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            <front>

                <journal-meta>
                                                                <journal-id>egehfd</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Ege Üniversitesi Hemşirelik Fakültesi Dergisi</journal-title>
            </journal-title-group>
                            <issn pub-type="ppub">2147-3463</issn>
                                        <issn pub-type="epub">2667-6648</issn>
                                                                                            <publisher>
                    <publisher-name>Ege Üniversitesi</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id/>
                                                                                                                                                                                            <title-group>
                                                                                                                        <article-title>CİNSEL DİSFONKSİYONU OLAN KARDİYOVASKÜLER HASTALARIN BAKIMI</article-title>
                                                                                                                                                                                                <trans-title-group xml:lang="en">
                                    <trans-title>CARDIOVASCULAR PATIENT’S CARE WITH SEXUAL DISFUNCTION</trans-title>
                                </trans-title-group>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                <name>
                                    <surname>Yılmaz</surname>
                                    <given-names>Hicran</given-names>
                                </name>
                                                                    <aff>Marmara Üniversitesi Hemşirelik Yüksekokulu, İç Hastalıkları Hemşireliği Anabilim Dalı,  Üsküdar/İSTANBUL</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                <name>
                                    <surname>Pınar</surname>
                                    <given-names>Rukiye</given-names>
                                </name>
                                                                    <aff>Marmara Üniversitesi Hemşirelik Yüksekokulu, İç Hastalıkları Hemşireliği Anabilim Dalı,  Üsküdar/İSTANBUL</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20050101">
                    <day>01</day>
                    <month>01</month>
                    <year>2005</year>
                </pub-date>
                                        <volume>21</volume>
                                        <issue>2</issue>
                                        <fpage>135</fpage>
                                        <lpage>145</lpage>
                        
                        <history>
                                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2011, Ege Üniversitesi Hemşirelik Fakültesi Dergisi</copyright-statement>
                    <copyright-year>2011</copyright-year>
                    <copyright-holder>Ege Üniversitesi Hemşirelik Fakültesi Dergisi</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>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</p></abstract>
                                                                                                                                    <trans-abstract xml:lang="en">
                            <p>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</p></trans-abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>Kalp</kwd>
                                                    <kwd>  cinsel disfonksiyon</kwd>
                                                    <kwd>  hemşirelik bakımı</kwd>
                                            </kwd-group>
                                                        
                                                                            <kwd-group xml:lang="en">
                                                    <kwd>Heart</kwd>
                                                    <kwd>  sexual dysfunction</kwd>
                                                    <kwd>  nursing care</kwd>
                                            </kwd-group>
                                                                                                            </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">Akdolun, N., Terakye, G. (2001) Sexual problems before and after myocardial infarction. Rehabil Nurs, 26(4): 152-158.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">Craven, R.F., Hirnle, C.J. (2000) Sexuality and Reproduction. In Fundamentals of</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">Nursing: Human Health and Function (1322-1342). Philadelphia, Lippincott Company.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">DeBusk, R., Drory Y., Goldstein I., et al. (2000) Management of sexual dysfunction in patients with cardiovascular disease: recommendations of the Princeton Consensus</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">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.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">Friedman, S. (2000) Cardiac disease, anxiety and sexual functioning. Am J Cardiol, ; 46-50.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">Frolicher E.S., Kee L.L., Newton K.M., et al. (1994). Return to work, sexual activity and other activities after myocardial infarction. Heart &amp; Lung, 23(5): 423-435.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">Goldstein, I. (2000) The mutually reinforcing trial of depressive symptoms, cardiovas- cular disease and erectil dysfunction. Am J Cardiol, 86 (2A); 41-45.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">Greco S.B. (1996) Sexuality education and counseling. In S.P. Hoeman (Ed).</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">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.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">Hui-Meng, T. (1999) Erektil disfonksiyonun tanı ve tedavisinde kültürel sorunlar.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">Birinci Uluslar arası Erektil Disfonksiyon Konsültasyonu Satelit Sempozyumu, Paris. Ignatavicius, D.D., Workman, M.L., Misler, M.A. (1995) Human sexuality. In Medical</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">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.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">Jaarsma, T. (2002) Sexual problems in heart failure patients. Eur J Cardiovasc Nurs, ;61-67.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">Khan, M.G., Topol E., Aksena S., et al. (1996) Acute myocardial infarction. In J.W.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">Pine (Ed). Heart Disease: Diagnosis and Therapy, A Practical Approach (107-110) St. Louis, Williams &amp; Wilkins. Kimmel, S.E. (2000) Sex and miyocardial infarction: an epidemiologic perspective. Am J Cardiol, 86;10-13.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">Kloner, R.A. (2000) Cardiovascular risk and sildenafil. Am J Cardiol, 86; 57- 61.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">Kolman, P.B.R. (1984) Sexual dysfunction and post myocardial infarction patient. J Cardiac Rehab, 4; 334-340.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">Laumann, E.O., Paik, A., Rosen, R.C. (1999) Sexual dysfunction in the United States. JAMA, 281(6); 537-544.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">Levine, L.A., Kloner, R.A. (2000) Impotance of asking questions about erectile dysfunction. Am J Cardiol, 86(1); 1210-1213.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">Muller, J.E., Mittleman M.A., Maclure M., et al. (1996) Triggering myocardial infarction by sexual activity. JAMA, 275; 1405-1409.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">Onat, A. (2000) Kalp Damar Hastalıklarında Erektil Disfonksiyon Durum Raporu</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">Türk Kardiyoloji Derneği. Padma-Nadhan, H. (1999) Prevalance of sexual dysfunction, efficacy of theraphy. Rev Urol, 1(4); 203-204.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">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.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">Potter, P.A., Perry, A.G. (1993) Sexuality. In Fundamentals of Nursing. Concepts</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">Process &amp; 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.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">Stein, R. (1984) Sexual dysfunction and the patient with coronary heart disease. Arch Intern Med, 144; 1744.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">Stein, R.A. (2000) Cardiovascular response to sexual activity. Am J Cardiol, 86; 29.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">Steinke, E., Patterson-Midgley, P. (1995) Sexual counselling of MI patients by cardiac nurses. J Cardiovasc Nurs, 10(1): 81-87.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">Steinke, E., Patterson-Midgley, P. (1996) Sexual counseling following acute myocardial infarction. Clin Nurs Res, 5(4): 462-472.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">Taylor, C., Lillis, C., Lemone, P. (1989) Sexuality. Fundamentals of Nursing The Art and Science of Nursing Care. (1061-1098) London, JB. Lippincott Company.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">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.</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">Vrag, R., Bouilly, P., Frydman, D. (1985) Is importance an arterial disorder? Lancet, ; 181-184.</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">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.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">Yıldız, H. (2003) Miyokard infarktüsünde cinsel fonksiyon bozukluğunun irdelen- mesi. Hemşirelik Forumu, 6(4):1-8.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">Zusman, R.M., Morales, A., Glasser, D.B., et al. (1999) Overall cardiovascular profile of sildenafil citrate. Am J Cardiol, 83 (5A); 35-44.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
