10668Indiana University.
1259University of Michigan.
J Holist Nurs. 2022 Sep;40(3):208-218. doi: 10.1177/08980101211038085. Epub 2021 Aug 12.
Sexuality is an important component of holistic quality of life, and myocardial infarction (MI) negatively influences many aspects of sexuality, including sexual function. However, there is limited literature that examines sexuality beyond the most basic physical components. This pilot study aimed to describe the relationships between the physical, psychologic, and social domains of holistic sexuality at an early timepoint post-MI. Adult men post-MI were mailed self-report surveys at 2 weeks post discharge. Physical domains of sexuality were measured with the arousal, orgasm, erection, lubrication, and pain subscales of the Male Sexual Function Index (MSFI). The social domain utilized the sexual satisfaction subscale of the MSFI. The psychologic domain included the desire subscale of the MSFI and sexual fear (Multidimensional Sexuality Questionnaire). Spearman correlations were estimated to examine associations among the different measurement subscales. Twenty-four men post-MI were analyzed. Average scores on the MSFI were 9.2 ( 7.7). Desire and satisfaction were the highest scoring subscales among men when compared with other subscales (i.e. erection, lubrication). There was minimal evidence supporting a relationship between sexual fear and function. Additional research is also needed with larger samples, and among women post-MI.
性行为是整体生活质量的一个重要组成部分,而心肌梗死(MI)会对性行为的许多方面产生负面影响,包括性功能。然而,目前关于性行为的文献仅限于最基本的生理层面。本研究旨在描述 MI 后早期的性行为整体的生理、心理和社会领域之间的关系。MI 后的成年男性在出院后 2 周内通过邮寄自我报告调查问卷。使用男性性功能指数(MSFI)的唤起、 orgasm、erection、lubrication 和 pain 子量表来衡量性行为的生理领域。社会领域采用 MSFI 的性满意度子量表。心理领域包括 MSFI 的欲望子量表和性恐惧(多维性问卷)。使用 Spearman 相关系数来评估不同测量子量表之间的关联。对 24 名 MI 后男性进行了分析。MSFI 的平均得分为 9.2(7.7)。与其他子量表(即 erection、lubrication)相比,男性的欲望和满意度得分最高。性恐惧与功能之间的关系几乎没有证据支持。还需要更大的样本和 MI 后女性进行进一步的研究。