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心梗后社会认知性行为咨询干预的开发和初步测试。

A social-cognitive sexual counseling intervention post-MI-development and pilot testing.

机构信息

School of Nursing, Wichita State University, Wichita, Kansas, USA.

出版信息

Perspect Psychiatr Care. 2013 Jul;49(3):162-70. doi: 10.1111/j.1744-6163.2012.00345.x. Epub 2012 Jul 12.

DOI:10.1111/j.1744-6163.2012.00345.x
PMID:23819666
Abstract

PURPOSE

Individuals experiencing myocardial infarction (MI) report anxiety, depression, diminished quality of life (QOL), and reduced sexual activity.

DESIGN AND METHODS

We examined return to sexual activity post-MI, and pilot tested a comprehensive sexual counseling intervention based on social-cognitive theory. The intervention in this pretest/posttest preexperimental study used an informational video, newsletters, and telephone counseling, with cardiac patients (N = 10) and partners (N = 3). Measures included QOL; knowledge; sexual anxiety, depression, self-efficacy, and satisfaction.

FINDINGS

At 8 weeks, only 60% had returned to sexual activity, with low QOL and sexual satisfaction for patients and partners.

PRACTICE IMPLICATIONS

Supportive interventions by nurses are needed to assist MI patients and partners return to sexual activity.

摘要

目的

心肌梗死(MI)患者会出现焦虑、抑郁、生活质量下降和性生活减少等问题。

设计和方法

我们研究了 MI 后患者恢复性生活的情况,并根据社会认知理论,对一种全面的性咨询干预措施进行了试点测试。该干预措施是一项预试验/后试验的预实验研究,使用信息视频、通讯和电话咨询,共涉及 10 名患者和 3 名伴侣。评估指标包括生活质量、知识、性焦虑、抑郁、自我效能和满意度。

结果

8 周后,只有 60%的患者恢复了性生活,患者和伴侣的生活质量和性满意度都较低。

实践意义

需要护士提供支持性干预措施,以帮助 MI 患者及其伴侣恢复性生活。

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