Selected Factors Associated with Sexual Function among Patients with Myocardial Infarction after Percutaneous Transluminal Coronary Intervention
Main Article Content
Abstract
The purposes of this descriptive correlational research were to examine sexual function among patients with myocardial infarction after percutaneous transluminal coronary intervention (PCI) and to determine factors associated with sexual function from gender, severity of disease, sexual knowledge, sexual anxiety, perceived sexual self-efficacy, sexual depression, and social support. One hundred and twenty four adults aged 18 - 59 years diagnosed with myocardial infarction after PCI from the general outpatients’ department and heart clinic at Somdech Phra Pinklao Hospital, and Thammasat University Hospital, were recruited using a multistage sampling technique. The instruments were 1) General data form, 2) Sexual function scale, 3) Severity of disease assessment, 4) The sex after myocardial infarction knowledge test, 5) Sexual anxiety scale, 6) Sexual self-efficacy scale, 7) Sexual depression scale, and 8) Social support questionnaire. All questionnaires were tested for content validity by five experts, and their validity coefficients of set 2 - 8 were 0.93, 1.00, 0.98, 0.97, 0.91, 1.00, and 0.98, respectively. Their reliability coefficients of set 2, 4 - 8 were 0.82, 0.77, 0.91, 0.91, 0.85, and 0.81, respectively. Data were analyzed using descriptive statistics, Pearson’s product moment correlation, and point biserial correlation coefficient. The findings were as follows:
1. The average score of sexual function among patients with myocardial infarction after PCI was at a medium level (M = 47.61, SD = 4.83).
2. Gender and severity of disease were significantly related to sexual function among patients with myocardial infarction after PCI at the .05 level (rpb = .109 and -.133).
3. Sexual knowledge, perceived sexual self-efficacy, and social support were positively and significantly related to sexual function among patients with myocardial infarction after PCI at the .05 level (r = .125, .212, and .633, respectively).
4. Sexual anxiety and sexual depression were negatively and significantly related to sexual function among patients with myocardial infarction after PCI at the .05 level (r = -.495, and -.407).
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References
2. Statistics and Planning Division. Public Health Statistics A.D.2018. [Internet]. [cited 2020 March 10]. Available from: http://bps.moph.go.th/new_bps/sites/default/files/statistic%2061.pdf. (in Thai).
3. Naowapanich S. Caring of patients with acute coronary syndrome (ACS) after percutaneous coronary intervention (PCI). Bangkok: Faculty of Medicine Siriraj Hospital, Mahidol University; 2009. (in Thai).
4. Benajanuwat T, Sukhonthasan A. Percutaneous transluminal coronary angioplasty. 2nd ed. In Sukhonthasan A, editor. Coronary artery disease. Chiang Mai: Ideal Group; 2000. (in Thai).
5. NHSO Health Service Indicator: H0301 Data as of 30 September 2017, Bureau of Insurance Information Processing, 30 November 2017, Analyzed by the Office of Information and Health Information, NHSO.
6. Hengrasamee K, Kheensukcharoen W. Percutaneous transluminal coronary angioplasty in acute myocardial infarction patients. Bangkok: Sukhumvit Printing Company Limited; 2012. (in Thai).
7. The Heart Association of Thailand under the Royal Patronage H.M. the King. Public health service practice guidelines operative treatment of coronary artery disease through Percutaneous Coronary Intervention. [Internet]. [cited 2018 April 11]. Available from: http://www.nhso.go.th/FrontEnd. (in Thai).
8. Wan YF, Ma XL, Yuan C, Fei L, Yang J, Zhang J. Impact of daily lifestyle on coronary heart disease. Experimental and Therapeutic Medicine 2015;10(3):1115-20.
9. Xu F, Ming Q, Hou L. The effect of sex counselling in the sexual activity of acute myocardial infarction patients after primary percutaneous coronary intervention. Acta Cardiologica 2015;70(4):460-4.
10. Levine GN, Steinke EE, Bakaeen FG, Bozkurt B, Cheitlin MD, Conti JB, et al. Sexual activity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation 2012;125(8):1058-72.
11. Steinke EE, Mosack V, Hill TJ. Sexual self-perception and adjustment of cardiac patients: a psychometric analysis. Journal of Research in Nursing 2013;18(3):191-201.
12. Saowakon P, Kantharattanakun W, Chattaya J. Ability to work and sex in patients with postoperative heart disease. Rehabilitation Medicine 2002;10(2):73-9. (in Thai).
13. Thinpayap N, Asdornwised U, Pornchaiketwooong A, Ongcharit P. Factors related to sexual practices in patients with heart valve surgery. J Nurs 2015;33(1):14-23. (in Thai).
14. Asdornwised U. Sexual function instruments. J Nurs Sci 2015;33(1):8-13. (in Thai).
15. Drory Y, Kravetz S, Hischberger G. Sexual activity of women and men one year before first acute myocardial infarction. Cardiology 2002;97(3):127-32.
16. Uthatsiriphanit C, Uakit N. Factors predicting sexual behavior of male myocardial infarction patients. Journal of Cardiology and Chest Nursing 2011;22(2):31-43. (in Thai).
17. 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(6):487-96.
18. Dongpho P, Uakit N. Factors predicting sexual activity of heart attack patients. Journal of the Royal Thai Army Nurses 2014;15(3):304-12. (in Thai).
19. Longleang W, Uakit N. Advanced nursing practice: promoting sexual behavior in myocardial infarction patients. Journal of Public Health Nursing 2011;25(2):95-108. (in Thai).
20. Campeau L. Grading of angina pectoris. [Internet]. [cited 2019 July 23]. Available from: https://ccs.ca/images/Guidelines/Guidelines_POS_Library/Ang_Gui_1976.pdf.
21. Orathai P, Phoomonsakun S. Analysis of test power and sample size estimation using G* power program. 2nd ed. Bangkok: Pimdee; 2013. (in Thai).
22. Dillman DA. Maitland internet surveys: the tailored design. 2nd ed. New York: John Wiley & Sons; 2000.
23. Asgar Pour H, Heidari MR, Norouzzadeh R, Rahimi F, Kazemnejad A, Fallahi F. Psychometric evaluation of the sex after myocardial infarction knowledge test in Iranian context. Perspect Psychiatr Care 2018;54(2):126-33.
24. Srisaeng A. Cardiac catheterization via transradial catheterization. Vejjajiraj Siriraj 2017;10(2):90-6. (in Thai).
25. Aribarg S. Learn about sex with doctor region 1. Bangkok: Bunsiri Printing; 2007. (in Thai).
26. Mourad FE, Ghanam M, Mostafa AE, Sabry W, Bastawy M. Sexual dysfunction before and after coronary artery bypass graft surgery in males. Journal of the Egyptian Society of Cardio-Thoracic Surgery 2017;25(1):45-51.
27. Oskay U, Can G, Camcı G. Effect of myocardial infarction on female sexual function in women. Arch Gynecol Obstet 2015;291(5):1127-33.
28. Schwarz ER. Sexual dysfunction and its relation to heart disease. International Journal of Impotence Research 2005;17:S1-S3.