Confusion at the beginning of sexual intercourse, the challenge of patients after coronary artery bypass graft surgery in Iran: A qualitative study
نویسندگان
1 Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran,
2 Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
3 Faculty of Health, University of Technology Sydney, Australia
4 Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Faculty of Health, University of Technology Sydney, Australia
5 Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran,
6 Department of Cardiovascular Surgery, Atherosclerosis Research Center, Baghiyatallah University of Medical Sciences, Tehran, Iran
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چکیده
BACKGROUND: Many patients suffer from sexual dysfunction after coronary artery bypass graftsurgery, but they refuse to propose and follow up on the problem due to the cultural structuresprevailing in Iranian society. Untreated sexual dysfunction will disturb the quality of life of thesepatients. This study was performed to explain the experiences of male patients from sexual problemsafter coronary artery bypass graft surgery.MATERIALS AND METHODS: This qualitative study was performed with the approach of conventionalcontent analysis in Tehran in 2020. The data were collected through semi‑structured interviews with12 men after coronary artery bypass graft surgery at the hospital’s cardiac surgery clinic, as well asthe surgeon’s clinic. Participants were selected by the targeted sampling method. After obtaininginformed consent, the collected data were written word by word, and the content analysis approachwas used to name the data, create analytical codes, and determine subcategories and categories.The data were analyzed by MAXQDA 10 software.RESULTS: The findings of this study show that the dimensions of confusion in patients’ sexualintercourse after coronary artery bypass graft surgery in four subcategories of challenges of the firstintercourse after surgery, ambiguity in how to obtain information, the ambiguity of sexual issues aftersurgery, and spouse are concerned about having sexual intercourse.CONCLUSION: The results of this study show that male patients who have undergone coronaryartery bypass graft surgery have many ambiguities in the process of sexual intercourse, which passesthe beginning of sexual intercourse with fear and avoidance of intercourse. Postoperative patientsdo not propose these problems with the medical staff when they suffer from sexual dysfunction orambiguity due to the taboo of talking about sexual intercourse. Eventually, the patient and his or herpartner become confused about sexual intercourse after surgery. Therefore, it is recommended thatpolicymakers in the field of health create the culture and planning for solving the ambiguities createdin the path of sexual intercourse of these patients.
