The CHARMS Study: cardiac patients' experiences of sexual problems following cardiac rehabilitation
2013 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 12, no 6, 558-566 p.Article in journal (Refereed) Published
Background:Sexual problems are common among cardiac patients. Further information is required on patients' experiences of sexuality and preferences for sexual counselling.
Aim:To characterise sexual dysfunction and related factors among patients following cardiac rehabilitation and examine related treatment delivery.
Methods:Telephone interviews with 382 patients (32% response rate) recruited from six hospital rehabilitation centres.
Results:Seventy-nine per cent were male; average age was 64 years (SD 9.8). Forty-seven per cent of the total sample reported no sexual relations in the previous year, and nearly a half of sexually active respondents reported at least one sexual problem. Erectile dysfunction (reported by 33%) and lack of interest in sex (reported by 10%) were the most common problems for men and women respectively. Twenty-three per cent reported that sex had deteriorated for them since their cardiac event, and for half of these this was considered a serious problem. In logistic regression analysis, higher anxiety (Hospital Anxiety and Depression Scale) and being male were associated with reporting a sexual problem (χ(2) = 37.85, p<0.001). Sixty-six per cent reported that sex was never discussed by a health professional and satisfaction with this aspect of care was low. Patients wanted these issues to be addressed and the majority (63%) claimed they would find it easy to discuss sexual problems with a health professional.
Conclusions:Sexual inactivity and sexual problems are common in this group. Health professionals should address sexual issues with their patients, ideally in a private setting and within the broader context of addressing psychological wellbeing.
Place, publisher, year, edition, pages
Sage Publications, 2013. Vol. 12, no 6, 558-566 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-99819DOI: 10.1177/1474515113477273ISI: 000327637600009PubMedID: 23389480OAI: oai:DiVA.org:liu-99819DiVA: diva2:658282