Sexual counseling to patients with myocardial infarction: Nurses' performance, responsibility and confidence
-
Tayyebeh Gazestani
,
Parvin Mangolian Shahrbabaki
,
Roghayeh Mehdipour Rabori
,
Mansooreh Azzizadeh Forouzi
Abstract
Background & Aim: One of the main concerns in patients with myocardial infarction is that there is no return to sexual activities. Sexual counseling is an interaction between patient and nurse that requires appropriate performance, responsibility, and confidence. The present study aimed to determine nurses' performance, responsibility, and confidence in sexual counseling of myocardial infarction patients.
Methods & Materials: This descriptive/analytical cross-sectional study was carried out on 180 nurses from the cardiac care unit (CCU) at the hospitals located in southeastern Iran in 2018. Sampling was performed with the census method; and the data collection tool was a demographic information form and questionnaire, involving nurses' performance, responsibility, and confidence in sexual counseling of cardiac patients. Information was analyzed using SPSS software (ver.18) through descriptive and inferential statistics, including t-test, ANOVA, and Pearson correlation coefficient. The significance level was considered as 0.05.
Results: The mean of total performance scores in the nurses was 14.54 ± 4.4, indicating the average performance of nurses in the sexual counseling of myocardial infarction patients. The total mean score of responsibility was 14.32±2.7, indicating their average responsibility in sexual consultation. The total mean score of confidence was 12.86±2.35, indicating their average confidence in the sexual counseling of cardiac patients.
Conclusion: The present research showed that nurses’ performance and confidence were not high or acceptable in the sexual counseling of patients with a myocardial infarction, which can lead to some dangerous events such as recurrent myocardial infarction or sudden death. Thus, holding some workshops or training related to the sexual counseling of the patients can assist nurses to be better in this case.
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11. Shafiepour V, Shafiepour L. The educational needs at time of hospital discharge of men and women who have myocardial infarction. Journal of Gorgan University of Medical Sciences. 2008;9(4):66-71.
12. Ozdemir L, Akdemir N. Nurses' knowledge and practice involving patients' resuming sexual activity following myocardial infarction: implications for training. Australian Journal of Advanced Nursing, The. 2008;26(1):42.
13. Steinke EE, Jaarsma T, Barnason SA, Byrne M, Doherty S, Dougherty CM, et al. Sexual counseling for individuals with cardiovascular disease and their partners: a consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Circulation. 2013;128(18):2075-96.
14. Araújo CGSd, Stein R, Sardinha A. Sexual Counselling in Cardiac Rehabilitation: An Urgent Need for More Consideration and Study. Canadian Journal of Cardiology. 2018;34(12):1546-8.
15. Goossens E, Norekvål TM, Faerch J, Hody L, Olsen SS, Darmer MR, et al. Sexual counselling of cardiac patients in Europe: culture matters. International journal of clinical practice. 2011;65(10):1092-9.
16. Jaarsma T, Steinke EE. Sexual counseling of the cardiac patient. Cardiovascular prevention and rehabilitation: Springer; 2007. p. 330-7.
17. Babaei M, Mohammad Khan Kermanshahi S, Alhani F. Influence of discharge planning on anxiety levels in patients with myocardial infarction. Koomesh. 2011;12(3):272-8.
18. Jaarsma T, Stromberg A, Fridlund B, De Geest S, Martensson J, Moons P, et al. Sexual counselling of cardiac patients: nurses' perception of practice, responsibility and confidence. European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology. 2010;9(1):24-9.
19. Beikzad J, Hoseinpour A, Hejazi Bavil M. A Survey on the Relationship between Responsibility and Job Satisfaction of Nurses working in Teaching Hospitals Affiliated with Tabriz University of Medical Sciences. Hospital. 2014;13(1):53-60.
20. Haavardsholm I, Naden D. The concept of confidence - the nurse's perception. Eur J Cancer Care (Engl). 2009;18(5):483-91.
21. Hoekstra T, Lesman-Leegte I, Couperus MF, Sanderman R, Jaarsma T. What keeps nurses from the sexual counseling of patients with heart failure? Heart & lung : the journal of critical care. 2012;41(5):492-9.
22. Tirgari B, Rafati F, Mehdipour Rabori R. Effect of Sexual Rehabilitation Program on Anxiety, Stress, Depression and Sexual Function among Men with Coronary Artery Disease. Journal of sex & marital therapy. 2019(just-accepted):1-15.
23. Dastyar N, Sarasiyabi AS, Moharer GS, Navidian A. Effect of Group Assertiveness-Based Sexual Counseling on Marital Satisfaction among Female University Students. Journal of Clinical & Diagnostic Research. 2018 Jun 1;12(6).
24. Steinke EE, Patterson-Midgley P. Sexual counseling of MI patients: nurses' comfort, responsibility, and practice. Dimensions of critical care nursing: DCCN. 1996;15(4):216-23.
25. Digan J. Are the counselling skills nurses learn in training apparent in their everyday interactions with patients and carers?: The University of Manchester (United Kingdom); 2014.
