Patients’ Need for Sexual Counseling in the Cardiac Rehabilitation Service
DOI:
https://doi.org/10.33192/smj.v75i7.263195Keywords:
heart disease, cardiac rehabilitation, sexual activity, sexual counselingAbstract
Objective: To evaluate the need for sexual counseling among patients with heart disease
Materials and Methods: Data were collected from 363 patients with heart disease attending a cardiac rehabilitation outpatient clinic. Participants completed the questionnaire independently.
Results: The participants consisted of 241 males (66.4%) and 122 females (33.6%) with a mean age of 57.69±14.50 years. Among them, 248 (68.3%) were married. Most participants (91.2%) agreed that healthcare providers should offer sexual counseling to all heart patients of reproductive age, and they wanted their healthcare providers to initiate the counseling. Factors related to the need for counseling were being male (OR=2.07; 95% CI =1.05-4.07), being married (OR=2.04; 95% CI =1.03-4.05) and being 50 years of age or younger (OR 9.05; 95%CI =2.06-39.82). The main obstacles affecting conversations about sexual activity with healthcare providers were feeling embarrassed (45.7%), being physically impaired (45.4%), and having a third person present during counseling (44.9%).
Conclusion: Most patients with heart disease want to receive counseling on how to safely resume sexual activity following their illness. They expect healthcare providers to initiate such counseling during visits to cardiac rehabilitation clinics. It is crucial that healthcare providers provide counseling in a format that is tailored to the needs and preferences of each patient.
References
Murphy PJ, Sharry JM, Casey D, Doherty S, Gillespie P, Jaarsma T, et al. Sexual counselling for patients with cardiovascular disease: protocol for a pilot study of the CHARMS sexual counselling intervention. BMJ Open. 2016;6(6):e011219.
Schumann J, Zellweger MJ, Di Valentino M, Piazzalonga S, Hoffmann A. Sexual dysfunction before and after cardiac rehabilitation. Rehabil Res Pract. 2010;2010:823060.
Kriston L, Günzler C, Agyemang A, Bengel J, Berner MM. Effect of sexual function on health-related quality of life mediated by depressive symptoms in cardiac rehabilitation. Findings of the SPARK project in 493 patients. J Sex Med. 2010;7:2044–55.
Kloner RA, Mullin SH, Shook T, Matthews R, Mayeda G, Burstein S, et al. Erectile dysfunction in the cardiac patient: how common and should we treat? J Urol. 2003;170(2 Pt 2):S46-50.
Mulat B, Arbel Y, Mashav N, Saar N, Steinvil A, Heruti R, et al. Depressive symptoms and erectile dysfunction in men with coronary artery disease. Urology. 2010;75(1):104–7.
Schwarz E, Kapur V, Bionat S, Rastogi S, Gupta R, Rosanio S. The prevalence and clinical relevance of sexual dysfunction in women and men with chronic heart failure. Int J Impot Res. 2008;20(1):85-91.
Steinke EE, Jaarsmar T, Barnason SA, Byrne M, Doherty S, Dougherty CM, et al. Sexual counselling 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). Eur Heart J. 2013; 34(41):3217–35.
Levine GN, Steinke EE, Bakaeen FG, Bozkurt B, Cheitlin MD, Conti JB, et al. Sexual activity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2012;125(8):1058-72.
Byrne M, Doherty S, Murphy AW, McGee HM, Jaarsma T. The CHARMS Study: cardiac patients' experiences of sexual problems following cardiac rehabilitation. Eur J Cardiovasc Nurs. 2013;12(6):558-66.
Saowakontha P, Kantaratanakul V, Jitpraphai C. Return to work and sexual activity in cardiac patients after Cardiac Surgery. Rama Med J. 2000;10(2):72-9.
World Health Organization [Internet]. Geneva: World Health Organization; c2023. Indicators; 2023 [cited 2023 Jun 8]; [about 2 screens]. Available from: https://www.who.int/data/maternal-newborn-child-adolescent-ageing/indicator-explorer-new/mca/women-of-reproductive-age-(15-49-years)-population-(thousands)
Baert A, Pardaens S, De Smedt D, Puddu PE, Ciancarelli MC, Dawodu A, et al. Sexual Activity in Heart Failure Patients: Information Needs and Association with Health-Related Quality of Life. Int J Environ Res Public Health. 2019;16(9):1570.
Tantiwong A. Erectile Dysfunction: A Presentation of Sexual Health Problems. Siriraj Med J. 2007;59:248-50.
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