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Elaine E. Steinke - One of the best experts on this subject based on the ideXlab platform.

  • Level of knowledge among cardiac nurses regarding Sexual Counseling of post-MI patients in three tertiary care hospitals in Pakistan
    Heart & lung : the journal of critical care, 2017
    Co-Authors: Layla Rahim, Elaine E. Steinke, Saleema Allana, Fauziya Ali, Aamir Hameed Khan
    Abstract:

    Abstract Purpose The aim of this study is to measure the level of knowledge among cardiac nurses about Sexual Counseling of post-myocardial infarction (MI) patients. Method This descriptive cross-sectional study was conducted among 153 nurses at three tertiary care hospitals of a large metropolitan city of Pakistan. Results The findings revealed that the majority nurses have moderate knowledge regarding post-MI Sexual Counseling. Additionally, nurses have lack of knowledge regarding effects of cardiac drugs on Sexual life of post-MI patients. Conclusion There is a need to improve nurses' knowledge in regard to Sexual Counseling among post-MI patients. Nurses should have knowledge to deal with such a sensitive issue as Sexuality, in order to improve patients' quality of life. With respect to Pakistan, this was a baseline study and may provide insights for designing interventional or qualitative studies in the future.

  • Baccalaureate nursing students' application of social-cognitive Sexual Counseling for cardiovascular patients: A web-based educational intervention
    Nurse education today, 2016
    Co-Authors: Elaine E. Steinke, Susan Barnason, Victoria Mosack, Twyla J. Hill
    Abstract:

    Abstract 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 6 weeks post-intervention (T3). Data were collected using the Survey of Sexuality Related Nursing Practices —Cardiac version (SSRNP-CV). Data were analyzed using descriptive statistics and t-tests. Results From T1 to T2, students (N = 95) significantly increased their responsibility and confidence in Sexual Counseling; from T1 to T3 (N = 57), students significantly improved Sexual Counseling for confidence and practice subscales, total SSRNP score, and cardiac-specific subscales of Sexual Counseling, Sexual activity, and gender. Conclusion This study clearly demonstrated that a web-based social-cognitive Sexual Counseling intervention was effective in improving students' ability to provide evidence-based Sexual Counseling of cardiovascular patients.

  • When the topic turns to sex case scenarios in Sexual Counseling and cardiovascular disease
    Journal of cardiopulmonary rehabilitation and prevention, 2016
    Co-Authors: Elaine E. Steinke, Pernille Palm Johansen, Wendy Dusenbury
    Abstract:

    Patients with cardiovascular disease and their partners frequently have concerns about Sexual intimacy, and Sexual Counseling is needed across health care settings to ensure that patients receive information to safely resume Sexual activity. The purpose of this review is to provide practical, evidence-based approaches to enable health care providers to discuss Sexual Counseling, illustrated by several case scenarios. Evidence shows that patients expect health care providers to initiate Sexual activity discussions, although providers may be hesitant and often rely on patients to ask questions. Although some providers cite lack of knowledge or confidence in their ability to provide Sexual Counseling, others mention time pressures in the clinical setting. Although such barriers exist, Sexual Counseling can be individualized to the cardiac condition of a patient with a few select questions. The representative examples of patients with angina pectoris, myocardial infarction, coronary artery bypass surgery, heart failure, and implantable cardioverter defibrillator are used to illustrate key points and provide a model for Sexual Counseling in practice.

  • Predictors of change in Sexual activity after cardiac diagnosis: Elements to inform Sexual Counseling.
    Journal of health psychology, 2015
    Co-Authors: Victoria Mosack, Twyla J. Hill, Elaine E. Steinke
    Abstract:

    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. Reduced frequency in Sexual activity after a cardiac diagnosis was influenced by greater Sexual concerns and a history of smoking, as well as by education and employment status. These findings suggest that cardiac patients experiencing significant concerns about resuming Sexual activity need added support through the mental health system.