26. Steinke EE, Jaarsma T. Sexual counseling and cardiovascular disease: practical approaches. Asian journal of andrology. 2015;17(1):32.
27. Vassiliadou A, Stamatopoulou E, Triantafyllou G, Gerodimou E, Toulia G, Pistolas D. THE ROLE OF NURSES IN THE SEXUAL COUNSELING OF PATIENTS AFTER MYOCARDIAL INFARCTION. Health science journal. 2008 Apr 1;2(2).
28. Lunelli RP, Rabello ER, Stein R, Goldmeier S, Moraes MA. Sexual activity after myocardial infarction: taboo or lack of knowledge? Arquivos brasileiros de cardiologia. 2008;90(3):172-6.
29. Byrne M, Doherty S, McGee HM, Murphy AW. General practitioner views about discussing sexual issues with patients with coronary heart disease: a national survey in Ireland. BMC family practice. 2010;11(1):40.
30. Steinke EE, Mosack V, Barnason S, Wright DW. Progress in sexual counseling by cardiac nurses, 1994 to 2009. Heart & Lung: The Journal of Acute and Critical Care. 2011;40(3):e15-e24.
31. Kolbe N, Kugler C, Schnepp W, Jaarsma T. Sexual counseling in patients with heart failure: a silent phenomenon results from a convergent parallel mixed method study. Journal of Cardiovascular Nursing. 2016;31(1):53-61.
32. Saunamäki N, Andersson M, Engström M. Discussing sexuality with patients: nurses’ attitudes and beliefs. Journal of advanced nursing. 2010;66(6):1308-16.
33. Afiyanti Y. Attitudes, Belief, and Barriers of Indonesian Oncology Nurses on Providing Assistance to Overcome Sexuality Problem. Nurse Media Journal of Nursing. 2017 Dec 1;7(1):15-23.
34. Sil Lee J, Kwang Yoo E. Education Needs of Nurses Regarding Sexuality of the Elderly and the Influencing Factors2016. 163-70 p.
35. Purabuli B, Mohammad Alizadeh S, Azizzade Foruzi M. Knowledge and attitude of nurses towards sexual activity and training patients with myocardial infarction and their spouses. Crit Care Nurs J. 2009;2(4):e82.
2. Farzadmehr M, Khoshknab MF, Hosseini MA, Khankeh HR. The Effect of Nursing Consultation on Anxiety and Satisfaction of Patient's Families at the Cardiac Surgical Intensive Care Unit. Iranian Journal of Psychiatric Nursing. 2016. Jun; 4(2):57-63.
3. Raufi S, Yaghmaei F, Mohajeri S, Naderlou M, Nasseryan J. Perceptions of MI patients from influential factor on quality of life:A qualitative study. Journal of Health Promotion Management. 2015;4(4):95-103.
4. Benjamin EJ, Muntner P, Bittencourt MS. Heart disease and stroke statistics-2019 update: a report from the American Heart Association. Circulation. 2019;139(10):e56-28.
5. Organization WH. The top 10 causes of death World Health Organization. Diakses dari http://www.who.int/en/news-room/factsheets/detail/the-top-10 …; 2017.
6. Einollahi N, Haghshenas E, Allami AH, Nikvand F. Review of biochemical biomarkers in cardiovascular diseases. Laboratory & Diagnosis. 2019;10(42):49-57.
7. Rahimi Bashar F, Vahedian-Azimi A, Salesi M, Hosseini SM. The Effect of Progressive Muscle Relaxation on the Outcomes of Myocardial Infarction: Review Study. Journal of Military Medicine. 2017;19(4):326-35.
8. Sadeghi M, Haghdoost AA, Bahrampour A, Dehghani M. Modeling the Burden of Cardiovascular Diseases in Iran from 2005 to 2025: The Impact of Demographic Changes. Iranian journal of public health. 2017;46(4):506-16.
9. Aydin S, Ugur K, Aydin S, Sahin İ, Yardim M. Biomarkers in acute myocardial infarction: current perspectives. Vascular health and risk management. 2019;15:1.
10. Niakan M, Paryad E, Shekholeslam F, Kazemnezhad Leili E, Assadian Rad M, Bonakdar HR, et al. Self Care Behaviors in Patients after Myocardial Infarction. Journal of Holistic Nursing and Midwifery. 2013;23(2):63-70.
11. Shafiepour V, Shafiepour L. The educational needs at time of hospital discharge of men and women who have myocardial infarction. Journal of Gorgan University of Medical Sciences. 2008;9(4):66-71.
12. Ozdemir L, Akdemir N. Nurses' knowledge and practice involving patients' resuming sexual activity following myocardial infarction: implications for training. Australian Journal of Advanced Nursing, The. 2008;26(1):42.
13. Steinke EE, Jaarsma T, Barnason SA, Byrne M, Doherty S, Dougherty CM, et al. Sexual counseling for individuals with cardiovascular disease and their partners: a consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Circulation. 2013;128(18):2075-96.
14. Araújo CGSd, Stein R, Sardinha A. Sexual Counselling in Cardiac Rehabilitation: An Urgent Need for More Consideration and Study. Canadian Journal of Cardiology. 2018;34(12):1546-8.
