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Factors shaping the provision of sexual health education for adults with acute coronary syndrome: A scoping review
Affiliation:College of Nursing, Rady Faculty of Health Sciences, Helen Glass Centre for Nursing, 89 Curry Place, University of Manitoba, Winnipeg, MB R3T 2N2 Canada
Abstract:ObjectiveEach year, 63,000 Canadians are diagnosed with acute coronary syndrome (ACS)and 73 % survive. Sexual health education for ACS survivors is recommended but is not routinely provided. A scoping review was performed to inform health care providers about factors shaping sexual health education for ACS survivors.MethodsThree databases were searched, 208 studies were screened, and 24 were included in this scoping review. Significant points from the selected studies were charted and synthesized.ResultsThis review confirmed absent to limited provision of sexual health education to individuals with ACS. Key factors influencing lack of provision of sexual health were categorized according to macro, meso, and micro levels. At the macro level, societal and cultural factors were noted. The meso level included healthcare environment and limited healthcare provider knowledge. At the micro level, healthcare professional-healthcare consumer relationships and role clarity were noted.ConclusionA sex positive approach may facilitate provision of sexual health education.Practice implicationsThis scoping review points to the need to use a sex positive lens to identify and remove barriers to facilitate the provision of sexual health education. Providing this education may result in reduced fear, depression, and anxiety in ACS survivors.
Keywords:Sexual health  Sexual wellbeing  Sexual activity  Education  Counseling  Post-myocardial infarction  Myocardial infarct  Acute coronary syndrome  Nurse  Healthcare provider  Healthcare professional  Sex positive
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