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dc.contributor.authorSteinke, Elaine E.
dc.contributor.authorMosack, Victoria A.
dc.contributor.authorHill, Twyla J.
dc.date.accessioned2015-08-31T15:00:51Z
dc.date.available2015-08-31T15:00:51Z
dc.date.issued2015-08
dc.identifier.citationSteinke, Elaine E.; Mosack, Victoria; Hill, Twyla J. 2015. Change in sexual activity after a cardiac event: the role of medications, comorbidity, and psychosocial factors. Applied Nursing Research, vol. 28:no. 3, August 2015:pp 244–250en_US
dc.identifier.issn0897-1897
dc.identifier.otherWOS:000358754600007
dc.identifier.urihttp://dx.doi.org/10.1016/j.apnr.2015.04.011
dc.identifier.urihttp://hdl.handle.net/10057/11482
dc.descriptionClick on the DOI link to access the article (may not be free).en_US
dc.description.abstractAim: 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. Chi square, logistic regression, and thematic analysis were used. Results: First and third generation beta blockers, class 1 calcium channel blockers, vasodilators, diuretics, and loop diuretics adversely affected sexual activity. Significant predictors of change in sexual activity were number of medications, education level, and income: the overall model predicted 25.7% of the variance in sexual activity. Conclusions: Sexual assessment and discussion of sexual concerns and side effects of medications by nurses are important to support sexual function.en_US
dc.language.isoen_USen_US
dc.publisherElsevier B.V.en_US
dc.relation.ispartofseriesApplied Nursing Research;v.28:no.3
dc.subjectSexual activityen_US
dc.subjectSexual dysfunctionen_US
dc.subjectCardiovascular diseasesen_US
dc.subjectDrug therapyen_US
dc.titleChange in sexual activity after a cardiac event: the role of medications, comorbidity, and psychosocial factorsen_US
dc.typeArticleen_US
dc.rights.holder(C) 2015 Elsevier Inc. All rights reserved.


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