Comparison of Sexual Knowledge between Patients Prepared for Cardiac Surgery and Patients Prepared for Cardiac Rehabilitation in Iran
Abstract
Background: Although sexual death during intercourse occurs rarely in patients with cardiovascular diseases (CVDs), most such patients avoid it because they fear a dangerous event. Given the significance of awareness about this issue among patients with CVDs, we sought to compare sexual knowledge between 2 groups of patients prepared for cardiac surgery and patients prepared for cardiac rehabilitation (CR).
Methods: This cross-sectional study, conducted between April and July 2016, recruited 157 patients with CVDs (107 candidates for surgery and 50 patients prepared for CR) in Imam Ali Hospital, in the Iranian city of Kermanshah. The cases, selected through entire counting according to our inclusion criteria, responded to a standard sexual knowledge inventory. Sexual knowledge and professionals responsible in providing sexual rehabilitation from the perspective of patients were compared using the independent t-test and the χ2 test.
Results: The participants’ mean age was 55.39±9.82 years (male: 58.6%). Overall, the 2 groups had poor sexual knowledge. Although the CR program started 57.85±13.92 days after surgery, the sexual knowledge of this group of patients was not significantly different from that of the patients prepared for surgery (P=0.904). This difference was not significant between the 2 genders (P=0.077). Finally, concerning the professionals responsible in providing sexual rehabilitation, the patients selected psychologists (P=0.006) and nurses (P=0.012) more frequently in the initial phase of CR program.
Conclusion: Sexual knowledge was poor in our CR patients at the outset of the program. Given the poor knowledge in these patients 2 months after surgery and the lack of significant difference in knowledge between these patients and those prepared for surgery, it is advisable that they be provided with the necessary information in this regard in this golden time before hospital discharge.
Wang L, Wang KS. Age differences in the association of severe psychological distress and behavioral factors with heart disease. Psychiatry J. 2013; 2013: 979623.
Lukkarinen H, Lukkarinen O. Sexual satisfaction among patients after coronary bypass surgery or percutaneous transluminal angioplasty: Eight-year follow-up. Heart Lung. 2007; 36 :262-9.
Douma S, Doumas M, Tsakiris A, Zamboulis C. Male and female sexual dysfunction: is hypertension an innocent bystander or a major contributor? Rev Bras Hipertens. 2007; 14(3): 139-147.
Foruzan-Nia SK, Abdollahi MH, Hekmatimoghaddam SH, Namayandeh SM, Mortazavi MH. Incidence of sexual dysfunction in men after cardiac surgery in Afshar hospital, Yazd. Iran J Reprod Med. 2011; 9(2): 89-94.
Purabuli B, Azizzade Foruzi M, Alizadeh SM. Knowledge and attitudes of nurses in sexual activity and educate it to patients with myocardial infarction and their spouses. J Critical Care Nurs. 2009; 2(4): 145-148.
Rerkpattanapipat P, Stanek MS, Kotler MN. Sex and the heart: what is the role of the cardiologist? Eur Heart .J 2001; 22: 201-8.
Schumann J, Zellweger MJ, Di Valentino M, Piazzalonga S, Hoffmann A. Sexual dysfunction before and after cardiac rehabilitation. Rehabil Res Practice. 2010; 823060.
Mosack V, Steinke EE. Trends in sexual concerns after myocardial infarction. Cardiovas Nurs. 2009; 24(2): 162-70.
Garko SB, Ogunsina MO, Danbauchi SS. Sexual dysfunction in hypertensive patients: implications for therapy. Ann African Med. 2005; 4(2): 46–51.
Nicolosi A, Moreira ED, Shirai M, Bin Mohd Tambi MI, Glasser DB. Epidemiology of erectile dysfunction in 4 countries: cross-national study of the prevalence and correlates of erectile dysfunction. Urology. 2003; 61: 201-6.
- Djurović A, Marić D, Brdareski Z, Konstantinović L, Rafajlovski S, Obradović S, et al. Sexual rehabilitation after myocardial infarction and coronary bypass surgery: Why do we not perform our job?. Vojnosanit Pregl. 2010; 67(7): 579–87.
Lunelli RP, Rabello ER, Stein R, Gold M, Moraes M. Sexual activity after myocardial infarction: Taboo or lack of knowledge? Arq Bras Cadol. 2008; 40(3): 159-69.
Heydarpour B, Saeidi M, Ezzati P, Soroush A, Komasi S. Sociodemographic predictors in failure to complete outpatient cardiac rehabilitation. Ann Rehabil Med. 2015; 39(6): 863-71.
Steinke EE, Jaarsma T, Barnason SA, Byrne M, Doherty S, Dougherty CM, et al. On behalf of the Council on Cardiovascular and Stroke Nursing of the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Sexual counseling for individuals with cardiovascular disease and their partners: a consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Circulation. 2013; 128: 1-22.
Driel AG, de Hosson MJ, Gamel C. Sexuality of patients with chronic heart failure and their spouses and the need for information regarding sexuality. Eur J Cardiovasc Nurs. 2014; 13(3): 227-34.
Giuliano FA, Leriche A, Jaudinot EO, de Gendre AS. Prevalence of erectile dysfunction among 7689 patients with diabetes or hypertension, or both. Urology. 2004; 64: 1196-1201.
- Kloner RA. Assessment of cardiovascular risk in patients with erectile dysfunction: focus on the diabetic patient. Endocrine. 2004; 23: 125-9.
Salehian R, Khodaeifar F, Naserbakht M, Meybodi A. Attitudes and performance of cardiologists toward sexual issues in cardiovascular patients. Sexual Med. 2017; 5(1): 44-53.
Vassiliadou A, Stamatopoulou E, Triantafyllou G, Gerodimou E, Toulia G, Pistolas D. The role of nursingin the sexual counseling of patients after myocardial infarction. Health Sci J. 2008; 2(2).
Jaarsma T, Stromberg A, Fridlund B, De Geest S, Martensson J, Moons P, et al. Sexual counselling of cardiac patients: nurses' perception of practice, responsibility and confidence. Eur J Cardiovasc Nurs. 2010; 9(1): 24-9.
Brannstrom M, Kristofferzon ML, Ivarsson B, Nilsson UG, Svedberg P, Thylen I. Sexual knowledge in patients with a myocardial infarction and their partners. J Cardiovasc Nurs. 2014; 29(4): 332-9.
Ozdemir L, Akdemir N. Nurses' knowledge and practice involving patients' resuming sexual activity following myocardial infarction: implications for training. Australian J Advanced Nurs. 2008; 26(1): 42.
Hoekstra T, Lesman-Leegte I, Couperus MF, Sanderman R, Jaarsma T. What keeps nurses from the sexual counselling of patients with heart failure? Heart Lung. 2012; 41(5): 492–9.
Hoekstra T, Jaarsma T, Sanderman R, van Veldhuisen DJ, Lesman-Leegte I. Perceived sexual difficulties and associated factors in patients with heart failure. Am Heart J. 2012; 163(2): 246-51.
Chen X, Zhang Q, Tan X. Cardiovascular effects of sexual activity. Indian J Med Res. 2009; 130: 681-8.
| Files | ||
| Issue | Vol 14 No 3 (2019): J Teh Univ Heart Ctr | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jthc.v14i3.1428 | |
| Keywords | ||
| Cardiovascular diseases Cardiac surgical procedures Cardiac rehabilitation Iran | ||
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