Risk Factors, Depression, and Drugs Influencing Sexual Activity in Individuals With and Without Stroke.

Purpose: The aim of the study was to analyze factors affecting sexual activity in individuals with and without stroke, ages 40-59 years, in a national, cross-sectional, population-based sample derived from the National Health and Nutrition Examination Survey (NHANES).

Design: Descriptive, cross-sectional survey.

Methods: Data were obtained from the NHANES (2011-2012) data set from individuals (N = 3,649) completing items related to cardiovascular risk factors, drugs, and sexual activity.

Depression, Quality of Life, Physical Activity, and the Impact of Drugs on Sexual Activity in a Population-Based Sample, Ages 20-59 Years.

Sexual quality of life is important for many individuals; therefore, this study examined the frequency of depression in a younger and middle-aged population-based sample, and the impact on physical activity, quality of life, and sexual activity, and the role of antidepressant and cardiac drugs on sexual function. The sample, ages 20 to 59 years, completed relevant items for depression, sexual activity, physical activity, quality of life, and drugs. Data were analyzed using descriptive statistics, Pearson correlations, t-tests, and analysis of variance.

The Influence of Comorbidities, Risk Factors, and Medications on Sexual Activity in Individuals Aged 40 to 59 Years With and Without Cardiac Conditions: US National Health and Nutrition Examination Survey, 2011 to 2012.

Background: Sexual activity is increasingly recognized as an important aspect of quality of life for many individuals with cardiovascular disease, although less is known about the factors contributing to sexual functioning in younger adults.

Objective: This study examined factors influencing sexual activity in individuals aged 40 to 59 years, comparing those reporting a cardiac condition with those without a cardiac condition, in a national population-based sample.

Methods: The data were derived from the 2011 to 2012 National Health and Nutrition Examination Survey, a publicly available data set with a noninstitutionalized nationally representative sample.

Determinants of sexual function and dysfunction in men and women with stroke: A systematic review.

Aim: The aim of this systematic review was to examine determinants of sexual function and dysfunction in men and women poststroke, and to evaluate effectiveness of interventions.

Methods: A systematic review was conducted using the databases of PubMed, Medline, CINAHL, Cochrane, and Psychinfo, for studies published between January, 2000 and October, 2016. Included were original research, adult ≥18 years, English language, and experimental and non-experimental designs.

Effects of Simulation on Nursing Student Stress: An Integrative Review.

Background: The effects of stress on nursing students' health and learning is important to educators. The purpose of this review was to critically integrate the literature related to the stress that nursing students experience regarding high-fidelity simulation (HFS).

Method: Literature from multiple search engines and databases was systematically searched.

Baccalaureate nursing students' application of social-cognitive sexual counseling for cardiovascular patients: A web-based educational intervention.

Background: A gap in knowledge and practice exists for sexual counseling of cardiovascular patients, and innovative approaches are needed to address patients' sexual quality of life.

Aim: To evaluate a web-based social-cognitive intervention for evidence-based sexual counseling by baccalaureate nursing students with cardiovascular patients.

Methods: A pre- post-test survey design was used: pre-test (T1), immediate post-test after intervention (T2), and at 4 to 6weeks post-intervention (T3).

Predictors of change in sexual activity after cardiac diagnosis: Elements to inform sexual counseling.

Safely returning to sexual activity after being diagnosed with a cardiac condition is at the core of sexual counseling strategies. To further inform sexual counseling, this study examined changes in sexual activity before and after a cardiac diagnosis. Logistic analysis was used to suggest factors that can contribute to a change in sexual activity among cardiac patients.

Change in sexual activity after a cardiac event: the role of medications, comorbidity, and psychosocial factors.

Aim: The aim of this study was to examine change in sexual activity before and after cardiac diagnosis in men and women by medication class.

Background: Decline in sexual activity after cardiac diagnosis frequently occurs, with adverse effects of medications believed to play a role, although literature by subclass of drugs are conflicting.

Methods: Mixed methods approach was used to evaluate cardiac patients' (N=211) self-reported medications and changes in sexual activity before and after cardiac diagnosis via mailed survey.

Medication use and predictors of sexual activity in men and women with CVD.

Purpose: To examine the influence of cardiac and noncardiac medications on sexual activity by drug classification and generation of the drug, among men and women with cardiovascular disease.

Data Sources: This study was a subanalysis (n = 224) of survey data from a cross-sectional sample of 336 cardiac patients. Self-reported medications were categorized by generic drug name, classification, and subclass and/or generation of the drug.

Student reflections following exposure to a case-based interprofessional learning experience: Preliminary findings.

This study analyzed students' written reflections following their initial exposure to interprofessional teamwork in case-based problem-solving. A three-hour seminar featuring three sequenced scenarios was developed and offered 12-times over two semesters. A total of 305 students from a variety of healthcare programs worked together with standardized patients in an on-campus laboratory simulating hospital ward and rehabilitation settings.

Cardiac comorbidities and sexual activity predict sexual self-perception and adjustment.

Background: Changes in sexual satisfaction and sexual activity are often reported by cardiac patients, although factors influencing sexual adjustment are not well established. Knowledge of risk and protective factors can guide nurses in addressing physical and psychological needs of patients.

Objectives: We examined predictors of sexual self-perception and adjustment in a cross section of cardiac patients.

Sexual concerns of cardiac patients: A psychometric analysis.

