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Mohsen Sadatinejad, S., Farokhian, A., Taghadosi, M., & Gholamabbas Mosavi, S. (2021). The effect of sexual counseling on depression, anxiety, stress, sexual knowledge and sexual quality of life in men who have undergone invasive coronary interventions: An RCT. International Journal of Reproductive BioMedicine (IJRM), 19(11), 969–978. https://doi.org/10.18502/ijrm.v19i11.9912
https://doi.org/10.18502/ijrm.v19i11.9912
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authors
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Seyyed Mohsen Sadatinejad
Seyyed Mohsen Sadatinejad
Pediatric Group, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.
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Alireza Farokhian
Alireza Farokhian
Internal Medicine Group, Medicine Faculty, Kashan University of Medical Sciences, Kashan, Iran.
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Mohsen Taghadosi
Mohsen Taghadosi
Medical Surgical Nursing, Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
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Seyed Gholamabbas Mosavi
Seyed Gholamabbas Mosavi
Biostatistics Group, Health Faculty, Kashan University of Medical Sciences, Kashan, Iran.
Published Date
- Dec 13, 2021
The effect of sexual counseling on depression, anxiety, stress, sexual knowledge and sexual quality of life in men who have undergone invasive coronary interventions: An RCT
Abstract
Background: Sexual dysfunctions are common in men with ischemic heart disease, especially in men undergoing therapeutic interventions.
Objective: This study intended to assess the effect of counseling on depression, anxiety, stress, sexual knowledge and sexual quality of life in men after invasive coronary interventions in the post catheterization department of Kashan Shahid Beheshti Hospital during 2018.
Materials and Methods: The study population consisted of 54 male participants who had undergone an invasive coronary intervention. The intervention group received counseling and the control group underwent the standard ward routine. Data were collected using the depression anxiety stress scales, Abraham’s sexual quality of life, and the Yi-Hung Sexual Knowledge questionnaires before discharge and also two months later.
Results: Within two months, the intervention group’s mean score of sexual knowledge significantly increased, compared with the control group, from 12.37 to 14.81 (p ≤ 0.001). The intervention group’s mean score of sexual quality of life also significantly increased, compared with the control group, from 48.2 to 60.7 (p ≤ 0.001). Moreover, the mean anxiety score changed in the intervention group from 11.18 to 5.25, again a significant difference compared with the control group (p = 0.01). But, the differences in the depression and stress scores were not significant.
Conclusion: Our findings suggest that sexual counseling may improve sexual knowledge, sexual quality of life and anxiety in men following invasive coronary intervention, but might not reduce their stress or depression. Further studies are needed to confirm these findings.
Key words: Percutaneous transluminal coronary angioplasty, Coronary artery bypass graft, Life quality, Depression, Anxiety neuroses, Sex counseling.
References
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[2] Rusiecki L, Zdrojowy R, Gebala J, Rabijewski M, Sobieszczańska M, Smoliński R, et al. Sexual health in Polish elderly men with coronary artery disease: Importance, expectations, and reality. Asian J Androl 2020; 22: 526–531.
[3] Roushias S, Ossei-Gerning N. Sexual function and cardiovascular disease: What the general cardiologist needs to know. Heart 2019; 105: 160– 168.
[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.
[6] Pournaghash Tehrani S, Etemadi S, Dehdari T, Lavasani MG, Sadeghian S. [Assessment of the relationship between psychological factors and impotency with quality of life of male patients following CABG]. Razi J Med Sci 2013; 19: 34–42. (in Persian)
[7] Murphy PJ, Noone C, D’Eath M, Casey D, Doherty S, Jaarsma T, et al. The CHARMS pilot study: A multi-method assessment of the feasibility of a sexual counselling implementation intervention in cardiac rehabilitation in Ireland. Pilot Feasibil Stud 2018; 4: 88.
[8] Khodaminasab A, Reisi M, Vahedparast H, Tahmasebi R, Javadzade H. Utilizing a healthpromotion model to predict self-care adherence in patients undergoing coronary angioplasty in Bushehr, Iran. Patient Prefer Adherence 2019; 13: 409–417.
[9] Palm P, Zwisler ADO, Svendsen JH, Thygesen LC, Giraldi A, Jensen KG, et al. Sexual rehabilitation for cardiac patients with erectile dysfunction: A randomised clinical trial. Heart 2019; 105: 775–782.
