Relationship between sexuality and acute myocardial infarction from a phenomenological perspective
Abstract
Introduction: Sexuality has been present throughout the life of the human being including aspects such as sexual activity, identity, roles, orientation, eroticism, etc. People who have suffered an Acute Myocardial Infarction (AMI) sexuality is affected by psychological, physical and even social factors. Therefore, the main purpose of this research is to describe the meaning of sexuality from someone has suffered AMI from a phenomenological perspective.
Method: Qualitative study with a phenomenological approach, which sample consisted of 19 people who suffered acute infarction of the myocardium and who were treated by the emergency department or internal medicine of an institution of fourth level of complexity in the city of Bucaramanga (Colombia). In-depth interviews were applied and coded using the Atlas.ti 6.1 version. The analysis was carried out using the Colaizzi model.
Results: The sexuality of the person who has suffered an acute infarction of the myocardium is associated with multiple situations that are not only related to the sexual act. It is also linked with the emotional relationships such as, sharing with their partner, family, and friends. It shall be understood that this experience triggers negative and positive aspects that could affect the sexual expression or enhance it.
Conclusions:The meaning of sexuality for a person who has suffered acute infarction of the myocardium is given by emotions, care, education, beliefs and changes in sexuality, which impact patient’s process of recovery from their disease and their quality of life.
Downloads
References
Organización Mundial de la Salud. La salud sexual y su relación con la salud reproductiva: un enfoque operativo [Internet]. 2018 [citado el 6 de agosto de 2021]. p. 12. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/274656/9789243512884-spa.pdf
Olivera Carmenates C, Bujardón Mendoza A. Estrategia educativa para lograr una sexualidad saludable en el adulto mayor. Rev Hum Med [Internet]. 2010 [citado el 10 de agosto de 2021];10(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S1727-81202010000200006&lng=es&nrm=iso
Ministerio de Salud y Protección Social. Análisis de Situación de Salud (ASIS): Colombia, 2018 [Internet]. 2019 [citado el 6 de agosto de 2021]. p. 274. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/PSP/asis-colombia-2018.pdf
Stein R, Sardinha A, Araújo CGS. Sexual Activity and Heart Patients: A Contemporary Perspective. Can J Cardiol [Internet]. 2016 [citado el 6 de agosto de 2021];32(4):410–20. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0828282X15015019
López González Y. Particularidades del desempeño sexual en pacientes con Cardiopatía Isquémica. Duazary [Internet]. 2005 [citado el 6 de agosto de 2021];2(1):11–8. Disponible en: http://revistas.unimagdalena.edu.co/index.php/duazary/article/view/279
Lindau ST, Abramsohn EM, Bueno H, D’Onofrio G, Lichtman JH, Lorenze NP, et al. Sexual Activity and Counseling in the First Month After Acute Myocardial Infarction Among Younger Adults in the United States and Spain. Circulation [Internet]. 2014 [citado el 6 de agosto de 2021];130(25):2302–9. Disponible en: https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.114.012709
Casado Dones M aJ., de Andrés Gimeno B, Moreno González C, Fernández Balcones C, Cruz Martín RM., Colmenar García C. La sexualidad en los pacientes con infarto agudo de miocardio. Enfermería Intensiva [Internet]. 2002 [citado el 6 de agosto de 2021];13(1):2–8. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1130239902780486
Lugo Mata ÁR. Actividad sexual posterior a infarto de miocardio en pacientes de dos hospitales de Maturín, Venezuela: Agosto 2015 - Mayo 2016. Scientifica (Cairo) [Internet]. 2016 [citado el 6 de agosto de 2021];14(1):13–6. Disponible en: http://www.revistasbolivianas.org.bo/pdf/rsscem/v14n1/v14n1_a01.pdf
Díaz Cortina E. Actividad sexual en pacientes cardiópatas. Rev Mex Enfermería Cardiológica [Internet]. 2002 [citado el 6 de agosto de 2021];10(3):106–8. Disponible en: https://www.medigraphic.com/pdfs/enfe/en-2002/en023e.pdf
Steinke EE. Sexual dysfunction common in people with coronary heart disease, but few cardiovascular changes actually occur during sexual activity. Evid Based Nurs [Internet]. 2015 [citado el 6 de agosto de 2021];18(1):19. Disponible en: https://ebn.bmj.com/lookup/doi/10.1136/eb-2014-101787
García Nicola Y. Evaluación de la aplicación de un programa de intervención psicológica en pacientes que han sufrido un evento cardiaco [tesis de maestría] [Internet]. Universitas Miguel Hernández; 2020. Disponible en: http://dspace.umh.es/jspui/bitstream/11000/5665/1/GARCIA Yovana TFM.pdf
Kałka D, Gebala J, Borecki M, Pilecki W, Rusiecki L. Return to sexual activity after myocardial infarction — An analysis of the level of knowledge in men undergoing cardiac rehabilitation. Eur J Intern Med [Internet]. 2017 [citado el 6 de agosto de 2021];37:e31–3. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0953620516303181
Abramsohn EM, Decker C, Garavalia B, Garavalia L, Gosch K, Krumholz HM, et al. “I’m Not Just a Heart, I’m a Whole Person Here”: A Qualitative Study to Improve Sexual Outcomes in Women With Myocardial Infarction. J Am Heart Assoc [Internet]. 2013 [citado el 6 de agosto de 2021];2(4):1–12. Disponible en: https://www.ahajournals.org/doi/10.1161/JAHA.113.000199
Fuster Guillen DE. Investigación cualitativa: método fenomenológico hermenéutico. Propósitos y Represent. 2019;7(1):201–29.
