CİNSEL DİSFONKSİYONU OLAN KARDİYOVASKÜLER HASTALARIN BAKIMI

Year 2005, Volume: 21 Issue: 2, 135 - 145, 01.01.2005

Hicran Yılmaz Rukiye Pınar

Abstract

Kardiyovasküler hastalığı olan kişilerde, her iki cinste de oldukça yüksek bir prevalansa sahip olan, cinsel disfonksiyon bireylerin yaşam kalitesini önemli ölçüde etkilemektedir. Geçirilen kalp hastalıkların ve tedavi amaçlı girişimlerden sonra hastaların büyük bir çoğunluğu uygun fiziksel durumlarına rağmen hastalık öncesi normal cinsel aktivitelerine geri dönememektedir. Cinsel disfonksiyon bu hasta grubunda daha çok psikolojik kaynaklıdır ve çoğunda cinsel ilişki sırasında yeniden kalp krizi geçirme korkusu vardır. Bu nedenle kardiyovasküler hastalığı olan bireylere bakım veren hemşirelerin hastaların cinsel fonksiyon durumlarını değerlendirmesi ve sorun varsa çözümü için uygun girişimlerde bulunması gereklidir. Hemşire, uygun iletişim tekniklerini kullanarak duyguları açığa çıkarma, kabul etme, değişikliğe uğramış cinsel yaşam ile ilgili problemleri tartışmaya izin verme, hastalık ve tedaviye bağlı olası cinsel sorunları tanılamaya yardımcı olma ve öneriler sunma aracılığı ile hastanın tedavi ve bakım planına uyumunu sağlar. Tedavi ve bakım planına uyum gösterilmesi cinsel sorunların erken dönemde belirlenmesinde, kontrol altına alınmasında, böylece hastaların yaşam kalitelerinin korunması ve sürdürülmesinde son derece önemlidir

Keywords

Kalp, cinsel disfonksiyon, hemşirelik bakımı

CARDIOVASCULAR PATIENT’S CARE WITH SEXUAL DISFUNCTION

Abstract

Sexual dysfunction, which has a very high prevalence in patients with cardiovascular diseases of both sexes, significantly affects the quality of life. Most of the patients, following the cardiac disorders and related therapeutic interventions, are not able to return to their normal sexual activities – as it was before the illness- despite their suitable physical conditions. Sexual dysfunction in these patients is mostly of psychological nature and the majority of them bear the fear of having another heart attack during sexual intercourse. Therefore, nurses who look after patients with cardiovascular disorders are required to assess the sexual functionality of these patients and to initiate necessary interventions if a problem exists. Nurses ensure the adaptation of patients to the treatment and care plan by helping patients reveal their feelings using proper communication techniques, guiding them to accept their situations, allowing the discussion of the problems related to the altered sexual life, helping define the potential sexual problems related to the illness and its treatment, and by offering suggestions. Adapting to the treatment and care plan is vital in the early diagnosis of sexual problems, controlling them, and thus protecting and maintaining the quality of life of the patients