[10] Rahimi A, Taghipour H, Ebadi A, Pourebrahimi M. [Sexual function of male patients before and after coronary artery bypass graft surgery]. Iran J Rehabil Res 2019; 5: 41–46. (in Persian)
[11] Saleem M, Adeeb M, Durrani AK, Siddique AR. Sexual desire and marital satisfaction among coronary angioplasty patients-pre and post design. Pak Heart J 2019; 52: 31–35.
[12] Doulatyari PK, Gholami M, Toulabi T, Birjandi M, Abdi A. The effect of modified cardiac rehabilitation on erectile dysfunction and coping with stress in men undergoing coronary artery bypass graft (CABG): A clinical trial. Sexual Disabil 2019; 37: 455–469.
[13] Haji Mohammad Hoseini M, Ghanbari Afra L, Asayesh H, Goudarzi M, Ghanbari Afra M. The effect of self-care educational program on sexual function and quality of life in patients with ischemic heart disease. J Res Med Dental Sci 2018; 6: 226–235.
[14] Blakey EP, Aveyard H. Student nurses’ competence in sexual health care: A literature review. J Clin Nurs 2017; 26: 3906–3916.
[15] Sarhadi M, Navidian A, Fasihi Harandy T, Ansari Moghadam A. [Comparing quality of marital relationship of spouses of patients with and without a history of myocardial infarction]. J Health Promot Manage 2013; 2: 39–48. (in Persian)
[16] Boothby CA, Dada BR, Rabi DM, Campbell TS, Tang KL. The effect of cardiac rehabilitation attendance on sexual activity outcomes in cardiovascular disease patients: A systematic review. Can J Cardiol 2018; 34: 1590–1599.
[17] Miri A, Ghanbari MA, Najafi A. [The relationship between health literacy and the recovery rate of cardiovascular patients after bypass surgery]. J Health Literacy 2016; 1: 83–91. (in Persian)
[18] Lunelli RP, Rabello ER, Stein R, Goldmeier S, Moraes MA. Sexual activity after myocardial infarction: Taboo or lack of knowledge? Arq Bras Cardiol 2008; 90: 156–159.
[19] Maheu-Cadotte MA, Fontaine G, Duchaine C, Durel N, Roussy C, Mailhot T. Assessing and addressing sexual concerns in individuals diagnosed with coronary artery disease. Br J Cardiac Nurs 2019; 14: 1–10.
[20] Lamyian M, Zarei F, Montazeri A, Hajizadeh E, Maasoumi R. [Exploring the factors affecting Iranian women’s quality of sexual life]. Hayat 2016; 22: 185– 200. (in Persian)
[21] 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. (in Persian)
[22] Taqizade Firoozjaei I, Taghadosi M, Sadat Z. Determining the sexual quality of life and related factors in patients referred to the department of cardiac rehabilitation: A cross-sectional study. Int J Reprod Biomed 2021; 19: 261–270.
[23] Samani S, Joukar B. A study on the reliability and validity of the short form of the depression anxiety stress scale (Dass-21). J Soc Sci Human 2007; 26: 65–77.
[24] Hoeman SP. Rehabilitation nursing: Prevention, intervention, and outcomes. 4th Ed. USA: Mosby Co.; 2008.
[25] Moser DK, Riegel B. Cardiac nursing: A companion to Braunwald’s heart disease. Philadelphia, USA: Saunders; 2008.
[26] Woods SL, Froelicher ESS, Bridges EJ. Cardiac nursing. Philadelphia, USA: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010.
[27] Steinke EE, Jaarsma T. Sexual counseling and cardiovascular disease: Practical approaches. Asian J Androl 2015; 17: 32–39.
[28] Byrne M, Doherty S, Fridlund BG, Mårtensson J, Steinke EE, Jaarsma T, et al. Sexual counselling for sexual problems in patients with cardiovascular disease. Cochrane Database Syst Rev 2016; 2: CD010988.
[29] Rakhshan M, Toufigh A, Dehghani A, Yaktatalab S. Effect of cardiac rehabilitation on sexual satisfaction among patients after coronary artery bypass graft surgery. J Cardiopulmonar Rehabil Prevent 2019; 39: E26–E30.
[30] Li R, Yan BP, Dong M, Zhang Q, Yip GWK, Chan CP, et al. Quality of life after percutaneous coronary intervention in the elderly with acute coronary syndrome. Int J Cardiol 2012; 155: 90–96.
