在尼日利亚西南部的一个中心,心力衰竭患者中勃起功能障碍的负担:试点研究
Annals of Ibadan postgraduate medicine
|July 5, 2023
概括
勃起功能障碍 (ED) 在尼日利亚心力衰竭 (HF) 患者中非常普遍,影响他们的生活质量. 解决这种常见的性健康问题对于改善心脏病诊所的整体患者护理至关重要.
科学领域:
- 心脏病学 心脏病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
背景情况:
- 勃起功能障碍 (ED) 是心力衰竭 (HF) 患者经常出现的并发症.
- 勃起障碍显著影响患者的生活质量,预后和生存率.
- 这种情况在繁忙的诊所中经常被忽视,特别是在像尼日利亚这样的发展中国家.
研究的目的:
- 确定患有慢性心力衰竭 (HF) 的男性患者中ED的患病率和严重程度.
- 评估ED对尼日利亚伊巴丹HF患者护理质量的影响.
主要方法:
- 在伊巴丹大学院医院进行了一项试点,横截面研究.
- 在2017年6月至2018年3月期间,招募了98名患有慢性HF的男性患者.
- 国际勃起功能指数第五版 (IIFE-5) 问卷评估了ED的存在和严重程度.
主要成果:
- 在高压患者中,ED的总体患病率为76.5%.
- 轻度,轻度至中度,中度和严重的ED分别在24.5%,28.6%,14.3%和9.2%的患者中报告.
- 参与者的平均年龄为57.6岁,平均HF诊断持续时间为3.7年.
结论:
- 勃起功能障碍是伊巴丹慢性心力衰竭患者的常见和重大问题.
- 增加对男性HF患者ED的临床关注是必要的,以提高患者的护理和生活质量.
相关概念视频
Heart Failure VII: Nursing Interventions
100
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
100
Heart Failure VI: Adjunct Therapies
16
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
16
Heart Failure V: Medical Management
15
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
15
Pathophysiology of Heart Failure
1.6K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.6K
Heart Failure I: Introduction
20
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
20
Heart Failure II: Pathophysiology
16
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
16