  • Sexual Counseling and cardiovascular disease: practical approaches
    Asian journal of andrology, 2015
    Co-Authors: Elaine E. Steinke, Tiny Jaarsma
    Abstract:

    Patients with cardiovascular disease and their partners expect health care providers to provide Sexual Counseling to assist them in maintaining Sexual quality of life. Evidence suggests however, that there is a gap in integrating evidence into practice and that relatively few cardiac patients receive Sexual Counseling. This can result in negative psychological, physical, and quality of life outcomes for couples who may needlessly decide Sexual activity is too risky and cease all Sexual activity. Two scientific statements now exist that provide ample guidance to health care providers in discussing this important topic. Using a team approach that includes physicians, nurses, physical therapists, rehabilitation staff, and others is important to ensure that Sexual Counseling occurs throughout recovery. In addition, several trials using interventional approaches for Sexual Counseling provide insight into successful approaches for Sexual Counseling in practice. This article provides practical strategies and evidence-based approaches for assessment and Sexual Counseling for all cardiac patients and their partners, and specific Counseling for those with ischemic conditions, heart failure, and implanted devices.

Pierfrancesco Bassi - One of the best experts on this subject based on the ideXlab platform.

  • original research psychology Sexual Counseling improved erectile rehabilitation after non nerve sparing radical retropubic prostatectomy or cystectomy results of a randomized prospective study
    The Journal of Sexual Medicine, 2006
    Co-Authors: Matteo Titta, I.m. Tavolini, A. Cisternino, Fabrizio Dal Moro, Pierfrancesco Bassi
    Abstract:

    ABSTRACT Aim The efficacy of prostaglandin E1 (PGE1)‐intracavernous injection (ICI) therapy for erectile dysfunction (ED) after non‐nerve‐sparing (NNS) radical pelvic surgery depends on patient compliance. The purpose of this study was to verify the utility of Sexual Counseling in ICI in terms of treatment efficacy, compliance, and dropout rate. Methods In this prospective randomized study, 57 patients with ED after NNS radical prostatectomy or cystectomy were divided: 29 patients (group SC+) were treated with Sexual Counseling and PGE1‐ICI therapy; the others 28 (group SC–) were treated with only ICI. At the start of the study all patients were administered the International Index of Erectile Function (IIEF) questionnaire and ICI training test; follow‐up (at 3, 6, 9, 12, 18 months) was achieved by home Sildenafil test and ambulatory IIEF test; Sexual Counseling was provided only to group SC+. Results The mean IIEF score at the end of study was 26.5 (SC+) vs. 24.3 (SC–) ( P P P P P P Conclusions ICI‐oriented Sexual Counseling in ICI increased the efficacy of treatment, the compliance, and Sildenafil responders rate, decreased the dropout rate. Titta M, Tavolini IM, Dal Moro F, Cisternino A, and Bassi P. Sexual Counseling improved erectile rehabilitation after non‐nerve‐sparing radical retropubic prostatectomy or cystectomy—results of a randomized prospective study. J Sex Med 2006;3:267–273.

  • ORIGINAL RESEARCH—PSYCHOLOGY: Sexual Counseling Improved Erectile Rehabilitation After Non-Nerve-Sparing Radical Retropubic Prostatectomy or Cystectomy—Results of a Randomized Prospective Study
    The journal of sexual medicine, 2006
    Co-Authors: Matteo Titta, I.m. Tavolini, Fabrizio Dal Moro, A. Cisternino, Pierfrancesco Bassi
    Abstract:

