[Evaluation of the information on sexual activity provided to patients with acute coronary syndrome]. / Evaluación de la información sobre actividad sexual proporcionada a pacientes con síndrome coronario agudo.

INTRODUCTION: It is common for the nursing staff to report on aspects such as feeding, medication, physical activity, control of other diseases, toxic habits and driving in the acute phase of acute coronary syndrome (ACS). However, we overlook such a vital aspect of the human being such as sexuality. Thus, we propose the following objectives: 1. describe the information provided to the patients diagnosed of ACS on possible sexual alteration; 2. evaluate the demand for information by the patients on how their disease will affect their sexual activity; and 3. evaluate the patient's interest in receiving this information. METHODOLOGY: A descriptive study has been performed on 55 patients admitted to the Coronary Unit between November 2004 and April 2005, who were diagnosed of ACS after 72 hours by means of a self-administered questionnaire. RESULTS: A total of 89.1% were male with mean age of 55 years and 63.3% had not received information and thought that the stroke would not affect their sexual life, 55.6% being concerned. A total of 7.4% thought that they could reinitiate their sexual activity at 6 months while 9.3% thought that it could never happen. CONCLUSIONS: 1. Most of the patients had not received information on possible alterations in their sexual activity. 2. Most wanted to have information before the discharge and a minority did not consider that it was important to have information on the subject for different reasons. 3. The young subjects were the most interested in acquiring knowledge due to the importance they gave to their sexual activity.

Rehabilitación cardiaca postinfarto mediante programa Euroaction / Euroaction cardiac rehabilitation program after infarction

Introducción. Los programas de prevención o rehabilitación secundaria de las enfermedades cardiovasculares son efectivos si asocian al tratamiento farmacológico cambio del estilo de vida y, particularmente, intervenciones en la dieta, cese del consumo de tabaco y práctica regular de actividad física. El programa Euroaction ha permitido modificaciones del estilo de vida y efecto beneficioso sobre los factores de riesgo cardiovascular en pacientes que han sufrido síndrome coronario agudo. Material y métodos. Con un programa de fácil implementación (8 sesiones semanales), se estudia su efectividad sobre 401 pacientes, en su mayoría de riesgo moderado (51,5%). Resultados. El programa logra a los 6 meses los objetivos de prevención secundaria, con disminución del perímetro abdominal (p < 0,05), índice de masa corporal (p < 0,05), colesterol total (p < 0,005), triglicéridos y lipoproteínas de baja densidad (p < 0,001), con ascenso de las lipoproteínas de alta densidad (p < 0,001). También se produjo descenso significativo de la glucemia en pacientes con cifras basales > 126 mg/dl (p < 0,001) y de la presión arterial sistólica en pacientes con valores > 140 mmHg (< 0,001) y diastólica > 90 mmHg (p < 0,001). Se redujo la proporción de pacientes sedentarios que pasó del 50,9 al 7,5% a los 6 meses, realizando el 73% de ellos un ejercicio físico regular moderado, mejorando su capacidad aerobia. Solo se consiguió abandono del hábito tabáquico en el 50% de los pacientes. Conclusiones. El programa Euroaction se mostró efectivo para control de los factores de riesgo tras evento coronario, obteniendo resultados similares a otros programas de mayor complejidad. Los pacientes consiguen un aumento de su capacidad aerobia(AU)

