Department of Women's Health and Diseases Nursing, Bilecik Şeyh Edebali University School of Nursing, Bilecik, Turkey.
Department of Women's Health and Diseases Nursing, Faculty of Nursing, Istanbul University Cerrahpasa Florence Nightingale, Istanbul, Turkey.
Eur J Cardiovasc Nurs. 2021 May 22;20(4):376-382. doi: 10.1093/eurjcn/zvaa012.
The high level of self-efficacy that facilitates the adaptation of patients to their new lives and accelerates the healing process after open heart surgery has a positive effect on sexual function. The aims of the study are to examine the self-efficacy and sexual function of patients undergoing open heart surgery and factors affecting it.
This descriptive cross-sectional study was conducted with 76 patients (44 females, 32 males). The data were collected with an information form, Barnason Efficacy Expectation Scales (BEES): Cardiac Surgical Version, Beck Depression Inventory (BDI), International Index of Erectile Dysfunction (IIEF), and Female Sexual Function Index (FSFI). The mean age of the patients was 63.12 ± 7.91. It was found that 30.3% of the patients (73.9% female and 26.1% male) were sexually inactive, and they did not receive information about sexual function. The mean BEES: Cardiac Surgical Version score was 43.96 ± 6.07. The mean IIEF score was 19.07 ± 26.0, and the mean FSFI score was 15.67 ± 9.12. There was a positive correlation between BEES: Cardiac Surgical Version and IIEF (r = 0.34; P = 0.00), and there was a negative correlation between BEES: Cardiac Surgical Version and FSFI (r = -0.27; P = 0.01).
It was determined that patients did not have sufficient information about sexual life after open heart surgery. The patients had sexual problems after surgery. It was found that sexual function increased with increasing self-efficacy in men, while sexual function decreased with increasing self-efficacy in women.
高水平的自我效能感有助于患者适应新生活,并加速心脏直视手术后的康复过程,对性功能有积极影响。本研究旨在探讨心脏直视手术后患者的自我效能感和性功能及其影响因素。
这是一项描述性的横断面研究,共纳入 76 名患者(女性 44 名,男性 32 名)。使用一般资料调查表、Barnason 效能期望量表(BEES):心脏手术版、贝克抑郁量表(BDI)、国际勃起功能指数(IIEF)和女性性功能指数(FSFI)收集数据。患者的平均年龄为 63.12±7.91 岁。发现 30.3%的患者(女性占 73.9%,男性占 26.1%)性功能不活跃,且未获得有关性功能的信息。BEES:心脏手术版的平均评分为 43.96±6.07。IIEF 的平均评分为 19.07±26.0,FSFI 的平均评分为 15.67±9.12。BEES:心脏手术版与 IIEF 呈正相关(r=0.34;P=0.00),与 FSFI 呈负相关(r=-0.27;P=0.01)。
研究发现,心脏直视手术后患者对性生活缺乏足够的了解,存在术后性功能问题。男性自我效能感越高,性功能越好,而女性自我效能感越高,性功能越差。