    ABSTRACT Aim The efficacy of prostaglandin E1 (PGE1)‐intracavernous injection (ICI) therapy for erectile dysfunction (ED) after non‐nerve‐sparing (NNS) radical pelvic surgery depends on patient compliance. The purpose of this study was to verify the utility of Sexual Counseling in ICI in terms of treatment efficacy, compliance, and dropout rate. Methods In this prospective randomized study, 57 patients with ED after NNS radical prostatectomy or cystectomy were divided: 29 patients (group SC+) were treated with Sexual Counseling and PGE1‐ICI therapy; the others 28 (group SC–) were treated with only ICI. At the start of the study all patients were administered the International Index of Erectile Function (IIEF) questionnaire and ICI training test; follow‐up (at 3, 6, 9, 12, 18 months) was achieved by home Sildenafil test and ambulatory IIEF test; Sexual Counseling was provided only to group SC+. Results The mean IIEF score at the end of study was 26.5 (SC+) vs. 24.3 (SC–) ( P P P P P P Conclusions ICI‐oriented Sexual Counseling in ICI increased the efficacy of treatment, the compliance, and Sildenafil responders rate, decreased the dropout rate. Titta M, Tavolini IM, Dal Moro F, Cisternino A, and Bassi P. Sexual Counseling improved erectile rehabilitation after non‐nerve‐sparing radical retropubic prostatectomy or cystectomy—results of a randomized prospective study. J Sex Med 2006;3:267–273.

Matteo Titta - One of the best experts on this subject based on the ideXlab platform.

  • original research psychology Sexual Counseling improved erectile rehabilitation after non nerve sparing radical retropubic prostatectomy or cystectomy results of a randomized prospective study
    The Journal of Sexual Medicine, 2006
    Co-Authors: Matteo Titta, I.m. Tavolini, A. Cisternino, Fabrizio Dal Moro, Pierfrancesco Bassi
    Abstract:

    ABSTRACT Aim The efficacy of prostaglandin E1 (PGE1)‐intracavernous injection (ICI) therapy for erectile dysfunction (ED) after non‐nerve‐sparing (NNS) radical pelvic surgery depends on patient compliance. The purpose of this study was to verify the utility of Sexual Counseling in ICI in terms of treatment efficacy, compliance, and dropout rate. Methods In this prospective randomized study, 57 patients with ED after NNS radical prostatectomy or cystectomy were divided: 29 patients (group SC+) were treated with Sexual Counseling and PGE1‐ICI therapy; the others 28 (group SC–) were treated with only ICI. At the start of the study all patients were administered the International Index of Erectile Function (IIEF) questionnaire and ICI training test; follow‐up (at 3, 6, 9, 12, 18 months) was achieved by home Sildenafil test and ambulatory IIEF test; Sexual Counseling was provided only to group SC+. Results The mean IIEF score at the end of study was 26.5 (SC+) vs. 24.3 (SC–) ( P P P P P P Conclusions ICI‐oriented Sexual Counseling in ICI increased the efficacy of treatment, the compliance, and Sildenafil responders rate, decreased the dropout rate. Titta M, Tavolini IM, Dal Moro F, Cisternino A, and Bassi P. Sexual Counseling improved erectile rehabilitation after non‐nerve‐sparing radical retropubic prostatectomy or cystectomy—results of a randomized prospective study. J Sex Med 2006;3:267–273.

  • ORIGINAL RESEARCH—PSYCHOLOGY: Sexual Counseling Improved Erectile Rehabilitation After Non-Nerve-Sparing Radical Retropubic Prostatectomy or Cystectomy—Results of a Randomized Prospective Study
    The journal of sexual medicine, 2006
    Co-Authors: Matteo Titta, I.m. Tavolini, Fabrizio Dal Moro, A. Cisternino, Pierfrancesco Bassi
    Abstract:

    ABSTRACT Aim The efficacy of prostaglandin E1 (PGE1)‐intracavernous injection (ICI) therapy for erectile dysfunction (ED) after non‐nerve‐sparing (NNS) radical pelvic surgery depends on patient compliance. The purpose of this study was to verify the utility of Sexual Counseling in ICI in terms of treatment efficacy, compliance, and dropout rate. Methods In this prospective randomized study, 57 patients with ED after NNS radical prostatectomy or cystectomy were divided: 29 patients (group SC+) were treated with Sexual Counseling and PGE1‐ICI therapy; the others 28 (group SC–) were treated with only ICI. At the start of the study all patients were administered the International Index of Erectile Function (IIEF) questionnaire and ICI training test; follow‐up (at 3, 6, 9, 12, 18 months) was achieved by home Sildenafil test and ambulatory IIEF test; Sexual Counseling was provided only to group SC+. Results The mean IIEF score at the end of study was 26.5 (SC+) vs. 24.3 (SC–) ( P P P P P P Conclusions ICI‐oriented Sexual Counseling in ICI increased the efficacy of treatment, the compliance, and Sildenafil responders rate, decreased the dropout rate. Titta M, Tavolini IM, Dal Moro F, Cisternino A, and Bassi P. Sexual Counseling improved erectile rehabilitation after non‐nerve‐sparing radical retropubic prostatectomy or cystectomy—results of a randomized prospective study. J Sex Med 2006;3:267–273.

