Determinants of Sexual Health and Sexual Quality of Life after Cardiovascular Surgeries: An Integrative Review - 05/07/24

Doi : 10.1016/j.hlc.2024.05.010

Shahzad Inayat, BSN, MHR ^a, Faisal Aziz, BSN, MPH, PhD ^b,^c, Ahtisham Younas, BSN, MN, PhD ^d,^⁎ , Angela Durante, RN, PhD ^e,^f
^a Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada
^b Interdisciplinary Metabolic Medicine Trials Unit, Medical University of Graz, Graz, Styria, Austria
^c Division of Endocrinology and Diabetology, Medical University of Graz, Graz, Styria, Austria
^d Faculty of Nursing, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada
^e Health Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy
^f SITRA, Fondazione Toscana G. Monasterio, Pisa and Massa, Italy

^∗Corresponding author at: Room H2930 Health Sciences Center, 300 Prince Philip Drive, St. John's, Newfoundland and Labrador A1B 3V6, CanadaRoom H2930 Health Sciences Center300 Prince Philip DriveSt. John'sNewfoundland and Labrador A1B 3V6Canada

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Friday 05 July 2024
Cet article a été publié dans un numéro de la revue, cliquez ici pour y accéder

Abstract

Background and Aim

Sexual health and sexual quality of life are key components of psychosocial adjustment after cardiac surgeries and are often linked with improving the general quality of life. Reviews have been conducted to highlight the associations between cardiovascular diseases and sexual dysfunctions, but no review reported determinants of sexual health and sexual quality of life in patients after cardiovascular surgeries. We aimed to comprehensively examine the determinants of sexual health and sexual quality of life among individuals with cardiovascular surgeries.

Methods

Literature was searched within PubMed, CINAHL, Scopus, Web of Science, and OVID databases. In total, 816 records were identified from database searches, 279 records were screened, and 11 empirical studies were included for review. Relevant data were extracted using literature summary tables and synthesised using an inductive approach.

Results

The core determinants of sexual health and sexual quality of life were type of surgery and comorbidities, fears and uncertainties regarding sexual activity, sexual health education and counselling, spousal relationship and communication, and demographic factors such as advanced age and literacy levels. Major surgeries performed were coronary artery bypass grafting (CABG) and heart valve surgeries. The data collection tools used to collect data for sexual health and sexual quality of life were the International Erectile Function Questionnaire (IEFQ), International Index of Erectile Function (IIEF), Female Sexual Function Index (FSFI), Sexual Knowledge CABG Scale (SKS-CABG), Sexual Quality of Life Questionnaire (SQOL), SKS-Myocardial Infarction Scale (SKS-MI), and Couple Communication Scale (CCS).

Conclusions

Despite their importance, sexual health and quality of life are frequently overlooked during patient rehabilitation after cardiovascular surgeries. The lack of adequate education and counselling from healthcare professionals frequently leads to increased fear and uncertainties among individuals and their partners. Therefore, more person-centred educational and counselling approaches should be developed to address the sexual concerns of individuals and their partners.

Le texte complet de cet article est disponible en PDF.

Keywords : Cardiac care, Cardiac surgery, Sexual health, Sexual quality of life, Cardiac rehabilitation