Voils Corrine I, Sandelowski Margarete, Dahm Philipp, Blouin Rachel, Bosworth Hayden B, Oddone Eugene Z, Steinhauser Karen E
Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA;
Patient Prefer Adherence. 2008 Feb 2;2:201-6. doi: 10.2147/ppa.s3796.
To describe hypertensive patients' experiences with sexual side effects and their consequences for antihypertensive medication adherence.
Data were from a study conducted to identify facilitators of and barriers to adherence to blood pressure-lowering regimens. Participants were 38 married and unmarried veterans with a diagnosis of hypertension and 13 female spouses. Eight patient and four spouse focus groups were conducted. A directed approach to content analysis was used to determine the facilitators of and barriers to adherence. For this report, all discussion concerning the topic of sexual relations was extracted.
Male patients viewed sexual intercourse as a high priority and felt that a lack of sexual intercourse was unnatural. They pursued strategies to preserve their potency, including discontinuing or selectively adhering to their medications and obtaining treatments for impotence. In contrast, spouses felt that sexual intercourse was a low priority and that a lack of sexual intercourse was natural. They discouraged their husbands from seeking treatments for impotence.
Although the primary study was not designed to explore issues of sexual function, the issue emerged spontaneously in the majority of discussions, indicating that sexuality is important in this context for both male patients and their spouses. Physicians should address sexual side effects of antihypertensive medications with patients, ideally involving spouses.
描述高血压患者的性功能副作用经历及其对降压药物依从性的影响。
数据来自一项旨在确定降压治疗方案依从性促进因素和障碍的研究。参与者包括38名患有高血压的已婚和未婚退伍军人以及13名女性配偶。开展了8个患者焦点小组和4个配偶焦点小组。采用定向内容分析法确定依从性的促进因素和障碍。本报告提取了所有关于性关系主题的讨论。
男性患者将性交视为高度优先事项，并认为缺乏性交是不自然的。他们采取策略来维持性功能，包括停药或选择性服药以及寻求阳痿治疗。相比之下，配偶则认为性交并非优先事项，且缺乏性交是自然的。他们劝阻丈夫寻求阳痿治疗。
尽管原研究并非旨在探讨性功能问题，但该问题在大多数讨论中自发出现，表明在这种情况下，性功能对男性患者及其配偶都很重要。医生应与患者讨论降压药物的性功能副作用，最好让配偶参与。
