心肌梗塞恢復期男性患者的性知識、性態度與性生活變化的相關研究

A Correlation Study on the Sexual Knowledge, Attitude, and Sexual Life Changes of Male Patients with Myocardial Infarction during Recovery Period

本研究採敘述性相關性研究法，以結構式問卷進行橫斷性調查，探討心肌梗塞恢復期男性患者的性知識、性態度與性生活，以及性知識與性態度間之相關性，並進一步探討影響性知識與性態度之因素。以立意取樣在兩家醫學中心和兩家區域醫院，接觸108位心肌梗塞後6週至6個月之男性個案，92人完成問卷。結果發現：(1)心肌梗塞恢復期男性患者的性知識偏低。(2)性態度傾向中等。(3)多數患者於梗塞後第一個月內恢復性交，但性生活次數減少，性交姿位改變。個案與伴侶面對性時均產生負向心理，梗塞後性生活滿意度降低。(4)性知識與性態度間呈顯著正相關。(5)教育程度可解釋性知識總變異數之8.2％。教育程度、性知識、梗塞後性生活滿意度、伴侶的顧慮以及接受冠狀動脈擴張術，可解釋性態度總變異數之47.6％。本研究證實梗塞會影響性生活，研究結果提供護理人員給予梗塞患者性衛教的參考。

The purposes of this study were to examine the relationship among sexual knowledge, attitude, and sexual life for male myocardial infarction (MI) patients during the recovery period and to analyze factors affecting such knowledge and attitude. The descriptive correlation design used a selfadministered structured questionnaire for data collection. One hundred and eight MI patients from four hospitals were contacted and 92 subjects completed the questionnaires. The results showed that (1) The mean score of sexual knowledge was 10.49 (SD=3.95, range 2-20). (2) The mean score of sexual attitude was 65.82 (SD=10.16, range 41-89). (3) Most of the subjects resumed sexual intercourse in the first month following MI, but the frequency of sexual intercourse declined. Some subjects reported that their sexual positions had changed. Some subjects and partners reported negative feeling toward sexual activity and lower level of sexual satisfaction. (4) Sexual knowledge and attitude was positively associated with each other (r= .472, p< .001). (5) The significant predicator of sexual knowledge was educational level, which accounted for 8.2% of the variance. (6) The significant predicators of sexual attitude were educational level, sexual knowledge, level of sexual satisfaction after MI, partners’ concern, and receiving of percutaneous transluminal coronary angioplasty, which accounted for 47.6% of the variance. From the results we confirmed that changes in sexual life occurred in male MI patients during the recovery period. The results could be a reference for instructing MI patients on their sexual life and for teaching sexual consultation to student nurses.