Medina Mary, Walker Cynthia, Steinke Elaine E, Wright David W, Mosack Victoria, Farhoud Mohammad Hussam
Via Christi Regional Medical Center, Wichita, KS 67214, USA.
Prog Cardiovasc Nurs. 2009 Dec;24(4):141-8. doi: 10.1111/j.1751-7117.2009.00052.x.
Patients with heart failure (HF) face significant challenges in maintaining quality of life (QOL), particularly for sexual intimacy. Although recommended for all cardiac patients, it has been suggested that few HF patients receive sexual counseling. This study explored sexual counseling needs, sexual concerns, and sexual activity using a descriptive survey with HF patients (n = 45), recruited from a HF clinic or cardiology office. Most (77%) had not discussed sexual concerns with a health care professional (HCP). Sexual concerns that were rated as occurring 'occasionally/frequently' included partner overprotectiveness (63%), partner fear of sex (36%), lack of sexual interest (42%), erectile problems (74%), orgasmic difficulties (51%). Frequency of sexual intercourse before HF to present was striking, with 53% reporting no sexual activity in the last 2 months compared with 11% before diagnosis of HF. HCPs must provide sexual counseling to HF patients and partners to enhance QOL and to assist in any adaptations to sexual activity.
心力衰竭（HF）患者在维持生活质量（QOL）方面面临重大挑战，尤其是在性亲密方面。尽管建议对所有心脏病患者进行性咨询，但有研究表明，很少有HF患者接受性咨询。本研究通过对从HF诊所或心脏病科招募的45名HF患者进行描述性调查，探讨了性咨询需求、性方面的担忧和性活动情况。大多数患者（77%）未与医疗保健专业人员（HCP）讨论过性方面的担忧。被评为“偶尔/经常”出现的性方面担忧包括伴侣过度保护（63%）、伴侣对性行为的恐惧（36%）、缺乏性兴趣（42%）、勃起问题（74%）、性高潮困难（51%）。从HF发病前到目前的性交频率显著下降，53%的患者报告在过去2个月内没有性活动，而在HF诊断前这一比例为11%。HCP必须为HF患者及其伴侣提供性咨询，以提高生活质量，并协助他们对性活动进行任何调整。
