |
| 2017 Mayo | 4 | 2 | 6 |
| 2017 Abril | 12 | 9 | 21 |
| 2017 Marzo | 12 | 9 | 21 |
| 2017 Febrero | 6 | 3 | 9 |
| 2017 Enero | 1 | 2 | 3 |
| 2016 Diciembre | 11 | 4 | 15 |
| 2016 Noviembre | 16 | 3 | 19 |
| 2016 Octubre | 36 | 5 | 41 |
| 2016 Septiembre | 13 | 4 | 17 |
| 2016 Agosto | 9 | 0 | 9 |
| 2016 Julio | 8 | 6 | 14 |
| 2016 Junio | 9 | 5 | 14 |
| 2016 Mayo | 13 | 7 | 20 |
| 2016 Abril | 7 | 5 | 12 |
| 2016 Marzo | 18 | 7 | 25 |
| 2016 Febrero | 8 | 10 | 18 |
| 2016 Enero | 15 | 10 | 25 |
| 2015 Diciembre | 3 | 6 | 9 |
| 2015 Noviembre | 14 | 3 | 17 |
| 2015 Octubre | 16 | 3 | 19 |
| 2015 Septiembre | 12 | 2 | 14 |
| 2015 Agosto | 6 | 1 | 7 |
| 2015 Julio | 8 | 2 | 10 |
| 2015 Junio | 5 | 2 | 7 |
| 2015 Mayo | 4 | 3 | 7 |
| 2015 Abril | 15 | 5 | 20 |
| 2015 Marzo | 9 | 1 | 10 |
| 2015 Febrero | 6 | 3 | 9 |
| 2015 Enero | 17 | 0 | 17 |
| 2014 Diciembre | 10 | 4 | 14 |
| 2014 Noviembre | 6 | 1 | 7 |
| 2014 Octubre | 9 | 2 | 11 |
| 2014 Septiembre | 17 | 1 | 18 |
| 2014 Agosto | 13 | 6 | 19 |
| 2014 Julio | 10 | 4 | 14 |
| 2014 Junio | 8 | 3 | 11 |
| 2014 Mayo | 4 | 2 | 6 |
| 2014 Abril | 6 | 2 | 8 |
| 2014 Marzo | 6 | 1 | 7 |
| 2014 Febrero | 3 | 1 | 4 |
| 2014 Enero | 4 | 2 | 6 |
| 2013 Diciembre | 7 | 1 | 8 |
| 2013 Noviembre | 3 | 3 | 6 |
| 2013 Octubre | 2 | 5 | 7 |
| 2013 Septiembre | 5 | 4 | 9 |
| 2013 Agosto | 1 | 3 | 4 |
| 2008 Noviembre | 263 | 0 | 263 |
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