Keywords

Heart, sexual dysfunction, nursing care

References

• Akdolun, N., Terakye, G. (2001) Sexual problems before and after myocardial infarction. Rehabil Nurs, 26(4): 152-158.
• Craven, R.F., Hirnle, C.J. (2000) Sexuality and Reproduction. In Fundamentals of
• Nursing: Human Health and Function (1322-1342). Philadelphia, Lippincott Company.
• DeBusk, R., Drory Y., Goldstein I., et al. (2000) Management of sexual dysfunction in patients with cardiovascular disease: recommendations of the Princeton Consensus
• Panel. Am J Cardiol, 86; 175-181. Drory, Y., Kravetz, S., Weingarten, M. (2000) Comparison of sexual activity of women and men after a first acute myocardial infaction. Am J Cardiol, 85: 1283-1287.
• Friedman, S. (2000) Cardiac disease, anxiety and sexual functioning. Am J Cardiol, ; 46-50.
• Frolicher E.S., Kee L.L., Newton K.M., et al. (1994). Return to work, sexual activity and other activities after myocardial infarction. Heart & Lung, 23(5): 423-435.
• Goldstein, I. (2000) The mutually reinforcing trial of depressive symptoms, cardiovas- cular disease and erectil dysfunction. Am J Cardiol, 86 (2A); 41-45.
• Greco S.B. (1996) Sexuality education and counseling. In S.P. Hoeman (Ed).
• Rehabilitation Nursing Process and Application (594-627). St Louis, Mosby –Year book. Guiliano, F., Pena, B.M., Mishra, A., et al. (2001) Efficacy results and quality of life measures in men receving sildenafil citrate for the treatment of erectile dysfunction. Qual Life Res, 10(4); 359-369.
• Hui-Meng, T. (1999) Erektil disfonksiyonun tanı ve tedavisinde kültürel sorunlar.
• Birinci Uluslar arası Erektil Disfonksiyon Konsültasyonu Satelit Sempozyumu, Paris. Ignatavicius, D.D., Workman, M.L., Misler, M.A. (1995) Human sexuality. In Medical
• Surgical Nursing: A Nursing Process Approach (177-193). WB Saunders Company, Philadelphia. Jackson, G. (2000) Sexual intercourse and stable angina pectoris. Am J Cardiol, 86; 37.
• Jaarsma, T. (2002) Sexual problems in heart failure patients. Eur J Cardiovasc Nurs, ;61-67.
• Khan, M.G., Topol E., Aksena S., et al. (1996) Acute myocardial infarction. In J.W.
• Pine (Ed). Heart Disease: Diagnosis and Therapy, A Practical Approach (107-110) St. Louis, Williams & Wilkins. Kimmel, S.E. (2000) Sex and miyocardial infarction: an epidemiologic perspective. Am J Cardiol, 86;10-13.
• Kloner, R.A. (2000) Cardiovascular risk and sildenafil. Am J Cardiol, 86; 57- 61.
• Kolman, P.B.R. (1984) Sexual dysfunction and post myocardial infarction patient. J Cardiac Rehab, 4; 334-340.
• Laumann, E.O., Paik, A., Rosen, R.C. (1999) Sexual dysfunction in the United States. JAMA, 281(6); 537-544.
• Levine, L.A., Kloner, R.A. (2000) Impotance of asking questions about erectile dysfunction. Am J Cardiol, 86(1); 1210-1213.
• Muller, J.E., Mittleman M.A., Maclure M., et al. (1996) Triggering myocardial infarction by sexual activity. JAMA, 275; 1405-1409.
• Onat, A. (2000) Kalp Damar Hastalıklarında Erektil Disfonksiyon Durum Raporu
• Türk Kardiyoloji Derneği. Padma-Nadhan, H. (1999) Prevalance of sexual dysfunction, efficacy of theraphy. Rev Urol, 1(4); 203-204.
• Papadopoulos, C., Beaumont C., Shelley S.I., et al. (1983) Myocardial infarction and sexual activity of the female patient. Arch Intern Med, 143;1528-1530.
• Potter, P.A., Perry, A.G. (1993) Sexuality. In Fundamentals of Nursing. Concepts
• Process & Practice (958-999). St. Louis, Mosby Year Book. Roose S.P., Seidman S.N. (2000) Sexual activity and cardiac risk: depression a contributing factor? Am J Cardiol, 86; 38-40.
• Stein, R. (1984) Sexual dysfunction and the patient with coronary heart disease. Arch Intern Med, 144; 1744.
• Stein, R.A. (2000) Cardiovascular response to sexual activity. Am J Cardiol, 86; 29.
• Steinke, E., Patterson-Midgley, P. (1995) Sexual counselling of MI patients by cardiac nurses. J Cardiovasc Nurs, 10(1): 81-87.
• Steinke, E., Patterson-Midgley, P. (1996) Sexual counseling following acute myocardial infarction. Clin Nurs Res, 5(4): 462-472.
• Taylor, C., Lillis, C., Lemone, P. (1989) Sexuality. Fundamentals of Nursing The Art and Science of Nursing Care. (1061-1098) London, JB. Lippincott Company.
• Taylor, C., Lillis, C., Lemone, P. (1993) Sexuality. In Fundamentals of Nursing The Art and Science of Nursing Care (1121-1162). Philadelphia, JB. Lippincott Company.
• Vrag, R., Bouilly, P., Frydman, D. (1985) Is importance an arterial disorder? Lancet, ; 181-184.
• Yeni, E., Ünal, D., Verit, A., ve ark. (2001) Evli hemşire grubunda kadın cinsel fonk- siyon indeksi ile cinsel fonksiyonların değerlendirilmesi. 4.Ulusal Androloji Kongresi, Ankara.
• Yıldız, H. (2003) Miyokard infarktüsünde cinsel fonksiyon bozukluğunun irdelen- mesi. Hemşirelik Forumu, 6(4):1-8.
• Zusman, R.M., Morales, A., Glasser, D.B., et al. (1999) Overall cardiovascular profile of sildenafil citrate. Am J Cardiol, 83 (5A); 35-44.