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Selective adherence to antihypertensive medications as a patient-driven means to preserving sexual potency

机译：选择性坚持使用降压药是患者驱动的保持性效能的手段

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Objective: To describe hypertensive patients’ experiences with sexual side effects and their consequences for antihypertensive medication adherence.Methods: Data were from a study conducted to identify facilitators of and barriers to adherence to blood pressure-lowering regimens. Participants were 38 married and unmarried veterans with a diagnosis of hypertension and 13 female spouses. Eight patient and four spouse focus groups were conducted. A directed approach to content analysis was used to determine the facilitators of and barriers to adherence. For this report, all discussion concerning the topic of sexual relations was extracted.Results: Male patients viewed sexual intercourse as a high priority and felt that a lack of sexual intercourse was unnatural. They pursued strategies to preserve their potency, including discontinuing or selectively adhering to their medications and obtaining treatments for impotence. In contrast, spouses felt that sexual intercourse was a low priority and that a lack of sexual intercourse was natural. They discouraged their husbands from seeking treatments for impotence.Conclusion: Although the primary study was not designed to explore issues of sexual function, the issue emerged spontaneously in the majority of discussions, indicating that sexuality is important in this context for both male patients and their spouses. Physicians should address sexual side effects of antihypertensive medications with patients, ideally involving spouses.
机译：目的：描述高血压患者的性副作用经历及其对降压药物依从性的后果。方法：数据来自一项研究，旨在确定降低血压方案的促进因素和依从性障碍。参加者有38位已诊断患有高血压的已婚和未婚退伍军人以及13位女性配偶。进行了八个患者和四个配偶焦点小组。内容分析的一种直接方法用于确定依从性的促进因素和障碍。在本报告中，摘录了所有有关性关系的讨论。结果：男性患者将性交视为重中之重，并认为缺乏性交是不自然的。他们奉行各种策略来保持自己的效能，包括中止或选择性坚持其药物治疗以及获得阳imp治疗方法。相反，配偶认为性交是次要的，缺乏性交是自然的。他们劝阻丈夫寻求阳imp的治疗方法。结论：尽管主要研究并非旨在探讨性功能问题，但该问题在大多数讨论中均自发出现，这表明，在这种情况下，性对于男性患者及其家属都很重要。配偶。医生应针对患者（最好是涉及配偶）解决降压药的性副作用。

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