Shosha GA. Employment of Colaizzi’s strategy in descriptive phenomenology: a reflection of a researcher. Eur Sci J [Internet]. 2012 [citado el 6 de agosto de 2021];8(27):31–43. Disponible en: https://www.semanticscholar.org/paper/EMPLOYMENT-OF-COLAIZZI%27S-STRATEGY-IN-DESCRIPTIVE-A-Shosha/0d91d89244476162145584d13ac29cf85df5859d
Polit DF, Hungler B. Investigación científica en ciencias de la salud. 6a ed. Ciudad de México: McGraw-Hill Interamericana; 2000. 287 p.
Alconero Camarero AR, Casaus Pérez M, Gutiérrez Torre E, Saiz Fernández G, Pérez Bolado C. Evaluación de la información sobre actividad sexual proporcionada a pacientes con síndrome coronario agudo. Enfermería Intensiva [Internet]. 2008 [citado el 6 de agosto de 2021];19(2):78–85. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1130239908727482
Lindau ST, Abramsohn E, Gosch K, Wroblewski K, Spatz ES, Chan PS, et al. Patterns and Loss of Sexual Activity in the Year Following Hospitalization for Acute Myocardial Infarction (a United States National Multisite Observational Study). Am J Cardiol [Internet]. 2012 [citado el 6 de agosto de 2021];109(10):1439–44. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0002914912004559
Rodríguez Ricardo A, Torres Tamayo AM, Fernández Santiesteban VM. Estrategia de orientación educativa sobre el autocuidado en el adulto mayor con infarto agudo del miocardio. CCM [Internet]. 2019 [citado el 6 de agosto de 2021];23(4). Disponible en: https://www.medigraphic.com/pdfs/correo/ccm-2019/ccm194j.pdf
Altıok M, Yılmaz M. Opinions of Individuals Who have had Myocardial Infarction About Sex. Sex Disabil [Internet]. 2011 [citado el 6 de agosto de 2021];29(3):263–73. Disponible en: http://link.springer.com/10.1007/s11195-011-9217-5
Parra Gil R, Lizcano Álvarez Á, Galván Redondo D, Guerra Blanco C. Infartapp: una app para los autocuidados en pacientes postinfartados. Enfermería en Cardiol [Internet]. 2019 [citado el 6 de agosto de 2021];16(76):83–8. Disponible en: https://campusaeec.com/wp-content/uploads/2019/06/ART_9_76AE01.pdf
Zaranza de Sousa M, Mendes de Oliveira VL. Vivenciando o infarto: experiência e expectativas dos pacientes. Esc Anna Nery [Internet]. 2005 [citado el 6 de agosto de 2021];9(1):72–9. Disponible en: https://www.redalyc.org/pdf/1277/127720494009.pdf
Belizário Vieira M, da Silva Souza W, Freire Cavalcante P, Gonzaga Moura de Carvalho I, José de Almeida R. Percepção de homens após infarto agudo do miocárdio. Rev Bras em Promoção da Saúde [Internet]. 2017 [citado el 6 de agosto de 2021];30(3):1–9. Disponible en: http://periodicos.unifor.br/RBPS/article/view/5833
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 Feasibility Stud [Internet]. 2018 [citado el 6 de agosto de 2021];4(1):88. Disponible en: https://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-018-0278-4
Achury D. Sexualidad en la mujer con enfermedad cardiovascular: un problema oculto. Rev Cuid [Internet]. 2011 [citado el 6 de agosto de 2021];2(1):225–9. Disponible en: https://revistas.udes.edu.co/cuidarte/article/view/61
Rodríguez T, Navarro J, Moreno A, Castro C. La sexualidad del paciente con infarto agudo del miocardio en el marco de la rehabilitación cardiovascular. Sexol y Soc [Internet]. 2006 [citado el 6 de agosto de 2021];12(31):29–34. Disponible en: http://salutsexual.sidastudi.org/resources/inmagic-img/DD49374.pdf
Evcili F, Demirel G. Patient’s Sexual Health and Nursing: A Neglected Area. Int J Caring Sci [Internet]. 2018 [citado el 6 de agosto de 2021];11(2):1282–8. Disponible en: http://internationaljournalofcaringsciences.org/docs/72_evcili_original_10_2.pdf
Karani S, McLuskey J. Facilitators and barriers for nurses in providing sexual education to myocardial-infarction patients: A qualitative systematic review. Intensive Crit Care Nurs [Internet]. 2020 [citado el 6 de agosto de 2021];58:102802. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0964339720300057
Arikan F, Meydanlioglu A, Ozcan K, Canli Ozer Z. Attitudes and Beliefs of Nurses Regarding Discussion of Sexual Concerns of Patients During Hospitalization. Sex Disabil [Internet]. 2015;33(3):327–37. Disponible en: http://link.springer.com/10.1007/s11195-014-9361-9
Rojas-Reyes J, Flórez-Flórez ML. Adherencia al tratamiento y calidad de vida en personas con infarto agudo de miocardio. Aquichan [Internet]. 2016 [citado el 6 de agosto de 2021];16(3):328–39. Disponible en: http://aquichan.unisabana.edu.co/index.php/aquichan/article/view/328/pdf_1
McCall-Hosenfeld JS, Freund KM, Legault C, Jaramillo SA, Cochrane BB, Manson JE, et al. Sexual Satisfaction and Cardiovascular Disease: The Women’s Health Initiative. Am J Med [Internet]. abril de 2008 [citado el 10 de agosto de 2021];121(4):295–301. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0002934307011783
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.