Determining the sexual quality of life and related factors in patients referred to the department of cardiac rehabilitation: A cross-sectional study


Background: One of the neglected issues among cardiovascular participants is sexual activity, which can affect their general quality of life.

Objective: To evaluate the sexual quality of life and its related factors.

Materials and Methods: This cross-sectional study was conducted on 200 cardiovascular participants, referred to the department of rehabilitation of the Shahid Beheshti Hospital of Kashan, Iran in May 2017. Individuals who met the inclusion criteria filled the demographic characteristics questionnaires, including sexual quality of life questionnaire (SQOL)-female and SQOL-male, sexual knowledge post-myocardial infarction scale (SKS-MI), sexual knowledge after coronary artery bypass grafting surgery scale (SKS-CABG), and couple communication scale (CCS).

Results: In this research, the mean score of SQOL of the participants was 50.02 ± 22.57. According to the results, there was a significant and positive association between the scores of SQOL and CCS (r = 0.540, p ≤ 0.0001), SKS-MI (r = 0.322, p = 0.006), and SKSCABG (r = 0.178, p = 0.046). The maximum association was observed between SQOL and CCS and the minimum association between SQOL and SKS-CABG. Moreover, there was a relationship between the SQOL and participant’s age and level of education.

Conclusion: According to the results of the study, the sexual quality of life scores among participants with MI and CABG was not favorable and this participant suffered from a lack of sexual knowledge.

Key words: Sexual health, Patients, Cardiovascular rehabilitation.

[1] Rahimi A, Taghipour H, Ebadi A, Pourebrahimi M. [Sexual function of male patients before and after coronary artery bypass graft surgery.] Iranian Journal of Rehabilitation Research 2018; 5: 41–46. (in Persian)

[2] Dhingra I, De Sousa A, Sonavane S. Sexuality in older adults: Clinical and psychosocial dilemmas. Journal of Geriatric Mental Health 2016; 3: 131–139.

[3] Krägeloh CU, Kersten P, Billington DR, Hsu PHC, Shepherd D, Landon J, et al. Validation of the WHOQOL-BREF quality of life questionnaire for general use in New Zealand: Confirmatory factor analysis and Rasch analysis. Qual Life Res 2013; 22: 1451–1457.

[4] Lai YH, Hsieh SR, Ho WC, Chiou AF. Factors associated with sexual quality of life in patients before and after coronary artery bypass grafting surgery. J Cardiovasc Nurs 2011; 26: 487–496.

[5] Schumann J, Zellweger MJ, Di Valentino M, Piazzalonga S, Hoffmann A. Sexual dysfunction before and after cardiac rehabilitation. Rehabil Res Pract 2010; 2010: 823060: 1–8.

[6] Murphy PJ, Mc Sharry J, Casey D, Doherty S, Gillespie P, Jaarsma T, et al. Sexual counselling for patients with cardiovascular disease: Protocol for a pilot study of the CHARMS sexual counselling intervention. BMJ Open 2016; 6: e011219: 1–10.

[7] Pournaghash Tehrani S, Etemadi S, Dehdari T, Lavasani MG, Sadeghian S. [ssessment of the relationship between psychological factors and impotency with quality of life of male patients following CABG.] Razi Journal of Medical Sciences 2013; 19: 34–42. (in Persian)

[8] Ivarsson B, Fridlund B, Sjöberg T. Information from health care professionals about sexual function and coexistence after myocardial infarction: A Swedish national survey. Heart Lung 2009; 38: 330–335.

[9] Soltan Ahmadi Z, Ranjbar H, Kohan M. [The relationship between sexual function.] Advances in Nursing & Midwifery 2014; 23: 32–39. (in Persian)

[10] Bagheri I, Pakcheshm B, Memarian R, Salmani N. Effect of sex education on anxiety, stress and depression in patients with myocardial infarction (MI) and their spouses. Crit Care Nurs J 2016; 9: e6286.

[11] Bispo GS, de Lima Lopes J, de Barros AL. Cardiovascular changes resulting from sexual activity and sexual dysfunction after myocardial infarction: Integrative review. J Clin Nur 2013; 22: 3522–3531.

[12] McNulty JK, Wenner CA, Fisher TD. Longitudinal associations among relationship satisfaction, sexual satisfaction, and frequency of sex in early marriage. Arch Sex Behav 2016; 45: 85–97.

[13] Teles AG, Carreira M, Alarcão V, Sociol D, Aragüés JM, Lopes L, et al. Prevalence, severity, and risk factors for erectile dysfunction in a representative sample of 3,548 Portuguese men aged 40 to 69 years attending primary healthcare centers: Results of the Portuguese erectile dysfunction study. J Sex Med 2008; 5: 1317–1324.

[14] Lamyian M, Zarei F, Montazeri A, Hajizadeh E, Maasoumi R. Exploring the factors affecting Iranian women’s quality of sexual life. Journal of Hayat 2016; 22: 185–200.

[15] Sadat Z, Ghofranipour F, Goshtasebi A, Azin SA. Validity and relibility of the persian version of the sexual quality of life-male questionnaire. Payesh 2017; 16: 73–80.

[16] Maasoumi R, Lamyian M, Montazeri A, Azin SA, Aguilar- Vafaie ME, Hajizadeh E. The sexual quality of life-female (SQOL-F) questionnaire: Translation and psychometric properties of the Iranian version. Reprod Health 2013; 10: 25–30.

[17] Williams KN. Improving outcomes of nursing home interactions. Res Nurs Health 2006; 29: 121–133.

[18] Jaarsma T, Steinke EE, Gianotten WL. Sexual problems in cardiac patients: How to assess, when to refer. J Cardiovasc Nurs 2010; 25: 159–164.

[19] Reese JB, Shelby RA, Taylor KL. Sexual quality of life in patients undergoing coronary artery bypass graft surgery. Psychol Health 2012; 27: 721–736.

[20] Jaarsma T, Strömberg A, Fridlund B, De Geest S, Mårtensson J, Moons P, et al. Sexual counselling of cardiac patients: Nurses’ perception of practice, responsibility and confidence. Eur J Cardiovasc Nurs 2010; 9: 24–29.

[21] Nilsson UG, Svedberg P, Fridlund B, Alm-Roijer C, Thylén I, Group SS. Sex knowledge in males and females recovering from a myocardial infarction: A brief communication. Clin Nurs Res 2012; 21: 486–494.

[22] Sarhadi M, Navidian A, Fasihi Harandy T, Ansari Moghadam AR. Comparing quality of marital relationship of spouses of patients with and without a history of myocardial infarction. Journal of Health Promotion Management 2013; 2: 39–48.

[23] Brännström M, Kristofferzon ML, Ivarsson B, Nilsson UG, Svedberg P, Thylén I. Sexual knowledge in patients with a myocardial infarction and their partners. J Cardiovasc Nurs 2014; 29: 332–339.

[24] Martín-Díaz F, Reig-Ferrer A, Ferrer-Cascales R. Sexual functioning and quality of life of male patients on hemodialysis. Nefrología 2006; 26: 452–460.

[25] Bagheri I, Memarian R, Hajizadeh E, Pakcheshm B. [The effect of sex education on patients and their spouses satisfaction after myocardial infarction.] Hakim Jorjani J 2015; 2: 40–46. (in Persian)

[26] Greenberg JM, Smith KP, Kim TY, Naghdechi L, IsHak WW. Sex and quality of life. in: Ishak ww. The textbook of clinical sexual medicine. USA: Springer; 2017. 539–572.