Sexuality of patients with chronic heart failure and their spouses and the need for information regarding sexuality

Driel, Anne Geert van; Hosson, Michèle de; Gamel, Claudia

doi:10.1177/1474515113485521

Cited by 24 publications

(40 citation statements)

References 36 publications

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“…Only 8% reported a higher score than 12, indicating that they felt confident in discussing sexual concerns with patients. The nurses estimated a low comfort of their clients when discussing issues about sexuality (median, 9).…”

Section: Practice Responsibility Confidence and Comfort Of Their Pmentioning

confidence: 99%

“…3,6,8 Patients with HF, and their partners, wish to receive information from healthcare providers about resuming sexual activity after being diagnosed. 8,9 In recently published international HF guidelines and statements, it is recommend that healthcare providers discuss sexual health with their patients. 10Y12 Nurses play an important role in assisting patients adapt to their lifestyles and learn how to live with their illness, 4,13,14 which should include sexual counseling to HF patients.…”

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confidence: 99%

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Sexual Counseling in Patients With Heart Failure

Kolbe

Kugler

Schnepp

et al. 2016

Journal of Cardiovascular Nursing

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Section: Practice Responsibility Confidence and Comfort Of Their Pmentioning

confidence: 99%

mentioning

confidence: 99%

Sexual Counseling in Patients With Heart Failure

Kolbe

Kugler

Schnepp

et al. 2016

Journal of Cardiovascular Nursing

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“…Patients with HF may report a decrease in sexual performance, a loss of sexual pleasure or satisfaction, a decrease of sexual interest, and a decrease in the frequency of sex 1, 2, 3, 4. For a lot of HF patients, sexual health is important, with 52% of the men and 38% of the women with HF reporting that sex was important and sexual health was impacting their quality of life 5, 6…”

Section: Introductionmentioning

confidence: 99%

“…Patients with HF may report a decrease in sexual performance, a loss of sexual pleasure or satisfaction, a decrease of sexual interest, and a decrease in the frequency of sex. [1][2][3][4] For a lot of HF patients, sexual health is important, with 52% of the men and 38% of the women with HF reporting that sex was important and sexual health was impacting their quality of life. 5,6 Although not every patient with HF suffers from sexual problems and the relationship between the patient and the partner is not always affected, 7 several patients and partners have questions and worries.…”

Section: Introductionmentioning

confidence: 99%

Sexual function of patients with heart failure: facts and numbers

Jaarsma

2016

ESC Heart Failure

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Approximately 60% to 87% of patients with heart failure (HF) report sexual problems, and numbers as low as 31% of HF patients younger than 70 have normal sexual function. When compared with healthy elders, the amount of perceived sexual dysfunction might be similar (around 56%), but patients with HF are reporting more erectile dysfunction (ED) and also perceive that their HF symptoms (20%) or HF medication (10%) is the cause for their problems. The prevalence of ED is highly prevalent in men with cardiac disease and reported in up to 81% of cardiac patients, compared with 50% in the general older population. In total 25–76% of women with HF report sexual problems or concerns.The physical effort related to sexual activity in cardiac patients can be compared to mild to moderate physical activity. The related energy expenditure of sexual activity falls in the range of three to five metabolic units (METs), which can be compared to the energy needed to climb three flights of stairs, general housework, or gardening.Information about sexual activity is often overlooked by health care professionals treating HF patients. Advice and counselling about this subject are needed to decrease worries of patients and partners, avoid skipping medication because of fear for side effects, or prevent inappropriate use of potency enhancing drugs or herbs.

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“…• the patient's neuro-cognitive symptoms create an added burden for the spouse (321) • the disease can disturb the couple's sexuality [322] • if the caregiving spouse is of a young age, the burden can be worse due to the greater number of duties and responsibilities towards other family members, e.g. children and/or parents, and towards work activity, compared to elderly and retired caregivers [321] • anxiety, depression and the feeling of loss of control of the family member hinder the patient's psychosocial adaptation to the disease [321] • the personality traits of low optimism and high neuroticism in the spousal caregiver are associated with major depressive symptoms in the patient • a low level of mutuality in the couple [321] is associated with a high burden of the family member, negatively affecting the caregiving, and with a worse health status of the patient • lack of social support and the presence of economic problems increase the caregiver's burden [323][324][325] Protective factors in all phases of the disease are:…”

Section: Cardiac Patients In Palliative Carementioning

confidence: 99%

Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper

Angelino

Porta

Abatello

et al. 2018

Monaldi Arch Chest Dis

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Recent guidelines on cardiovascular disease prevention suggest multimodal behavioral interventions for psychosocial risk factors and referral for psychotherapy in the case of clinically significant symptoms of depression and anxiety overall. Accordingly, psychologists of the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology (GICR-IACPR) have reviewed the key components of psychological activities in cardiovascular prevention and rehabilitation (CPR). The aim of this study was to elaborate a position paper on the best practice in routine psychological activities in CPR based on efficacy, effectiveness and sustainability. The steps followed were: i) a review of the latest international guidelines and position papers; ii) analysis of the evidence-based literature; iii) a qualitative analysis of the psychological services operating in some reference Italian cardiac rehabilitation facilities; iv) classification of the psychological activities in CPR as low or high intensity based on the NICE Guidelines on psychological interventions on anxiety and depression. We confirm the existence of an association between depression, anxiety, social factors, stress, personality and illness onset/outcome and coronary heart disease. Evidence for an association between depression, social factors and disease outcome emerges particularly for chronic heart failure. Some positive psychological variables (e.g., optimism) are associated to illness outcome. Evidence is reported on the impact of psychological activities on 'new' conditions which are now indicated for cardiac rehabilitation: pulmonary hypertension, grown-up congenital heart, end-stage heart failure, implantable cardioverter-defribrillator and mechanical ventricular assist devices, frail and oldest-old patients, and end-of-life care. We also report evidence related to caregivers. The Panel divided evidence-based psychological interventions into: i) low intensity (counseling, psycho-education, self-care, self-management, telemedicine, self-help); or ii) high intensity (individual, couples and/or family and group psychotherapy, such as stress management). The results show that psychotherapy is mainly consisting of cognitive-behavior therapy, interpersonal therapy, and short-term psycho-dynamic therapy. The current data further refine the working tools available for psychological activities in CPR, giving clear directions about the choice of interventions, which should be evidence-based and have at least a minimum standard. This document provides a comprehensive update on new knowledge and new paths for psychologists working in the CPR settings.

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Sexuality of patients with chronic heart failure and their spouses and the need for information regarding sexuality

Cited by 24 publications

References 36 publications

Sexual Counseling in Patients With Heart Failure

Sexual Counseling in Patients With Heart Failure

Sexual function of patients with heart failure: facts and numbers

Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper

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