Lim Seung-Kyu, Sim Doo Sun, Han Jae-Young
Department of Rehabilitation Medicine, Presbyterian Medical Center (Jesus Hospital), Jeonju, Korea.
Department of Cardiovascular Medicine, Heart Research Center, Chonnam National University Medical School & Hospital, Gwangju City, Korea.
J Clin Nurs. 2016 Oct;25(19-20):2827-34. doi: 10.1111/jocn.13324. Epub 2016 Jul 25.
The aim of the study was to assess the prognostic factors of short-term sexual recovery in patients with acute myocardial infarction after phase II cardiac rehabilitation for six weeks.
It is often observed that patients who have suffered acute myocardial infarction and have sufficient aerobic capacity for sexual activity do not recover sexual activity. Until now, few studies have investigated factors associated with recovery of sexual activity.
Observational study.
Among 627 male patients with acute myocardial infarction who were referred for cardiac rehabilitation from October 2010-September 2014, 72 were finally analysed. Subjects who met all the following criteria were included: (1) completed a questionnaire about sexual activity before and after phase II cardiac rehabilitation; (2) showed usual sexual activity before onset of acute myocardial infarction and (3) revealed decreased sexual activity at baseline of cardiac rehabilitation compared to preacute myocardial infarction status despite ≥5 maximal metabolic equivalents. Information on sociodemographic characteristics and cardiopulmonary function obtained before cardiac rehabilitation was used for the analysis.
(1) Twenty-five of the 72 subjects (34·7%) had improved sexual activity after six weeks of cardiac rehabilitation, but 47 (65·3%) continued the status of no-recovery sexual activity after cardiac rehabilitation. (2) Age, body mass index and use of statins were significantly different between subjects who recovered and those who did not. (3) No differences in other clinical characteristics and cardiopulmonary functions were detected between the two groups. (4) Age and body mass index were significant factors associated with recovery of sexual activity.
Age and body mass index were significant factors associated with recovery of sexual activity in acute myocardial infarction patients. Aerobic capacity at baseline of cardiac rehabilitation was not an independent factor to predict the recovery of sexual activity.
These results should be considered when educating patients under phase II cardiac rehabilitation on their return to normal sexual activity.
本研究旨在评估急性心肌梗死患者在接受为期六周的二期心脏康复治疗后短期性功能恢复的预后因素。
经常观察到，患有急性心肌梗死且有足够有氧能力进行性活动的患者并未恢复性活动。到目前为止，很少有研究调查与性活动恢复相关的因素。
观察性研究。
在2010年10月至2014年9月被转诊接受心脏康复治疗的627例男性急性心肌梗死患者中，最终分析了72例。纳入符合以下所有标准的受试者：（1）完成了一份关于二期心脏康复前后性活动的问卷；（2）在急性心肌梗死发病前有正常性活动；（3）尽管最大代谢当量≥5，但与急性心肌梗死前状态相比，在心脏康复基线时性活动减少。分析使用心脏康复前获得的社会人口学特征和心肺功能信息。
（1）72例受试者中有25例（34.7%）在心脏康复六周后性活动有所改善，但47例（65.3%）在心脏康复后仍处于性活动未恢复状态。（2）恢复性活动的受试者与未恢复性活动的受试者在年龄、体重指数和他汀类药物使用方面存在显著差异。（3）两组在其他临床特征和心肺功能方面未检测到差异。（4）年龄和体重指数是与性活动恢复相关的重要因素。
年龄和体重指数是急性心肌梗死患者性活动恢复的重要相关因素。心脏康复基线时的有氧能力不是预测性活动恢复的独立因素。
在对接受二期心脏康复治疗的患者进行恢复正常性活动的教育时，应考虑这些结果。
