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S I Shelley

Publications and source records attributed to S I Shelley.

6 recordsLinked to original sources
PubMed1986

Sexual activity after coronary bypass surgery.

Although successful rehabilitation of coronary artery bypass surgery (CABS) patients should include consideration of their sexuality, there is a paucity of data regarding their sexual activity (SA). One hundred thirty-four patients were interviewed in regard to the impact of surgery on their sexuality and the relation of SA to their work status. Eighty-four of the 92 previously sexually active patients and two of the inactive ones resumed SA. Sexual dissatisfaction prior to surgery was a negative factor (p less than .05), while return to work, in the group that was working before, was positive (p less than .05) for resumption of SA. The average time before resumption of SA after CABS was 7.8 weeks. Thirty-nine percent of patients decreased the frequency of SA. Seventeen percent of patients and 35 percent of their partners expressed fear of resumption of SA. Twenty-three percent of patients had symptoms during intercourse. The couples who resumed sexual activity had a closer emotional relationship (p less than .02). Two-thirds of the patients received sexual instructions, but in only 20 percent of the cases did the physician himself initiate discussion. Although after CABS patients fare much better in regard to SA when compared to myocardial infarction patients reported in other studies, CABS does not provide a net gain in SA and sexual functioning. Comprehensive sexual counseling is still not being adequately addressed.

Adult↗
PubMed1983

Myocardial infarction and sexual activity of the female patient.

Although successful rehabilitation of cardiac patients should include consideration of their sexuality, there is a paucity of data regarding the sexual activity of female patients who have had myocardial infarctions. We report on interviews with 130 such patients. Sexual concerns soon developed in 30% of those sexually active before the myocardial infarction. Fear of resumption of sexual activity was expressed by 51% of the patients and 44% of the husbands. Sexual activity was not resumed by 27%, was unchanged by 27%, and was decreased by 44%. Only 45% of the total group received sexual instructions before discharge, and in only 18% of cases did the physician raise the topic. Symptoms during intercourse were reported by 57% of the patients. Myocardial infarction has a negative impact on the sexuality of the female patient, and although many patients who have had myocardial infarction desire sexual counseling, their demands are still not being met. Accurate and complete sexual instructions of both partners with specific attention to the woman's concerns and needs should be part of cardiac rehabilitation.

Adult↗
PubMed1980

Sexual concerns and needs of the postcoronary patient's wife.

The sexual concerns and needs of 100 women whose husbands had suffered a myocardial infarction were studied. Thirty-one had considered the impact of myocardial infarction on their sexual life before discharge of their spouse from the hospital and all of them had thereafter. Only 45 of the wives received any sexual information before the spouse's discharge. Seventy-six couples resumed sexual activity after myocardial infarction; 24 (including 14 who tried and failed) did not. Concerns about inadequate sexual instructions, risk of sexual activity, sexual difficulties of the husband, change in sexual patterns, patient's symptoms during intercourse, and emotional relationship of the couples were demonstrated. Fear was not alleviated by information received, but was not important in preventing return to sexual activity; however, fear may have affected the frequency and quality of sexual activity. The need for more comprehensive counseling by physicians and nurses and for the wives to explore their sexual concerns became evident.

Adult↗
PubMedDate not supplied

Aggressiveness of nursing care for older patients and those with do-not-resuscitate orders.

Age and do-not-resuscitate (DNR) orders were experimentally manipulated with a 2 X 2 factorial design using four vignettes which were randomly assigned to 95 staff nurses from four sites in a mid-Atlantic metropolitan area. Attitudes toward aggressiveness of nursing care were measured using the same 13-item 6-point Likert scale with all vignettes. Two replications with 183 nursing students and 86 intensive care nurses from six sites followed. Both increased age and DNR orders significantly, p less than .05 and .01, reduced aggressiveness of nursing care attitudes in all three studies. However, attitudes toward care still remained in the moderately aggressive range, which is more aggressive than current patient classification systems describe for DNR patient care.

Adult↗