Sexual Problems in Cardiac Patients

Jaarsma, Tiny; Steinke, Elaine E.; Gianotten, Woet L.

doi:10.1097/jcn.0b013e3181c60e7c

Cited by 54 publications

(47 citation statements)

References 25 publications

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“…18 The moment when medication (e.g., beta-blockers) is up-titrated provides the perfect opportunity for nurses to enquire after changes in sexual responses or fear of impotence. Nurses could also benefit from a practical workshop in which they can practice the approach that would suit them best.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 99%

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

et al. 2012

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

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“…25,26 It is known that, although most of the health care providers feel a responsibility to discuss sexual concerns with their patients, many do not address these concerns in their daily practice. 27,28 Several limitations of this study should be considered. First, perceiving difficulties in sexual activity was based on a single question from a larger QoL questionnaire.…”

Section: Discussionmentioning

confidence: 99%

Perceived sexual difficulties and associated factors in patients with heart failure

Hoekstra

Jaarsma

Sanderman

et al. 2012

American Heart Journal

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Background Sexual dysfunction is a common problem of increasing incidence in patients with heart failure (HF). However, there is no knowledge on which demographic, clinical, and quality of life (QoL) aspects are related to difficulties in sexual activity nor on the course of sexual difficulties in patients with HF. less thanbrgreater than less thanbrgreater thanMethods Data on sexual difficulties were collected at 1 and 18 months after an HF hospitalization (n = 792, mean age 69 +/- 12 years, 35% female, mean left ventricular ejection fraction 33% +/- 14%) by the question on sexuality of the Minnesota living with HF questionnaire. Demographic and clinical factors were assessed from medical records and QoL by Minnesota living with HF questionnaire, Medical Outcome Study 36-item General Health Survey, and Ladder of Life. less thanbrgreater than less thanbrgreater thanResults In total, 48% (n = 380) of the patients perceive difficulties in sexual activity at 1 month after discharge, and 70% continued to perceive this at 18 months. Furthermore, 27% of the patients without difficulties at 1 month developed them during follow-up. Living with a partner (OR 3.76, 95% CI 2.58-5.48), younger age (OR 0.96, 95% CI 0.94-0.97)), male gender (OR 3.08, 95% CI 2.10-4.43), overall well-being (OR 1.13, 95% CI 1.00-1.27), and physical (OR 1.06, 95% CI 1.06-1.08) and emotional (OR 1.07, 95% CI 1.03-1.10) QoL were independently associated with perceived difficulties in sexual activity. less thanbrgreater than less thanbrgreater thanConclusions Perceived difficulties in sexual activity are common in patients with HF, particularly in younger and male patients and continue over time. Patients who perceive difficulties in sexual activity report a significant lower QoL and overall well-being than those who do not.Funding Agencies|Netherlands Heart Foundation|2000Z003D97.017|Biosite Europe, France||Roche Diagnostics, The Netherlands||Novartis Pharma BV, The Netherlands|

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“…Table 3 presents several possible approaches for how to begin the discussion of intimacy, adapted from Jaarsma, et al 2010. 28 [insert Table 3] A good approach is to assume the patient is interested in sexual matters, but also to be mindful of the differing comfort levels of the patient regarding these conversations. 28 Our survey showed that DOI: 10.1177/2045894018785259…”

Section: Discussionmentioning

confidence: 99%

Intimacy, contraception, and pregnancy prevention in patients with pulmonary arterial hypertension: are we counseling our patients?

2020

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Pulmonary arterial hypertension is a serious, life-altering condition. Patients who are diagnosed are often of child-bearing potential. Given the well-documented risks associated with this condition during pregnancy, as well as risks to the fetus from medications used to treat this disorder, patients should be strongly advised against pregnancy. Despite this, patients still become pregnant, leading to the question of whether care providers are counseling patients and their partners about the risks of pregnancy, methods of contraception, and issues of intimacy on a regular basis. We have conducted a survey of pulmonary hypertension specialist physicians and allied health care professionals on their practice patterns related to counseling on intimacy, contraception, and pregnancy prevention. Most respondents indicated they are counseling on these issues to varying degrees, but our survey pointed to several areas where improvements can be made. The most significant barrier to counseling for all respondents was lack of time. Survey respondents reported that a large percentage of the pregnancies seen in their practices were either intentional or due to contraceptive noncompliance. We review specific practical approaches to initiate reproductive health counseling as well as ways to integrate this important aspect of pulmonary arterial hypertension care into regular practice routines and documentation. Protocols regarding pregnancy avoidance and pulmonary arterial hypertension should be developed and become standard procedure.

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Sexual Problems in Cardiac Patients

Cited by 54 publications

References 25 publications

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

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

Perceived sexual difficulties and associated factors in patients with heart failure

Intimacy, contraception, and pregnancy prevention in patients with pulmonary arterial hypertension: are we counseling our patients?

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