Congenital Heart Disease Center, Asan Medical Center, Seoul, Korea.
Department of Nursing, Dankook University, Chungnam, Korea.
PLoS One. 2021 May 5;16(5):e0251155. doi: 10.1371/journal.pone.0251155. eCollection 2021.
Advances in the treatment of congenital heart disease (CHD) have increased life expectancy, entailing medical surveillance for a considerable number of adolescents and young adults with CHD for issues arising in areas such as sexual health. This study aimed to assess the sexual knowledge and the needs for sexual health education among this group. The participants comprised 53 young adult outpatients (27 males, median age: 23 years) who had undergone surgical interventions (median: 3 times) for CHD. The Knowledge related to Safe Sex Practice scale (KSSP), an assessment tool containing 15 questions on sexual knowledge, was administered, and the rates of correct answers for each item and the overall scale were compared with the age and sex of a control group (n = 164). The overall mean KSSP score of the participant group (10.5 ± 1.8) was significantly lower than that of the control group (11.1 ± 1.9, p = .035). The KSSP scores of the participants with low peripheral oxygen saturation (SaO2 < 95%) were significantly lower (9.77 ± 1.85) than those with normal SaO2 (11.06 ± 1.85, p = .009). Regarding sexual health education, the participants reported receiving information about contraception as more important than other areas of sexual health. The rate of incorrect answers was higher for questions regarding natural ways of contraception utilizing infertile periods in the menstrual cycle. Based on an informed understanding of those with CHD, healthcare providers in this field should develop customized sexual health education for adolescents and young adults with CHD and implement customized sexual health education, including effective contraception methods.
先天性心脏病 (CHD) 的治疗进展提高了患者的预期寿命，这意味着相当数量的 CHD 青少年和年轻患者需要接受医学监测，以应对性健康等方面出现的问题。本研究旨在评估这一群体的性知识水平和性健康教育需求。参与者包括 53 名接受过 CHD 手术干预（中位数：3 次）的年轻成年门诊患者（27 名男性，中位年龄：23 岁）。使用性安全知识评估量表（KSSP）进行评估，该量表包含 15 个关于性知识的问题，比较了每个问题的正确答案率和总体量表评分与对照组（n = 164）的年龄和性别。参与者组的总体 KSSP 得分为 10.5 ± 1.8，明显低于对照组（11.1 ± 1.9，p =.035）。SaO2 低于 95%的参与者的 KSSP 评分（9.77 ± 1.85）明显低于 SaO2 正常的参与者（11.06 ± 1.85，p =.009）。在性健康教育方面，参与者表示，他们认为有关避孕的信息比其他性健康领域的信息更重要。关于利用月经周期中的不孕期来进行自然避孕方法的问题，参与者回答错误的比例更高。根据对 CHD 患者的了解，该领域的医疗保健提供者应为 CHD 青少年和年轻患者制定个性化的性健康教育计划，并实施包括有效避孕方法在内的个性化性健康教育。
