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Opinions of Individuals Who have had Myocardial Infarction About Sex

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Abstract

This study was conducted as a descriptive and qualitative research to understand the opinions of individuals who have had myocardial infarction about sex, the impact of the disease on their sexual lives and their counseling needs. The study included 200 patients registered in a cardiology department of a university hospital while the study population consisted of 32 patients meeting the eligibility criteria of the study. The qualitative data of the study were collected by addressing a total of 12 questions in the Individual In-depth Interview to the study population. Semi-structured interviews were utilized to explore sexuality. In data analysis stage, digital voice records were transcribed first, then these transcripts were combined with observation notes and the raw data were processed for content analysis. As a result of the content analysis, 10 themes were formed: “Sex Is Everything”, “Sex Is Private and It Cannot be Talked About”, “Heart Disease Has a Negative Impact on Sexual Life”, “Age Matters in Sex”, “Sexual Activity Is Beneficial to the Heart”, “Fear of Having a Heart Attack during Sexual Activity”, “Spouses (Female) Lacking Sexual Appetite”, “Sex Is the Expression of Strength,” “Turkish Women Don’t Refuse to Have Sex with Their Husbands” and “Health Personnel Don’t Talk with Patients about Sex”. According to the findings from this study, the patients who had myocardial infarction stated that sex was a basic need and their sexual lives were affected negatively due to the fear of having a heart attack but they could not talk about their sexual problems with health professionals. It is recommended that patients be provided with settings where they can comfortably express their sexual problems, their sexual functions be assessed and considered in patient care planning and sessions about protection of sexual health be covered more during patient education.

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References

  1. Boztosun, B., Olcay, A., Değertekin, M.: Sexual activity and cardiovascular risk. Anatol. J. Cardiol. 7, 423–426 (2007)

    Google Scholar 

  2. Mandras, S.A., Uber, P.A., Mehra, M.R.: Sexual activity and chronic heart failure. Mayo Clin. Proc. 82, 1203–1210 (2007)

    Article  PubMed  Google Scholar 

  3. Lunelli, R.P., Rabello, E.R., Stein, R., Goldmeier, S., Moraes, M.A.: Sexual activity after myocardial infarction: taboo or lack of knowledge? Arq. Bras. Cardiol. 90, 156–159 (2008)

    Article  PubMed  Google Scholar 

  4. Tepper, M.S.: Letting go of restrictive notions of manhood: male sexuality, disability and chronic illness. Sex. Disabil. 17, 37–52 (1999)

    Article  Google Scholar 

  5. Yıldız, H., Pınar, R.: Sexual dysfunction in myocardial infarction patients. Anatol. J. Cardiol 4, 309–317 (2004)

    Google Scholar 

  6. Yılmaz, M.: Opinions of unmarried patients receiving peritoneal dialysis treatment about sexuality. Sex. Disabil. 28, 1–10 (2010)

    Article  Google Scholar 

  7. Muller, J.E., Mittleman, M.A., Maclure, M., Sherwood, J.B., Tofler, G.H.: Triggering myocardial infarction by sexual activity. Low absolute risk and preventing by regular physical exertion. Determinants of myocardial infarction onset study investigators. JAMA. 275, 1405–1409 (1996)

    Article  PubMed  Google Scholar 

  8. Muller, J.E.: Sexual activity as a trigger for cardiovascular events: what is the risk? Am. J. Cardiol. 84, 2N–5N (1999)

    Article  PubMed  Google Scholar 

  9. Kazemi-Saleh, D., Pishqou, B., Assari, S., Tavallaii, S.A.: Fear of sexual intercourse in patients with coronary artery disease: a pilot study of associated morbidity. J. Sex Med. 4, 1619–1625 (2007)

    Article  PubMed  Google Scholar 

  10. Boone, T., Kelley, R.: Sexual issues and research in counseling the post-myocardial infarction patient. J. Cardiovasc. Nurs. 4, 65–75 (1990)

    PubMed  Google Scholar 

  11. Ivarsson, B., Fridlund, B., Sjöberg, T.: Information from health care professionals about sexual function and coexistence after myocardial infarction: a Swedish national survey. Heart Lung 38, 330–335 (2009)

    Article  PubMed  Google Scholar 

  12. Timmins, F., Kaliszer, M.: Information needs of myocardial infarction patients. Eur. J. Cardiovasc. Nurs. 2, 57–65 (2003)

    Article  PubMed  Google Scholar 

  13. Evada, M., Atwa, M.: Sexual function in female patients with unstable angina or non-ST-elevation myocardial infarction. J. Sex. Med. 4, 1373–1380 (2007)

    Article  Google Scholar 

  14. Mosack, V., Steinke, E.E.: Trends in sexual concerns after myocardial infarction. J. Cardiovasc. Nurs. 24, 162–170 (2009)

    Article  PubMed  Google Scholar 

  15. Kartal, Ö., Tatlı, E., İnal, V., Yamanel, L.: Sexual activity in cardiac patients. Anatol. J. Cardiol. 6, 264–269 (2006)

    Google Scholar 

  16. Katz, A.: Sexuality and myocardial infarction: when it’s safe to try again. AJN. 107, 49–52 (2007)

    Article  PubMed  Google Scholar 

  17. Johnson, B.K.: Sexuality and heart disease: implications for nursing. Geriatr. Nurs. 25, 224–226 (2004)

    Article  PubMed  Google Scholar 

  18. Stein, R.A.: Cardiovascular response to sexual activity. Am. J. Cardiol. 86, 27–29 (2000)

    Article  Google Scholar 

  19. Roose, S.P., Seidman, S.N.: Sexual activity and cardiac risk: is depression a contributing factor? Am. J. Cardiol. 8, 38–40 (2000)