Introduction. Rehabilitation or secondary prevention programs of cardiovascular disease are effective if associated with drug treatment, life style changes and especially dietary interventions, smoking cessation and regular practice of physical activity. The Euroaction program has allowed lifestyle modifications and beneficial effect on the risk factors in patients who have suffered acute coronary syndrome. Material and methods. Using an easy to implement program having 8 weekly sessions, we studied its effectiveness on 401 patients, most of whom had moderate risk (51.5%). Results. At 6 months, the program achieved the secondary prevention goals, with reduction in abdominal perimeter (P < .05), body mass index (P < .05), total cholesterol (P < .005), triglycerides and low density lipoprotein (P < .001) and elevation of high density lipoproteins (P < .001). There was a significant decrease of glycemia in patients with baseline levels > 126 mg/dl (P < .001) and systolic blood pressure in patients with > 140 mmHg (<.001) and diastolic > 90 mmHg (P < .001). The proportion of sedentary patients decreased from 50.9 to 7.5% of the patients at 6 months, 73% of them doing moderate regular exercise, with improvement in their aerobic capacity. Smoking cessation was only achieved in half of the patients. Conclusions. The Euroaction program was effective for the control of risk factors after myocardial infarct. It obtained similar results to other more complex programs. The patients achieved increased aerobic capacity(AU)

Evaluación de la información sobre actividad sexual proporcionada a pacientes con síndrome coronario agudo / Evaluation of the information on sexual activity provided to patients with acute coronarym syndrome

Introducción. Es habitual en la fase aguda delsíndrome coronario agudo (SCA) que enfermeríainforme sobre aspectos como la alimentación, lamedicación, la actividad física, el control de otrasenfermedades, los hábitos tóxicos y la conducción devehículos. Sin embargo, ignoramos un aspecto tanvital del ser humano como la sexualidad, por lo quenos propusimos los siguientes objetivos: 1. describirla información proporcionada a los pacientesdiagnosticados de SCA sobre posibles alteracionessexuales; 2. evaluar la demanda de información porparte de los pacientes sobre cómo afectará suenfermedad a su actividad sexual; y 3. evaluar elinterés en recibir esta información por parte de lospacientes.Metodología. Se ha llevado a cabo un estudiodescriptivo sobre 55 pacientes ingresados en unaUnidad Coronaria entre el mes de noviembre de 2004y el mes de abril de 2005, diagnosticados de SCA, apartir de las 72 horas mediante un cuestionarioautoadministrado.Resultados. El porcentaje correspondiente a varonesfue del 89,1%, con una edad media de 55 años. El63,6% no había recibido información y pensaba queel infarto no afectaría a su vida sexual, aunquepreocupaba a un 55,6%. El 7,4% pensaba que podríareanudar la actividad sexual a los 6 meses, mientrasque el 9,3% pensaba que no podría reanudarla nuncamás.Conclusiones. 1. Una mayoría de pacientes no habíarecibido información sobre posibles alteraciones enla actividad sexual. 2. Una mayoría quiere tenerinformación antes del alta y una minoría no consideraimportante tener información sobre el tema pordiferentes razones. 3. Fueron los jóvenes los másinteresados en adquirir conocimientos por laimportancia que daban a su actividad sexual

Introduction. It is common for the nursing staff toreport on aspects such as feeding, medication,physical activity, control of other diseases, toxichabits and driving in the acute phase of acutecoronary syndrome (ACS). However, we overlooksuch a vital aspect of the human being such assexuality. Thus, we propose the following objectives:1. describe the information provided to the patientsdiagnosed of ACS on possible sexual alteration; 2.evaluate the demand for information by thepatients on how their disease will affect their sexualactivity; and 3. evaluate the patient’s interest inreceiving this information.Methodology. A descriptive study has beenperformed on 55 patients admitted to the CoronaryUnit between November 2004 and April 2005, whowere diagnosed of ACS after 72 hours by means ofa self-administered questionnaire.Results. A total of 89.1% were male with mean ageof 55 years and 63.3% had not receivedinformation and thought that the stroke would notaffect their sexual life, 55.6% being concerned. Atotal of 7.4% thought that they could reinitiate theirsexual activity at 6 months while 9.3% thought thatit could never happen.Conclusions. 1. Most of the patients had notreceived information on possible alterations intheir sexual activity. 2. Most wanted to haveinformation before the discharge and a minoritydid not consider that it was important to haveinformation on the subject for different reasons. 3.The young subjects were the most interested inacquiring knowledge due to the importance theygave to their sexual activity