15. Goossens E, Norekvål TM, Faerch J, Hody L, Olsen SS, Darmer MR, et al. Sexual counselling of cardiac patients in Europe: culture matters. International journal of clinical practice. 2011;65(10):1092-9.
16. Jaarsma T, Steinke EE. Sexual counseling of the cardiac patient. Cardiovascular prevention and rehabilitation: Springer; 2007. p. 330-7.
17. Babaei M, Mohammad Khan Kermanshahi S, Alhani F. Influence of discharge planning on anxiety levels in patients with myocardial infarction. Koomesh. 2011;12(3):272-8.
18. Jaarsma T, Stromberg A, Fridlund B, De Geest S, Martensson J, Moons P, et al. Sexual counselling of cardiac patients: nurses' perception of practice, responsibility and confidence. European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology. 2010;9(1):24-9.
19. Beikzad J, Hoseinpour A, Hejazi Bavil M. A Survey on the Relationship between Responsibility and Job Satisfaction of Nurses working in Teaching Hospitals Affiliated with Tabriz University of Medical Sciences. Hospital. 2014;13(1):53-60.
20. Haavardsholm I, Naden D. The concept of confidence - the nurse's perception. Eur J Cancer Care (Engl). 2009;18(5):483-91.
21. Hoekstra T, Lesman-Leegte I, Couperus MF, Sanderman R, Jaarsma T. What keeps nurses from the sexual counseling of patients with heart failure? Heart & lung : the journal of critical care. 2012;41(5):492-9.
22. Tirgari B, Rafati F, Mehdipour Rabori R. Effect of Sexual Rehabilitation Program on Anxiety, Stress, Depression and Sexual Function among Men with Coronary Artery Disease. Journal of sex & marital therapy. 2019(just-accepted):1-15.
23. Dastyar N, Sarasiyabi AS, Moharer GS, Navidian A. Effect of Group Assertiveness-Based Sexual Counseling on Marital Satisfaction among Female University Students. Journal of Clinical & Diagnostic Research. 2018 Jun 1;12(6).
24. Steinke EE, Patterson-Midgley P. Sexual counseling of MI patients: nurses' comfort, responsibility, and practice. Dimensions of critical care nursing: DCCN. 1996;15(4):216-23.
25. Digan J. Are the counselling skills nurses learn in training apparent in their everyday interactions with patients and carers?: The University of Manchester (United Kingdom); 2014.
26. Steinke EE, Jaarsma T. Sexual counseling and cardiovascular disease: practical approaches. Asian journal of andrology. 2015;17(1):32.
27. Vassiliadou A, Stamatopoulou E, Triantafyllou G, Gerodimou E, Toulia G, Pistolas D. THE ROLE OF NURSES IN THE SEXUAL COUNSELING OF PATIENTS AFTER MYOCARDIAL INFARCTION. Health science journal. 2008 Apr 1;2(2).
28. Lunelli RP, Rabello ER, Stein R, Goldmeier S, Moraes MA. Sexual activity after myocardial infarction: taboo or lack of knowledge? Arquivos brasileiros de cardiologia. 2008;90(3):172-6.
29. Byrne M, Doherty S, McGee HM, Murphy AW. General practitioner views about discussing sexual issues with patients with coronary heart disease: a national survey in Ireland. BMC family practice. 2010;11(1):40.
30. Steinke EE, Mosack V, Barnason S, Wright DW. Progress in sexual counseling by cardiac nurses, 1994 to 2009. Heart & Lung: The Journal of Acute and Critical Care. 2011;40(3):e15-e24.
31. Kolbe N, Kugler C, Schnepp W, Jaarsma T. Sexual counseling in patients with heart failure: a silent phenomenon results from a convergent parallel mixed method study. Journal of Cardiovascular Nursing. 2016;31(1):53-61.
32. Saunamäki N, Andersson M, Engström M. Discussing sexuality with patients: nurses’ attitudes and beliefs. Journal of advanced nursing. 2010;66(6):1308-16.
33. Afiyanti Y. Attitudes, Belief, and Barriers of Indonesian Oncology Nurses on Providing Assistance to Overcome Sexuality Problem. Nurse Media Journal of Nursing. 2017 Dec 1;7(1):15-23.
34. Sil Lee J, Kwang Yoo E. Education Needs of Nurses Regarding Sexuality of the Elderly and the Influencing Factors2016. 163-70 p.
35. Purabuli B, Mohammad Alizadeh S, Azizzade Foruzi M. Knowledge and attitude of nurses towards sexual activity and training patients with myocardial infarction and their spouses. Crit Care Nurs J. 2009;2(4):e82.
| Files | ||
| Issue | Vol 6 No 4 (2019): Autumn | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/npt.v6i4.1943 | |
| Keywords | ||
| nurses responsibility confidence myocardial infarction sexual counseling | ||
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How to Cite
1.
Gazestani T, Mangolian Shahrbabaki P, Mehdipour Rabori R, Forouzi M. Sexual counseling to patients with myocardial infarction: Nurses’ performance, responsibility and confidence. NPT. 2019;6(4):212-222.