Victoria Mosack - One of the best experts on this subject based on the ideXlab platform.

  • Baccalaureate nursing students' application of social-cognitive Sexual Counseling for cardiovascular patients: A web-based educational intervention
    Nurse education today, 2016
    Co-Authors: Elaine E. Steinke, Susan Barnason, Victoria Mosack, Twyla J. Hill
    Abstract:

    Abstract 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 6 weeks post-intervention (T3). Data were collected using the Survey of Sexuality Related Nursing Practices —Cardiac version (SSRNP-CV). Data were analyzed using descriptive statistics and t-tests. Results From T1 to T2, students (N = 95) significantly increased their responsibility and confidence in Sexual Counseling; from T1 to T3 (N = 57), students significantly improved Sexual Counseling for confidence and practice subscales, total SSRNP score, and cardiac-specific subscales of Sexual Counseling, Sexual activity, and gender. Conclusion This study clearly demonstrated that a web-based social-cognitive Sexual Counseling intervention was effective in improving students' ability to provide evidence-based Sexual Counseling of cardiovascular patients.

  • Predictors of change in Sexual activity after cardiac diagnosis: Elements to inform Sexual Counseling.
    Journal of health psychology, 2015
    Co-Authors: Victoria Mosack, Twyla J. Hill, Elaine E. Steinke
    Abstract:

    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. Reduced frequency in Sexual activity after a cardiac diagnosis was influenced by greater Sexual concerns and a history of smoking, as well as by education and employment status. These findings suggest that cardiac patients experiencing significant concerns about resuming Sexual activity need added support through the mental health system.

  • Sexual Counseling 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)
    Circulation, 2013
    Co-Authors: Elaine E. Steinke, Tiny Jaarsma, Susan Barnason, Jan Mårtensson, Bengt Fridlund, Molly Byrne, Sally Doherty, Cynthia M. Dougherty, Donald D. Kautz, Victoria Mosack
    Abstract:

    Sexual Counseling 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)

  • A social-cognitive Sexual Counseling intervention post-MI-development and pilot testing.
    Perspectives in psychiatric care, 2012
    Co-Authors: Elaine E. Steinke, Victoria Mosack, Jodie L. Hertzog, David W. Wright
    Abstract:

    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). Measures included QOL; knowledge; Sexual anxiety, depression, self-efficacy, and satisfaction. FINDINGS:  At 8 weeks, only 60% had returned to Sexual activity, with low QOL and Sexual satisfaction for patients and partners. PRACTICE IMPLICATIONS:  Supportive interventions by nurses are needed to assist MI patients and partners return to Sexual activity.

  • Progress in Sexual Counseling by cardiac nurses, 1994 to 2009
    Heart & lung : the journal of critical care, 2011
    Co-Authors: Elaine E. Steinke, Susan Barnason, Victoria Mosack, David W. Wright
    Abstract:

    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 < .001) and greater sense of responsibility for providing Sexual Counseling (P < .0001) than those in the 1994 sample. Although Sexual activities (cuddling, kissing, fondling, masturbation, oral sex) were discussed more frequently by nurses in the 1994 survey (P < .001), improvements in the specific discussion of myocardial infarction-related Sexual activity and Counseling were noted in the 2009 sample, including by patient age and gender (P < .0001). Conclusion Comparison of the 2 data samples suggests an improving trend in provision of Sexual Counseling by cardiac nurses, which can be reinforced by including Sexual Counseling information and role-play opportunities in continuing education courses.