    Article  Google Scholar 

  20. Streubert, H.J., Carpenter, D.R.: Qualitative Research in Nursing Advancing the Humanistic Imperative, 2nd edn. Lippincott, Philadelphia, New York, Baltimore (1999)

    Google Scholar 

  21. Kümbetoğlu, B.: Qualitative Method and Research in Sociology and Anthropology. Bağlam Publishing, İstanbul (2005)

    Google Scholar 

  22. Heiman, J.R., Long, J.S., Smith, S.N., Fisher, W.A., Sand, M.S., Rosen, R.C.: Sexual satisfaction and relationship happiness in midlife and older couples in five countries. Arch. Sex. Behav. 26, 741–753 (2011)

    Article  Google Scholar 

  23. Yılmaz, M., Özaltın, G.: The sexual behaviors of patients receiving peritoneal dialysis treatment. Sex. Disabil. 29, 21–32 (2011)

    Article  Google Scholar 

  24. Cebeci, F., Yangın, H.B., Tekeli, A.: Determination of changes in the sexual lives of young women receiving breast cancer treatment: a qualitative study. Sex. Disabil. 28, 1–10 (2010)

    Article  Google Scholar 

  25. Magnan, M.A., Reynolds, K.: Barriers to addressing patient sexuality concerns across five areas of specialization. Clin. Nurse Spec. 20, 285–292 (2006)

    Article  PubMed  Google Scholar 

  26. Steinke, E., Swan, J.: Effectiveness of a videotape for sexual counseling after myocardial infarction. Res. Nurs. Health 27, 269–280 (2004)

    Article  PubMed  Google Scholar 

  27. Moons, P., Deyk, K.V., Marquet, K., Bleser, L.D., Budts, W., Geest, S.D.: Sexual functioning and congenital heart disease: something to worry about? Int. J. Cardiol. 121, 30–35 (2007)

    Article  PubMed  Google Scholar 

  28. Yuval, R., Halon, D.A., Lewis, B.S.: Perceived disability and lifestyle modification following hospitalization for non-ST elevation versus ST elevation acute coronary syndromes: the patients’ point of view. Eur. J. Cardiovasc. Nurs. 6, 287–292 (2007)

    Article  PubMed  Google Scholar 

  29. Klein, R., Bar-on, E., Klein, J., Benbenishty, R.: The impact of sexual therapy on patients after cardiac events participating in a cardiac rehabilitation program. Eur. J. Cardiovasc. Prev. Rehabil. 14, 672–678 (2007)

    Article  PubMed  Google Scholar 

  30. Persson, G.: Five-year mortality in a 70-year old urban population in relation to psychiatric diagnosis, personality, sexuality and early parental death. Acta Psychiatr. Scand. 64, 244–253 (1981)

    Article  PubMed  Google Scholar 

  31. Smith, G.D., Frankel, S., Yarnell, J.: Sex and death: are they related? Findings from the caerphilly cohort study. BMJ 315, 1641–1644 (1997)

    Google Scholar 

  32. Stewart, M., Davidson, K., Meade, D., Hirth, A., Makrides, L.: Myocardial infarction: survivors’ and spouses’ stress, coping, and support. J. Adv. Nurs. 31, 1351–1360 (2000)

    Article  PubMed  Google Scholar 

  33. Kettunen, S., Solovieva, S., Laamanen, R., Santavirta, N.: Myocardial infarction, spouses’ reactions and their need of support. J. Adv. Nurs. 30(2), 479–488 (1999)

    Article  PubMed  Google Scholar 

  34. Jaarsma, T., Steinke, E.E., Gianotten, W.L.: Sexual problems in cardiac patients how to assess, when to refer. J. Cardiovasc. Nurs. 25, 159–164 (2010)

    PubMed  Google Scholar 

  35. Clayton, A.H., Hamilton, D.V.: Female sexual dysfunction. Obstet. Gynecol. Clin. North Am. 36(4), 861–876 (2009)

    Article  PubMed  Google Scholar 

  36. Romanelli, F., Sansone, A., Lenzi, A.: Erectile dysfunction in aging male. Acta Biomed. 81(Suppl), 89–94 (2010)

    PubMed  Google Scholar 

  37. Öztürk, O., Uluşahin, A.: Sexual harmony problems. In: Öztürk, O. (ed.) Mental health and disorders, 11th ed, pp. 333–346. Ankara: Hekimler Yayın Birliği Publishing (2008)

  38. Rushford, N., Murphy, B.M., Worcester, M.U., Goble, A.J., Higgins, R.O., Le Grande, M.R., Rada, J., Elliott, P.C.: Recall of information received in hospital by female cardiac patients. Eur. J. Cardiovasc. Prev. Rehabil. 14, 463–469 (2007)

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Mersin University Health High School, Mersin, Turkey

    Meral Altıok & Mualla Yılmaz

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  1. Meral Altıok
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  2. Mualla Yılmaz
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Correspondence to Mualla Yılmaz.

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Altıok, M., Yılmaz, M. Opinions of Individuals Who have had Myocardial Infarction About Sex. Sex Disabil 29, 263–273 (2011). https://doi.org/10.1007/s11195-011-9217-5

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  • DOI: https://doi.org/10.1007/s11195-011-9217-5

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