Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

ED and quality of life in CABG patients: an intervention study using PRECEDE-PROCEED educational program

International Journal of Impotence Research volume 26, pages 16–19 (2014)Cite this article

Subjects

Abstract

Some reports have examined ED, an important indicator of quality of life (QoL), in cardiac patients. However, the results of these studies have been contradictory. Although some studies report of improvement of ED following coronary artery bypass graft (CABG), others show either no improvement or worsening of the condition. Given such controversy, this study attempted to examine the status of ED following an educational intervention program called PRECEDE-PROCEED model in CABG patients (the PRECEDE acronym stands for predisposing, reinforcing, enabling constructs in educational/environmental diagnosis and evaluation and PROCEED stands for policy, regulatory and organizational constructs in educational and environmental development). This model is a planning model and offers a framework that enables us to recognize useful intervention strategies in achieving desired outcomes. Specifically, it works on two premises. First, it posits that the purpose of a health program is to improve the QoL for individuals. Second, it works on the principle that a diagnosis should begin with the preferred end result and work backward to assess what must be done to bring about that result. As such, the results of our study showed that the implementation of the intervention program following surgery not only significantly decreased ED but enhanced the QoL. Thus, utilization of educational intervention program after CABG operations is recommended.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Rosen RC . Psychogenic erectile dysfunction. Classification and management. Urol Clin North Am 2001; 28: 269–278.

    Article  CAS  Google Scholar 

  2. The WHOQOL Group. The WHO Quality of Life Assessment (WHOQOL): development and general psychometric properties. Soc Sci Med 1998; 46: 1569–1585.

    Article  Google Scholar 

  3. Althof SE . When an erection alone is not enough: biopsychosocial obstacles to lovemaking. Int J Impotence Res 2002; 14 (Suppl. 1): S99–S104.

    Article  Google Scholar 

  4. Laumann EO, Paik A, Rosen RC . Sexual dysfunction in the United States: prevalence and predictors. JAMA 1999; 281: 537–544.

    Article  CAS  Google Scholar 

  5. Idung AU, Abasiubong F, Udoh SB, Akinbami OS . Quality of life in patients with erectile dysfunction in the Niger Delta region. J Ment Heal 2012; 21: 236–243.

    Article  Google Scholar 

  6. Tsai TF, Li-Ching C, Hwang TIS . Erectile dysfunction and quality of life of elderly people. J Am Urol Associ 2008; 19: 216–221.

    Google Scholar 

  7. Litwin MS, Nied RJ, Dhanani N . Health-related quality of life in men with erectile dysfunction. J. Gen Inter Med 1998; 13: 159–166.

    Article  CAS  Google Scholar 

  8. Berardis GD, Franciosi M, Belfiglio M, Di Nardo B, Greenfield S, Kaplan SH et al Quality of Care and outcomes in Type Diabetes Study Group. Identifying patients with type 2 diabetes with a higher likelihood of erectile dysfunction: the role of the interaction between clinical and psychological factors. J Urol 2003; 169: 1422–142.

    Article  Google Scholar 

  9. Penson DF, Wessells H . Erectile dysfunction in diabetic patients. Diabetes Spectrum 2004; 17: 4.

    Article  Google Scholar 

  10. Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB . