Steinke Elaine E, Wright David W
School of Nursing, Wichita State University, 1845 Fairmount, Wichita, Kansas, 67260-0041, USA.
Eur J Cardiovasc Nurs. 2006 Sep;5(3):190-6. doi: 10.1016/j.ejcnurse.2005.12.002. Epub 2006 Jan 26.
Anxiety is common after myocardial infarction (MI); however, little is known about the role of sexual satisfaction and return to sexual activity on anxiety post-MI.
To examine the role of sexual satisfaction in reducing anxiety post-MI.
Patients with acute myocardial infarction (MI) recruited from one U.S. medical center completed questionnaires at baseline while hospitalized and at 1, 3, and 5 months post-MI. This analysis includes 64 patients compared on low or high anxiety at 5 months post-MI using sexual satisfaction and selected demographic and clinical variables in the analysis.
Patients with high anxiety scores reported lower sexual satisfaction (p < .001) and a higher percentage of coronary risk factors (p < .01). The OLS regression model provided similar results with an adjusted R-square of .422, accounting for approximately 42% of anxiety (p < .001). Sexual satisfaction accounted for the most variance in the model, showing an inverse relationship between sexual satisfaction and anxiety. An inverse relationship also existed between age and anxiety.
Anxiety is common after MI, and decreased sexual satisfaction appears to contribute to heightened anxiety. Attention to sexual concerns of MI patients before and after hospital discharge may improve psychosocial outcomes.
心肌梗死（MI）后焦虑很常见；然而，关于性满意度和恢复性活动在心肌梗死后焦虑中的作用知之甚少。
探讨性满意度在降低心肌梗死后焦虑中的作用。
从美国一家医疗中心招募的急性心肌梗死（MI）患者在住院基线时以及心肌梗死后1、3和5个月完成问卷调查。该分析包括64例患者，在心肌梗死后5个月时根据性满意度以及分析中选定的人口统计学和临床变量，比较其焦虑程度的高低。
焦虑评分高的患者报告性满意度较低（p < .001），冠状动脉危险因素的比例较高（p < .01）。OLS回归模型得出了类似的结果，调整后的R平方为.422，约占焦虑因素的42%（p < .001）。性满意度在模型中占最大方差，显示出性满意度与焦虑之间存在负相关关系。年龄与焦虑之间也存在负相关关系。
心肌梗死后焦虑很常见，性满意度降低似乎会导致焦虑加剧。关注心肌梗死患者出院前后的性问题可能会改善心理社会结局。
