頁籤選單縮合
題 名 | 男性急性心肌梗塞病人對於性生活之認知及擔心事項=Sexuality in Male Patients Following Acute Myocardial Infarction |
---|---|
作 者 | 游惠珠; 黃翠媛; 劉善欣; 楊舜璇; 施素娥; 黃秀梨; | 書刊名 | 慈濟醫學 |
卷 期 | 10:1 1998.03[民87.03] |
頁 次 | 頁51-59 |
分類號 | 419.73 |
關鍵詞 | 急性心肌梗塞; 性生活; 認知; 擔心事項; Acute myocardial infarction; Sexuality; Knowledge; Worry; |
語 文 | 中文(Chinese) |
中文摘要 | 急性心肌梗塞對病人的影響除生理外,在心理及社會方面亦須於病後作相當大之 調適,而病患中以男性居多。本研究目的為探討男性心肌梗塞病人的性生活方面之認知與 擔心事項,期能協助醫護人員了解這一部份難以啟齒的病人的隱憂,以提供一整體性之疾 病照顧。本研究方法為問卷調查法,以「急性心肌梗塞病人對性生活的認知及擔心事項量 表」收集28位男性之急性心肌梗塞病人,於病人轉出加護病房,並完成心導管或冠狀動脈 血管擴張術等相關檢查及治療後,開始進行資料之收集。研究結果發現個案對於性生活的 認知不佳,尤其是心肌梗塞後性能力的喪失,及性交容易引起再一次病發甚至猝死,得分 偏低,而性交時應注意身體狀況、環境溫度、及姿勢等,以免增加心臟的負擔,此方面的 認知較佳。擔心事項的得分偏高,尤其擔心疾病所帶來的性方面之影響,「飽食後或在太 熱太冷的環境作愛,易使心臟病發作」、「發病後配偶(或性伴侶)會擔心我的痛而不願意 和我作愛」、「作愛會導致突然死亡」及「作愛會再度引起心肌梗塞」。影響因素之分析 發現有合併症的個案在心理及藥物方面的認知較無合併症者為佳,長期服用藥物的病人較 無長期服藥者更擔心藥物對性能力造成之影響。本研究結果可供臨床醫護人員日後處理此 類病人性問題之參考。 |
英文摘要 | Patients with acute myocardial infarction (AMI) suffer from tremendous physiological and psycho-social stress. Sexual adjustment difficulties generally accompany AMI. However, no reported study has examined male patients general knowledge of and worry about changes in sexuality following AMI. The purpose of this study was to investigate male patient's general knowledge of and worry about changes in sexuality after AML Thirty AMI patients from National Taiwan University Hospital with a mean age of 60 were recruited for the study. A slef-developed knowledge scale and worry scalefor sexuality after AMI were used to evaluate the patients. Data were collected in the cardiovascular unit after patients were transferred from the ICU and cardiac catherization had been completed. The results showed that AMI patients had a poor general knowledge about changes in sexuality following AMI. Sexual knowledge which ranked lowest included the possibility, of additional infarction or sudden death after sexual intercourse and changes in sexual function after AMI. Items for which patients scored high on the knowledge scale included avoidance of activities which may increase the burden to the heart (i,g., environmental temperature, positioning during sexual intercourse). Patients had a high degree of worry concerning sexuality after AMI. Items which patients worried most about included the influence of AMI on sexual function; the possibility of heart attack or sudden death after sexual intercourse, especially after a large meal or in a hot or cold environment; sex partner refusal to allow sexual intercourse because of anxiety about the patients. The results also showed that patients with complications following AMI such as arrhythmia had better knowledge of the effects of AMI on sexual psychology and the pharmacological effects of AMI treatment on sexual function. Those who took long term medication worried more about the effects of treatment on sexuality than those who did not receive long term medication. The findings of this study may help medical personnel to gain a better understanding of patient knowledge and worry about changes in sexuality after AMI and develop strategies to improve the quality of care for these patients. |
本系統中英文摘要資訊取自各篇刊載內容。