Sexual function in patients with advanced heart failure

Jaarsma, Tiny; Dracup, Kathleen; Walden, Julie; Stevenson, Lynne Warner

doi:10.1016/s0147-9563(96)80061-6

Cited by 127 publications

(117 citation statements)

References 23 publications

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“…In a cohort of 62 male and female clinic outpatients with HF, approximately threequarters reported compromised libido and ED. 3 In our own patient population, at least 75% of patients with chronic HF reported ED (unpublished). Interestingly, HF patients place greater importance on symptomatic improvement and thereby quality of life, rather than longer survival.…”

Section: Introductionmentioning

confidence: 96%

Why do patients with heart failure suffer from erectile dysfunction? A critical review and suggestions on how to approach this problem

et al. 2005

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Chronic heart failure (HF) is an increasingly common cardiovascular disorder. The goal of healthcare providers is to optimize quality of life in this population, including sexual health. Up to 75% of patients with HF report erectile dysfunction (ED). As HF is a condition with distinct physiologic sequelae, some unique organic and psychological factors contributing to ED in this patient population have been identified, along with risk factors common to the development of coronary artery disease, HF and ED. This review describes contributing factors to ED in the setting of HF and highlights treatment considerations for this distinct patient population.

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Section: Introductionmentioning

confidence: 96%

Why do patients with heart failure suffer from erectile dysfunction? A critical review and suggestions on how to approach this problem

et al. 2005

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“…1,2 Problems HF patients have reported include a decrease in sexual interest, a decrease in the frequency of sexual activity, severe negative changes in sexual performance, and loss of pleasure or satisfaction related to sexual activity.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] Patients attribute their sexual problems to their HF. In addition, HF medication may also lead to sexual problems.…”

Section: Introductionmentioning

confidence: 99%

What keeps nurses from the sexual counseling of patients with heart failure?

et al. 2012

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OBJECTIVES: We sought to examine the current practice of discussing sexual health by heart failure (HF) nurses, and to explore which barriers prevent nurses from discussing sexuality. less thanbrgreater than less thanbrgreater thanMETHODS: The Nurses Survey of Sexual Counseling of Myocardial Infarction Patients and a list of barriers were used to form a questionnaire, which was sent to all HF clinics (n = 122) in the Netherlands. less thanbrgreater than less thanbrgreater thanRESULTS: The majority (75%) of nurses (n = 146) felt a certain responsibility to discuss patients sexual health. However, in practice, 61% of the nurses rarely or never addressed sexuality. Barriers that prevented nurses from addressing sexuality and that differed between nurses who do (n = 58) and do not (n = 88) discuss sexuality include a lack of organizational policy (49% vs. 79%, respectively; P andlt; .001) and lack of training (43% vs. 80%, respectively; P andlt; .001), and not knowing how to initiate the subject (24% vs. 72%, respectively; P andlt; .001). Nurses preferred to address sexuality during a follow-up visit or when discussing medication. less thanbrgreater than less thanbrgreater thanCONCLUSIONS: Although HF nurses feel responsible for discussing sexuality, this topic is rarely addressed in clinics. Several barriers were identified, relating to personal, patient, and organizational factors.

Funding Agencies|Netherlands Heart Foundation|081201/KI/RW/DM|

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“…A significant proportion of men experience erectile dysfunction (ED) while women report problems with sexual arousal and pain disorders [4]. Both male and female cardiac patients and their partners report concerns about their sexual functioning in relation to loss of interest, decrease in frequency of sexual activity and changes in satisfaction and problems with sexual performance [5]. Depression, fear of another heart attack or even death, and the side effects of medication such as beta-blockers and lipid lowering drugs have been shown to increase sexual dysfunction in men and women who have experienced European Journal of Cardiovascular Nursing 10 (2011) 101 -107 www.elsevier.com/locate/ejcnurse CHD [6].…”

Section: Introductionmentioning

confidence: 99%

Cardiac Rehabilitation Staff Views about Discussing Sexual Issues with Coronary Heart Disease Patients: A National Survey in Ireland

Doherty

Byrne

Murphy

et al. 2011

European Journal of Cardiovascular Nursing

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Background: While a healthy sexual life is regarded as an important aspect of quality of life, sexual counselling from healthcare providers for cardiac patients has received little attention in the literature. Aim: To document current practice and assess the needs of cardiac rehabilitation service providers in Ireland with regard to sexual assessment and management for patients. Methods: Cardiac rehabilitation staff in all relevant centres in Ireland responded to a postal questionnaire. Sexual health management was assessed by a series of questions on current practice, staff attitudes, beliefs and perceived barriers to discussing sexual problems. Results: Staff (N = 60; 61% response rate) reported a lack of assessment and counselling protocols for addressing sexual health problems, with little or no onward referral system available. Results also suggest staff believe that patients do not expect them to ask about their sexual concerns. Barriers reported included an overall lack of confidence (45%), knowledge (58%) and training (85%). Conclusion: Development of guidelines, assessment protocols and training for cardiac rehabilitation staff are essential in the area of sexual health problems in order to improve the quality of services for patients with coronary heart disease.

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Sexual function in patients with advanced heart failure

Cited by 127 publications

References 23 publications

Why do patients with heart failure suffer from erectile dysfunction? A critical review and suggestions on how to approach this problem

Why do patients with heart failure suffer from erectile dysfunction? A critical review and suggestions on how to approach this problem

What keeps nurses from the sexual counseling of patients with heart failure?

Cardiac Rehabilitation Staff Views about Discussing Sexual Issues with Coronary Heart Disease Patients: A National Survey in Ireland

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