The primary aim of this study was to evaluate the psychometric properties of the Steinke Sexual Concerns Inventory-General Cardiac Version (SSCI-GCV) and to examine its use across multiple cardiac diagnoses. A sub-analysis of a cross-sectional sample of 205 cardiac patients from the central USA was completed. Our analyses yielded promising evidence that the SSCI-GCV is a reliable (Cronbach's alpha = 0.

Sexual concerns of cardiac patients: predictors and the influence of specific sexual activities.

Background: Addressing sexual concerns of cardiac patients is integral to comprehensive patient-centered nursing care, and instruments for use across cardiac populations are needed to promote this activity. Knowing the factors that contribute to sexual concerns provides insights that help to promote inclusion of assessment of relevant sexual activity and provide sexual counseling as a standard of care.

Aim: This study examined demographic factors, comorbid conditions, and sexual activities as predictive of sexual concerns.

Sexual counselling for individuals with cardiovascular disease and their partners: a consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP).

After a cardiovascular event, patients and their families often cope with numerous changes in their lives, including dealing with consequences of the disease or its treatment on their daily lives and functioning. Coping poorly with both physical and psychological challenges may lead to impaired quality of life. Sexuality is one aspect of quality of life that is important for many patients and partners that may be adversely affected by a cardiac event.

A social-cognitive sexual counseling intervention post-MI-development and pilot testing.

Purpose: Individuals experiencing myocardial infarction (MI) report anxiety, depression, diminished quality of life (QOL), and reduced sexual activity.

Design And Methods: We examined return to sexual activity post-MI, and pilot tested a comprehensive sexual counseling intervention based on social-cognitive theory. The intervention in this pretest/posttest preexperimental study used an informational video, newsletters, and telephone counseling, with cardiac patients (N = 10) and partners (N = 3).

Exploring nurses' perceptions of providing sexual health counseling for patients with cardiac disease: implications for evidence-based interventions.

After an acute cardiac event, such as a myocardial infarction, patients often experience anxiety and fear associated with resuming normal activities, including sexual relationships and sexual functioning. However, patients' needs for psychosocial support and sexual health counseling are often not adequately addressed. Therefore, the purpose of this study was to examine nurses' perceptions of providing sexual health education and counseling for patients experiencing a myocardial infarction.

Changes in myocardial infarction-specific sexual counseling by cardiac nurses.

It is largely unknown if changes in the practice of sexual counseling of myocardial infarction (MI) patients by cardiac nurses have occurred over time. Therefore, the purpose of this study was to examine changes in the practice of MI-specific sexual counseling by cardiac nurses, comparing the years 1994 and 2009. Based on these results, suggestions for sexual counseling of MI patients are provided.

Comparison of cardiac rehabilitation and acute care nurses perceptions of providing sexual counseling for cardiac patients.

Purpose: : The purpose of this study was to examine the differences between outpatient cardiac rehabilitation (CR) and acute care nurses perceived barriers and clinical practices of providing sexual counseling for myocardial infarction patients.

Methods: : A nonexperimental descriptive, comparative research design with convenience sampling was used to survey CR and acute care nurses using the Survey of Sexuality Related Nursing Practice-Myocardial Infarction questionnaire.

Results: : A total of 320 nurses (81 CR nurses, 239 acute care nurses), in midwestern states completed the survey.

Effects of depression on sexual activity and sexual satisfaction in heart failure.

Patients with heart failure often suffer from depression. However, little is known about the influence of depression on sexual activity and satisfaction. This secondary analysis of descriptive cross-sectional data study examines the role of depression on sexual activity and sexual satisfaction in heart failure.

Progress in sexual counseling by cardiac nurses, 1994 to 2009.

Objective: To examine trends in the practice of sexual counseling by cardiac nurses.

Methods: A non-experimental descriptive design was used to analyze survey data collected at 2 time points: 1994 (n = 171) and 2009 (n = 288).

Results: Nurses in the 2009 sample reported more conservative values (P < .

Genetics of depression: an overview of the current science.

Most psychiatric disorders, including major depressive disorder (MDD), are known to involve complex interactions between genetic and environmental influences that impact the development and severity of symptomatology. Health care practitioner competencies have been expanded to include application of genetic knowledge in mental health. Yet this information is difficult to decipher and apply.

Sexual concerns and sexual counseling in heart failure.

Patients with heart failure (HF) face significant challenges in maintaining quality of life (QOL), particularly for sexual intimacy. Although recommended for all cardiac patients, it has been suggested that few HF patients receive sexual counseling. This study explored sexual counseling needs, sexual concerns, and sexual activity using a descriptive survey with HF patients (n = 45), recruited from a HF clinic or cardiology office.

Risk factors as predictors of sexual activity in heart failure.

Patients with heart failure (HF) often have concerns about sexual activity while living with HF. Little is known about factors that contribute to sexual activity and sexual dysfunction in HF. This study examined selected risk factors and demographic variables as predictors of sexual activity in HF patients.

Trends in sexual concerns after myocardial infarction.

Background And Research Objective: Healthcare providers are expected to provide information and support as myocardial infarction (MI) patients resume normal activities, including sexual relations. The healthcare literature, however, suggests that few providers follow through with the assessment of understanding, provision of appropriate information, and support for patients with MI in resuming their sexual activity. The purpose of the study was to examine trends in sexual concerns of patients with MI and patterns of sexual concerns in early, middle, and later recovery periods.