Effects of interventions by intervention type
by Admin
Posted on 22-03-2023 05:51 PM
One of the most common but least talked about effects of stroke is sexual dysfunction, with 50% or more of stroke survivors experiencing a degree of sexual decline post stroke. This is not always well recognised, and it is often poorly managed. Management options are very broad and can include medications, counselling, and physical therapy. Review question
we wanted to find out whether some treatments are better or worse than alternatives. Search date
the evidence is current to 27 november 2019.
Study characteristics
population: we included studies in which participants were adults who had had a stroke. Intervention: interventions included medications or other treatments, such as rehabilitation, used to manage sexual problems following stroke.
Types of interventions for sexual dysfunction include: interventions are not mutually exclusive and may be used in combination. An example of a comprehensive intervention for sexual dysfunction following stroke is sexual rehabilitation. Rehabilitation is defined as "a problem‐solving educational process aimed at reducing disability and handicap (participation) experienced by someone as a result of disease or injury" ( wade 1992 ). The specific aims of stroke sexual rehabilitation are to assess existing sexual issues, provide information on concerns, and support safe return to sexual activity after a stroke ( byrne 2016 ). Sexual rehabilitation is tailored according to individual needs and is delivered in a co‐ordinated manner by medical staff, together with representatives of one or more disciplines (physiotherapy, occupational therapy, social work, psychology, nursing). https://cheapvigrxplusonline.weebly.com/
Sexual activity is an integral part of life, and the importance of addressing sexual health after stroke is well accepted ( nsf 2018 ). Despite this, a recent australian national stroke audit rehabilitation services report showed that of 3613 post‐stroke adults audited across 120 australian public and private hospitals, only 20% received information on sexuality ( nsf 2018 ). In addition, although current guidelines recommend assessment and management of post‐stroke sexual dysfunction ( nsf 2018 ), little is known about what types of interventions should be provided, and how effective these interventions are. Although some clinical studies and reviews (including cochrane reviews) have explored the role of these interventions for sexual dysfunction in conditions such as cancer ( miles 2007 ), chronic kidney disease ( vecchio 2010 ), cardiovascular disease ( byrne 2016 ), chronic obstructive pulmonary disease (copd) ( levack 2015 ), and diabetes ( vardi 2007 ), the effectiveness and safety of these interventions in stroke survivors have not yet been studied thoroughly.
International Index of Erectile Function Questionnaire (IIEF‐5)
Purpose: stroke may cause or worsen erectile dysfunction (ed). Post-stroke ed prevalence and association with stroke location are not well established. Therefore, we assessed post-stroke ed prevalence in relation to ischemic lesion locations and stroke severity. Methods: in 57 men (62. 6 ± 10. 5 years) who had ischemic stroke within 24 months prior to evaluation, we used the five-item international index of erectile function questionnaire (iief5) to evaluate ed prevalence after stroke and retrospectively 3 months prior to stroke. Iief5 scores range from 5 to 25; scores below 22 indicate ed.
We estimated stroke severity upon hospital admission, using the national institute of health stroke scale (nihss), and determined stroke location from cranial computed tomography or magnetic resonance imaging.
This was a cross-sectional study conducted to determine the prevalence and impact of ed in stroke patients at the douala general hospital (dgh), the main reference hospital in cameroon. The approval for the realization of this study was obtained from the ethics committee of the university of douala (no. Cei-udo/818/16/2017/t). The participants included in this study have previously given their informed consent after detailed explanations of the nature and aim of the study. The study was conducted over a 6-month period from december 11th, 2016, to may 31st, 2017 in the dgh’s neurology, cardiology, and endocrinology units. Two groups of participants were designed.
Author information adepartment of urology, dongzhimen hospital, beijing university of chinese medicine, beijing bgraduate school of beijing university of chinese medicine, chaoyang cdepartment of andrology ddepartment of neurology
the data of the pen-and-paper questionnaires were entered in a microsoft office access 2010 database. Subsequently the access-database was imported in the statistical package for the social sciences (ibm spss statistics, version 23) for further analysis. The sociodemographic and clinical characteristics of participants as well as measures of sexual and relational functioning, quality of life (sf-12) and emotional functioning (hads-a and hads-d) were analyzed using descriptive statistics (mean and standard deviation (sd), median and interquartile range (iqr) or numbers and percentages), where appropriate. Spearman correlation coefficients (p < 0. 05) were used to analyze the strength of the linear relationship between sexual dissatisfaction (esf question 11; 1–5 equaling very unsatisfied – very satisfied) and relational functioning mmq-rs with the other proms (sf-12-pcs, sf-12-mcs, hads-a, hads-d) included in the study.