Department of Public Health and Primary Care, Ghent University, 9000 Ghent, Belgium.
Department of Cardiovascular Sciences, Sapienza University of Rome, 00185 Rome, Italy.
Int J Environ Res Public Health. 2019 May 5;16(9):1570. doi: 10.3390/ijerph16091570.
(1) : the main objective of this study was to investigate information needs concerning sexual activity and experienced sexual problems in heart failure (HF) patients and, in addition, to examine the association between these sexual problems and health-related quality of life (HRQoL); (2) : in this cross-sectional study, three self-administered questionnaires were distributed to 77 stable ambulatory HF patients to acquire data on HRQoL, sexual problems, and need for counselling; (3) : More than half (56.7%) of HF patients experienced a marked decrease or total cessation of sexual activity due to their illness. Additionally, more than one-third perceived a marked decrease or total absence of sexual pleasure (42.5%), interest (32.9%), and constant problems or being unable to perform sexual activity (37.3%). Furthermore, 43.1% of patients experienced an important overall need for counselling concerning sexual activity, with information on relationships (69.2%), symptoms (58.5%), and relaxation (49.2%) being the most desired topics. Multiple linear regression analysis revealed that sexual problems were independently associated with HRQoL, with more sexual problems ( = 3.19, < 0.01) being related to poor HRQoL; (4) : by investigating the experienced problems and counselling needs of HF patients, an alignment between current practice and HF patients' expectations and needs might be obtained.
(1) ：本研究的主要目的是调查心力衰竭 (HF) 患者的性活动信息需求和所经历的性问题，并探讨这些性问题与健康相关生活质量 (HRQoL) 之间的关系；(2) ：在这项横断面研究中，向 77 名稳定的门诊 HF 患者发放了三份自我管理问卷，以获取有关 HRQoL、性问题和咨询需求的数据；(3) ：超过一半 (56.7%) 的 HF 患者因疾病而明显减少或完全停止了性活动。此外，超过三分之一的患者认为性快感明显减少或完全没有(42.5%)、性兴趣(32.9%)、经常出现问题或无法进行性行为(37.3%)。此外，43.1%的患者对性活动方面的咨询有重要的整体需求，他们最希望了解的主题是关于人际关系(69.2%)、症状(58.5%)和放松(49.2%)方面的信息。多元线性回归分析显示，性问题与 HRQoL 独立相关，性问题越多( = 3.19，<0.01)，HRQoL 越差；(4) ：通过调查 HF 患者的所经历的问题和咨询需求，可能会使当前的实践与 HF 患者的期望和需求相协调。