[31] Rahnama Z, Taghadosi M, Mazochi M. Comparison of quality of life before and after the therapeutic interventions in patients with acute coronary syndrome. Feyz 2014; 18: 440–447.
[32] Abu Bdair IA, Abushaikha L. Jordanian patients knowledge regarding sexual health following coronary artery diseases. Int J Healthcare Med Sci 2018; 4: 90–98.
[33] Arenhall E, Kristofferzon ML, Fridlund B, Malm D, Nilsson U. The male partners’ experiences of the intimate relationships after a first myocardial infarction. Eur J Cardiovasc Nurs 2011; 10: 108–114.
[34] Soroush A, Komasi S, Heydarpour B, Ezzati P, Saeidi M. The effectiveness of psychosexual education program on psychological dimensions of sexual function and its quality in cardiac rehabilitation patients. Res Cardiovasc Med 2018; 7: 82–86.
[35] Tirgari B, Rafati F, Mehdipour Rabori R. Effect of sexual rehabilitation program on anxiety, stress, depression and sexual function among men with coronary artery disease. J Sex Marital Ther 2019; 45: 632–642.
[36] Pouraboli B, Azizzadeh F, Mohammad A. [Knowledge and attitudes of nurses in sexual activity and educate it to patients with myocardial infarction and their spouses]. Iran J Crit Care Nurs 2010; 2: 5–6. (in Persian)
[2] Rusiecki L, Zdrojowy R, Gebala J, Rabijewski M, Sobieszczańska M, Smoliński R, et al. Sexual health in Polish elderly men with coronary artery disease: Importance, expectations, and reality. Asian J Androl 2020; 22: 526–531.
[3] Roushias S, Ossei-Gerning N. Sexual function and cardiovascular disease: What the general cardiologist needs to know. Heart 2019; 105: 160– 168.
[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.
[6] Pournaghash Tehrani S, Etemadi S, Dehdari T, Lavasani MG, Sadeghian S. [Assessment of the relationship between psychological factors and impotency with quality of life of male patients following CABG]. Razi J Med Sci 2013; 19: 34–42. (in Persian)
[7] Murphy PJ, Noone C, D’Eath M, Casey D, Doherty S, Jaarsma T, et al. The CHARMS pilot study: A multi-method assessment of the feasibility of a sexual counselling implementation intervention in cardiac rehabilitation in Ireland. Pilot Feasibil Stud 2018; 4: 88.
[8] Khodaminasab A, Reisi M, Vahedparast H, Tahmasebi R, Javadzade H. Utilizing a healthpromotion model to predict self-care adherence in patients undergoing coronary angioplasty in Bushehr, Iran. Patient Prefer Adherence 2019; 13: 409–417.
[9] Palm P, Zwisler ADO, Svendsen JH, Thygesen LC, Giraldi A, Jensen KG, et al. Sexual rehabilitation for cardiac patients with erectile dysfunction: A randomised clinical trial. Heart 2019; 105: 775–782.
[10] Rahimi A, Taghipour H, Ebadi A, Pourebrahimi M. [Sexual function of male patients before and after coronary artery bypass graft surgery]. Iran J Rehabil Res 2019; 5: 41–46. (in Persian)
[11] Saleem M, Adeeb M, Durrani AK, Siddique AR. Sexual desire and marital satisfaction among coronary angioplasty patients-pre and post design. Pak Heart J 2019; 52: 31–35.
[12] Doulatyari PK, Gholami M, Toulabi T, Birjandi M, Abdi A. The effect of modified cardiac rehabilitation on erectile dysfunction and coping with stress in men undergoing coronary artery bypass graft (CABG): A clinical trial. Sexual Disabil 2019; 37: 455–469.
[13] Haji Mohammad Hoseini M, Ghanbari Afra L, Asayesh H, Goudarzi M, Ghanbari Afra M. The effect of self-care educational program on sexual function and quality of life in patients with ischemic heart disease. J Res Med Dental Sci 2018; 6: 226–235.
[14] Blakey EP, Aveyard H. Student nurses’ competence in sexual health care: A literature review. J Clin Nurs 2017; 26: 3906–3916.
