Sexual counselling of cardiac patients: nurses' perception of practice, responsibility and confidence.
BACKGROUND
Cardiac patients may experience problems with sexual activity as a result of their disease, medications or anxiety and nurses play an important role in sexual counselling. We studied the practice, responsibility and confidence of cardiac nurses in the sexual counselling of these patients.


METHODS
An adapted version of the nurses' survey of sexual counselling of MI patients was administered during a scientific meeting of the Council on Cardiovascular Nursing and Allied Professionals within the European Society of Cardiology.


RESULTS
Most of the 157 cardiovascular nurses (87%) who completed the survey felt responsible to discuss sexual concerns with their clients, especially when patients initiated a discussion. However in practice, most respondents rarely addressed sexual issues. The items that nurses reported to counsel patients were closely related to the cardiac disease, symptoms and medications and seldom more sensitive subjects (e.g. foreplay, positions). Nurses estimated that their patients could be upset (67%), embarrassed (72%) or anxious (68%) if they were asked about sexual concerns. One-fifth of the nurses felt they had insufficient knowledge and 40% sometimes hesitated to discuss sexual concerns with clients because they might not know how to answer questions. Additional education on sexuality was significantly related to being more comfortable and active in sexual counselling.


CONCLUSIONS
Although cardiac nurses feel responsible and not anxious discussing patients' sexual concerns, these issues are not often discussed in daily practice. Nurses might need more knowledge and specific practical training in providing information on sexual concerns and sexual counselling to cardiac patients.
Jaarsma
T
T
Linköping University, Department of Social and Welfare studies, Division of Health, Activity and Care, Norrköping, Sweden. tiny.jaarsma@liu.se
Strömberg
A
A
Fridlund
B
B
De Geest
S
S
Mårtensson
J
J
Moons
P
P
Norekval
T M
TM
Smith
K
K
Steinke
E
E
Thompson
D R
DR
D000328:Adult; D000554:Ambulatory Care Facilities; D001007:Anxiety / Q000451:nursing / Q000523:psychology; D001291:Attitude of Health Personnel; D002300:Cardiac Care Facilities; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006331:Heart Diseases / Q000451:nursing* / Q000523:psychology / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009740:Nursing Staff / Q000523:psychology*; D019145:Rehabilitation Nursing / Q000379:methods; D012649:Self Concept; D012731:Sex Counseling / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires