Curgian L M, Gronkiewicz C A
Sheridan Road Hospital, Rush-Presbyterian-St. Luke's Medical Center, Chicago.
Nurse Pract. 1988 Feb;13(2):34-5, 38.
The fear of dyspnea and reduced exercise tolerance in patients with chronic obstructive pulmonary disease (COPD) are often limiting factors in their participation in sexual activity. When the patient and health care practitioner approach sexual activity as any other physical activity, factors can be identified that promote sexual performance. Initial evaluation includes the patient's preferences, priorities and current physical capacity. The phases of sexual intercourse can be correlated with the energy requirements of other activities, such as walking or household tasks, to determine an individual's activity tolerance. Energy conservation techniques and breathing retraining can then be coordinated with sexual activity. In addition, cardiopulmonary reconditioning exercises are initiated to increase overall activity tolerance. Throughout this process, education is critical to assure the patient that well-tolerated exercise may include dyspnea, and that dyspnea during sex is not more dangerous than during other well-tolerated exercise.
慢性阻塞性肺疾病（COPD）患者对呼吸困难的恐惧以及运动耐量降低，常常是他们参与性活动的限制因素。当患者和医护人员将性活动视为任何其他体力活动时，就可以找出促进性表现的因素。初始评估包括患者的偏好、优先事项和当前身体能力。性交阶段可与其他活动（如步行或家务）的能量需求相关联，以确定个体的活动耐量。然后可以将能量节约技术和呼吸再训练与性活动相协调。此外，启动心肺康复锻炼以提高整体活动耐量。在整个过程中，教育至关重要，要向患者保证，耐受性良好的运动可能包括呼吸困难，而且性行为中的呼吸困难并不比其他耐受性良好的运动时更危险。