[15] Sarhadi M, Navidian A, Fasihi Harandy T, Ansari Moghadam A. [Comparing quality of marital relationship of spouses of patients with and without a history of myocardial infarction]. J Health Promot Manage 2013; 2: 39–48. (in Persian)
[16] Boothby CA, Dada BR, Rabi DM, Campbell TS, Tang KL. The effect of cardiac rehabilitation attendance on sexual activity outcomes in cardiovascular disease patients: A systematic review. Can J Cardiol 2018; 34: 1590–1599.
[17] Miri A, Ghanbari MA, Najafi A. [The relationship between health literacy and the recovery rate of cardiovascular patients after bypass surgery]. J Health Literacy 2016; 1: 83–91. (in Persian)
[18] Lunelli RP, Rabello ER, Stein R, Goldmeier S, Moraes MA. Sexual activity after myocardial infarction: Taboo or lack of knowledge? Arq Bras Cardiol 2008; 90: 156–159.
[19] Maheu-Cadotte MA, Fontaine G, Duchaine C, Durel N, Roussy C, Mailhot T. Assessing and addressing sexual concerns in individuals diagnosed with coronary artery disease. Br J Cardiac Nurs 2019; 14: 1–10.
[20] Lamyian M, Zarei F, Montazeri A, Hajizadeh E, Maasoumi R. [Exploring the factors affecting Iranian women’s quality of sexual life]. Hayat 2016; 22: 185– 200. (in Persian)
[21] 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. (in Persian)
[22] Taqizade Firoozjaei I, Taghadosi M, Sadat Z. Determining the sexual quality of life and related factors in patients referred to the department of cardiac rehabilitation: A cross-sectional study. Int J Reprod Biomed 2021; 19: 261–270.
[23] Samani S, Joukar B. A study on the reliability and validity of the short form of the depression anxiety stress scale (Dass-21). J Soc Sci Human 2007; 26: 65–77.
[24] Hoeman SP. Rehabilitation nursing: Prevention, intervention, and outcomes. 4th Ed. USA: Mosby Co.; 2008.
[25] Moser DK, Riegel B. Cardiac nursing: A companion to Braunwald’s heart disease. Philadelphia, USA: Saunders; 2008.
[26] Woods SL, Froelicher ESS, Bridges EJ. Cardiac nursing. Philadelphia, USA: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010.
[27] Steinke EE, Jaarsma T. Sexual counseling and cardiovascular disease: Practical approaches. Asian J Androl 2015; 17: 32–39.
[28] Byrne M, Doherty S, Fridlund BG, Mårtensson J, Steinke EE, Jaarsma T, et al. Sexual counselling for sexual problems in patients with cardiovascular disease. Cochrane Database Syst Rev 2016; 2: CD010988.
[29] Rakhshan M, Toufigh A, Dehghani A, Yaktatalab S. Effect of cardiac rehabilitation on sexual satisfaction among patients after coronary artery bypass graft surgery. J Cardiopulmonar Rehabil Prevent 2019; 39: E26–E30.
[30] Li R, Yan BP, Dong M, Zhang Q, Yip GWK, Chan CP, et al. Quality of life after percutaneous coronary intervention in the elderly with acute coronary syndrome. Int J Cardiol 2012; 155: 90–96.
[31] Rahnama Z, Taghadosi M, Mazochi M. Comparison of quality of life before and after the therapeutic interventions in patients with acute coronary syndrome. Feyz 2014; 18: 440–447.
[32] Abu Bdair IA, Abushaikha L. Jordanian patients knowledge regarding sexual health following coronary artery diseases. Int J Healthcare Med Sci 2018; 4: 90–98.
[33] Arenhall E, Kristofferzon ML, Fridlund B, Malm D, Nilsson U. The male partners’ experiences of the intimate relationships after a first myocardial infarction. Eur J Cardiovasc Nurs 2011; 10: 108–114.
[34] Soroush A, Komasi S, Heydarpour B, Ezzati P, Saeidi M. The effectiveness of psychosexual education program on psychological dimensions of sexual function and its quality in cardiac rehabilitation patients. Res Cardiovasc Med 2018; 7: 82–86.
[35] Tirgari B, Rafati F, Mehdipour Rabori R. Effect of sexual rehabilitation program on anxiety, stress, depression and sexual function among men with coronary artery disease. J Sex Marital Ther 2019; 45: 632–642.
[36] Pouraboli B, Azizzadeh F, Mohammad A. [Knowledge and attitudes of nurses in sexual activity and educate it to patients with myocardial infarction and their spouses]. Iran J Crit Care Nurs 2010; 2: 5–6. (in Persian)