Steinke Elaine E, Jaarsma Tiny
School of Nursing, Wichita State University, 1845 Fairmount, Wichita, Kansas, USA.
Asian J Androl. 2015 Jan-Feb;17(1):32-9. doi: 10.4103/1008-682X.135982.
Patients with cardiovascular disease and their partners expect health care providers to provide sexual counseling to assist them in maintaining sexual quality of life. Evidence suggests however, that there is a gap in integrating evidence into practice and that relatively few cardiac patients receive sexual counseling. This can result in negative psychological, physical, and quality of life outcomes for couples who may needlessly decide sexual activity is too risky and cease all sexual activity. Two scientific statements now exist that provide ample guidance to health care providers in discussing this important topic. Using a team approach that includes physicians, nurses, physical therapists, rehabilitation staff, and others is important to ensure that sexual counseling occurs throughout recovery. In addition, several trials using interventional approaches for sexual counseling provide insight into successful approaches for sexual counseling in practice. This article provides practical strategies and evidence-based approaches for assessment and sexual counseling for all cardiac patients and their partners, and specific counseling for those with ischemic conditions, heart failure, and implanted devices.
患有心血管疾病的患者及其伴侣期望医疗保健提供者提供性咨询，以帮助他们维持性生活质量。然而，有证据表明，在将证据应用于实践方面存在差距，相对较少的心脏病患者接受性咨询。这可能会给夫妻带来负面的心理、身体和生活质量后果，他们可能会不必要地认为性活动风险太大，从而停止所有性活动。目前有两份科学声明，为医疗保健提供者讨论这一重要话题提供了充分的指导。采用团队方法，包括医生、护士、物理治疗师、康复人员等，对于确保在整个康复过程中进行性咨询很重要。此外，一些使用性咨询干预方法的试验为实践中的性咨询成功方法提供了见解。本文为所有心脏病患者及其伴侣提供了评估和性咨询的实用策略和循证方法，以及针对患有缺血性疾病、心力衰竭和植入装置患者的具体咨询。