A. Cisternino - One of the best experts on this subject based on the ideXlab platform.

  • original research psychology Sexual Counseling improved erectile rehabilitation after non nerve sparing radical retropubic prostatectomy or cystectomy results of a randomized prospective study
    The Journal of Sexual Medicine, 2006
    Co-Authors: Matteo Titta, I.m. Tavolini, A. Cisternino, Fabrizio Dal Moro, Pierfrancesco Bassi
    Abstract:

    ABSTRACT Aim The efficacy of prostaglandin E1 (PGE1)‐intracavernous injection (ICI) therapy for erectile dysfunction (ED) after non‐nerve‐sparing (NNS) radical pelvic surgery depends on patient compliance. The purpose of this study was to verify the utility of Sexual Counseling in ICI in terms of treatment efficacy, compliance, and dropout rate. Methods In this prospective randomized study, 57 patients with ED after NNS radical prostatectomy or cystectomy were divided: 29 patients (group SC+) were treated with Sexual Counseling and PGE1‐ICI therapy; the others 28 (group SC–) were treated with only ICI. At the start of the study all patients were administered the International Index of Erectile Function (IIEF) questionnaire and ICI training test; follow‐up (at 3, 6, 9, 12, 18 months) was achieved by home Sildenafil test and ambulatory IIEF test; Sexual Counseling was provided only to group SC+. Results The mean IIEF score at the end of study was 26.5 (SC+) vs. 24.3 (SC–) ( P P P P P P Conclusions ICI‐oriented Sexual Counseling in ICI increased the efficacy of treatment, the compliance, and Sildenafil responders rate, decreased the dropout rate. Titta M, Tavolini IM, Dal Moro F, Cisternino A, and Bassi P. Sexual Counseling improved erectile rehabilitation after non‐nerve‐sparing radical retropubic prostatectomy or cystectomy—results of a randomized prospective study. J Sex Med 2006;3:267–273.

  • ORIGINAL RESEARCH—PSYCHOLOGY: Sexual Counseling Improved Erectile Rehabilitation After Non-Nerve-Sparing Radical Retropubic Prostatectomy or Cystectomy—Results of a Randomized Prospective Study
    The journal of sexual medicine, 2006
    Co-Authors: Matteo Titta, I.m. Tavolini, Fabrizio Dal Moro, A. Cisternino, Pierfrancesco Bassi
    Abstract:

    ABSTRACT Aim The efficacy of prostaglandin E1 (PGE1)‐intracavernous injection (ICI) therapy for erectile dysfunction (ED) after non‐nerve‐sparing (NNS) radical pelvic surgery depends on patient compliance. The purpose of this study was to verify the utility of Sexual Counseling in ICI in terms of treatment efficacy, compliance, and dropout rate. Methods In this prospective randomized study, 57 patients with ED after NNS radical prostatectomy or cystectomy were divided: 29 patients (group SC+) were treated with Sexual Counseling and PGE1‐ICI therapy; the others 28 (group SC–) were treated with only ICI. At the start of the study all patients were administered the International Index of Erectile Function (IIEF) questionnaire and ICI training test; follow‐up (at 3, 6, 9, 12, 18 months) was achieved by home Sildenafil test and ambulatory IIEF test; Sexual Counseling was provided only to group SC+. Results The mean IIEF score at the end of study was 26.5 (SC+) vs. 24.3 (SC–) ( P P P P P P Conclusions ICI‐oriented Sexual Counseling in ICI increased the efficacy of treatment, the compliance, and Sildenafil responders rate, decreased the dropout rate. Titta M, Tavolini IM, Dal Moro F, Cisternino A, and Bassi P. Sexual Counseling improved erectile rehabilitation after non‐nerve‐sparing radical retropubic prostatectomy or cystectomy—results of a randomized prospective study. J Sex Med 2006;3:267–273.