Nursing Research Center, School of Nursing And Midwifery, Kerman University of Medical Sciences , Kerman , Iran.
Nursing Research Center, School of Nursing and Midwifery, Kerman University of Medical Sciences , Kerman , Iran.
J Sex Marital Ther. 2019;45(7):632-642. doi: 10.1080/0092623X.2019.1599091. Epub 2019 Jul 10.
Patients with coronary artery disease suffer from diminished sexual activity leading to anxiety, stress, and depression. Sexual rehabilitation is the key to the care and treatment process of such patients. The present study aimed to examine the effect of sexual rehabilitation program on anxiety, stress, depression and sexual function in men with coronary artery disease. This was a clinical trial study conducted on 80 male patients suffering from coronary artery disease referred to CCU (Coronary Care Unit) wards in Kerman, Iran. Sample was randomly assigned into two intervention and control groups. The intervention consisted of the sexual rehabilitation program which included two components of education and exercise. Using IIEF (International Index of Erectile Function) and DASS21 (Depression, Anxiety, Stress Scale) anxiety, stress, depression and sexual function have been examined before and one-month after intervention in the two groups. The collected data were analyzed with SPSS version 19 (IBM, Armonk, New York), using descriptive and inferential statistics (such as Pearson correlation coefficient, independent t test, and analysis of variance). Result showed that the intervention group had significantly lower mean scores in anxiety, stress, depression and sexual function compared to the control group ( < 0.0001). According to the results, sexual rehabilitation reduced anxiety, stress, and depression and improved sexual function among men with coronary artery disease. Therefore, it is recommended sexual rehabilitation be an integral part of cardiac rehabilitation.
冠心病患者的性活动减少,导致焦虑、压力和抑郁。性康复是这类患者护理和治疗过程的关键。本研究旨在探讨性康复计划对冠心病男性患者焦虑、压力、抑郁和性功能的影响。这是一项在伊朗克尔曼 CCU(冠心病监护病房)病房就诊的 80 名冠心病男性患者中进行的临床试验研究。采用随机分组方法将样本分为两组:干预组和对照组。干预组包括性康复计划,包括教育和运动两个部分。采用 IIEF(国际勃起功能指数)和 DASS21(抑郁、焦虑、压力量表)在干预前和干预后一个月评估两组患者的焦虑、压力、抑郁和性功能。使用 SPSS 版本 19(IBM,纽约州阿蒙克)对收集的数据进行分析,采用描述性和推断性统计(如 Pearson 相关系数、独立 t 检验和方差分析)。结果显示,与对照组相比,干预组的焦虑、压力、抑郁和性功能评分均显著降低(<0.0001)。根据结果,性康复可以降低冠心病男性的焦虑、压力和抑郁,改善性功能。因此,建议将性康复作为心脏康复的一个组成部分。
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