RNPilotJournal of holistic nursing : official journal of the American Holistic Nurses' Association2022

A Preliminary Study of Short-Term Sexual Function and Satisfaction Among Men Post-Myocardial Infarction.

Asa B Smith, Debra L Barton, Matthew Davis and 3 others

PMID 34382477

WHAT IT FOUND

Among 24 men surveyed after heart attack discharge, average sexual function score was 9.2 out of 30.

Desire and satisfaction scored highest; fear score was 7.5 out of 20. This small survey cannot show nursing advice improves outcomes.

Key findings

01Among 24 men analysed, 58.3% were sexually active two weeks post discharge, and the average total sexual function score was 9.2 out of 30 (range 2–26.2).

02Desire and satisfaction were the highest-scoring subscales, with average scores of 2.5 and 2.36.

03The average sexual fear score was 7.5 out of 20, and fear was negatively correlated with sexual function subscales, strongest with orgasm (r = -0.31).

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only 24 men were analysed, from a pilot survey with a 44% response rate, so the results are preliminary. Women returned surveys but were excluded from analysis because of the small number. The study had no pre-MI sexual function data, so it cannot show how much change each man experienced. It was a single-site tertiary hospital sample and was mostly White, married, and college-educated, so it may not apply to other communities. Four men with incomplete satisfaction items were removed from satisfaction and total score analyses. The design was cross-sectional and descriptive, so correlations do not show that sexual function caused satisfaction or fear, or that any nursing advice improved outcomes. Sexual fear scores were generally low, which may have produced a floor effect and weakened correlations. The small sample size limited the ability to control for covariates.

Declared interests

No funding or conflict-of-interest statement is included in the supplied text.

The easy way to misread this

Do not conclude that this study proves nurses' sexual-health counselling improves post-MI recovery or that all men after MI have low sexual function. It was a small cross-sectional pilot survey of 24 men from one hospital, without pre-MI comparison or an intervention, so it only describes scores at one early time point.

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