HOW DOES A CORONARY ISCHEMIC EVENT INFLUENCE SEXUAL ACTIVITY?
Section: Artículos Científicos
Authors
Jonatan Valverde Bernal, Alba Villalobos Abelló y José Martínez Pérez.
Position
Enfermero/a del Servicio de Hemodinámica del Hospital de la Santa Creu i Sant Pau de Barcelona.
Contact address
Jonatan Valverde Bernal. Hospital de la Santa Creu i Sant Pau Servicio de Hemodinámic. C/ Sant Antoni Maria Claret, 167 08025. Barcelona
Contact email: jvalverdeb@santpau.cat
Abstract
Introduction. Ischemic heart disease produces a relevant impact on the patient once its acute episode has ended, both at emotional and physical levels. Sexuality can be affected as a consequence thereof. The aim of this study is to evaluate the impact of coronary ischemic events on sexual activity and to evaluate the influence of receiving information on the return to sex in patients with ischemic heart disease.
Material and Methods. An observational, analytical study. Ninety one patients admitted at our center with a diagnosis of ischemic heart disease were consecutively enrolled. An interview was conducted during admission and a second one 4 weeks after discharge.
Results. The mean age in our sample was 59 years (± 10.5). 60% of patients resumed sexual relations at 4 weeks, these being younger (p<0.001), active workers (p=0.002), smokers (p=0.010), without previous sexual problems (p=0.013) and with previous satisfactory relations (p<0.001). 42% of those who resumed sexual relations had some problem during sexual activity, such as chest pain (43%) and fear of relapse (62%). 36% of patients who did not resume sexual activity reported fear of sexual intercourse and 54% expressed lack of motivation. Four weeks after discharge from hospital, only 18% were provided with information by health professionals, there standing out that they would come back to sexual activity later on (p=0.056).
Conclusions. The coronary ischemic event influences sexual activity, since patients come back reporting fear and less sexual appetite. Patients receive little information about sexuality, so a comprehensive approach should be made by professionals.
Keywords:
myocardial ischemia; sexuality; sexual behavior educationnursing
Versión en Español
Título:
¿CÓMO INFLUYE UN EVENTO CORONARIO ISQUÉMICO EN LA ACTIVIDAD SEXUAL?
Artículo completo no disponible en este idioma / Full article is not available in this language
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