Akut Miyokard Enfaktüsü Sonrası Kadınlarda Cinsel Yaşam

Amaç: Bu çalışma; akut miyokard enfarktüsü tanısı ile gelen kadın hastaların cinsel fonksiyonlarını değerlendirmek amacıyla gerçekleştirilmiştir. Yöntem: Tanımlayıcı-kesitsel, prospektif tipte olan bu çalışma; Eylül 2011-Temmuz 2012 tarihleri arasında Marmara Bölgesinin bir ilinde bulunan Araştırma ve Uygulama Hastanesinin Kardiyoloji Servisine akut miyokard enfarktüsü tanısı ile başvuran ve çalışmaya katılmayı kabul eden 30 hastanın katılımı ile gerçekleştirilmiştir. Miyokard enfarktüsünün cinsel yaşama etkisini belirlemek amacı ile hastalar ile ilki hastanede yattığı dönem içinde, diğer ikisi taburcu edildikten sonra birinci ve üçüncü ay kontrolünde olmak üzere üç görüşme yapılmıştır. İlk görüşmede Kişisel Bilgi Formu kullanılarak hastaların cinsel yaşamında önemli değişkenler ve Kadın Cinsel Fonksiyon İndeksi (Female Sexual Function Index=FSFI) kullanılarak cinsel yaşamı incelenmiştir. Birinci ve üçüncü ay kontrollerinde ise FSFI kullanılarak hastalığın cinsel yaşama etkisi araştırılmıştır. Bulgular: İlk görüşmede istek, uyarılma, lubrikasyon, orgazm puanları düşük; doyum, ağrı ve FSFI puanları orta düzeyde olan hastaların, miyokart enfarktüsünden sonraki birinci ay kontrolünde düştüğü ve üçüncü ay kontrolünde ilk tanı aşamasındaki duruma döndüğü saptandı. Bu değişimdeki en önemli değişkenin hastalık değil, yaşın olduğu saptandı. Sonuç: Miyokard enfarktüsü geçirmek kadınların cinsel yaşamını ilk ayda olumsuz etkilese de, üçüncü ayda kadınların cinsel fonksiyonları normale dönmektedir.

Women s Sexual Activity Following Acute Myocardial Infarction

Aim: This study was conducted to assess the sexual function of women who were diagnosed with acute myocardial infarction. Methods: This cross-sectional, descriptive, and prospective study was performed between September 2011 and July 2012 at the cardiology ward of a university hospital in one city of the Marmara Region of Turkey. Thirty women who were diagnosed with acute myocardial infarction participated in the study. Three interviews were conducted in order to determine the effects of myocardial infarction on the sexual life of the participants. The fi rst interview was held at the hospital. At the fi rst interview, the sexual functions and variables affecting sexual life of the patients were assessed using the Female Sexual Function Index (FSFI) and Personal Information Form. The FSFI was re-administered at the fi rst and third month routine cardiology polyclinic checkups. Results: The desire, arousal, lubrication, and orgasm scores of the patients were low and the satisfaction, pain and FSFI scores of the patients were moderate at the time of the fi rst interview. At the fi rst month checkup, the myocardial infarction sexual functions scores decreased and at the third-month checkup, the scores returned to those at the initial stage of diagnosis. Age was found to be the most important variable affecting patients sexual life, not disease. Conclusion: It was found that myocardial infarction had a negative impact on women s sexual life in the fi rst month and the sexual life of the women returns to normal at the third month.

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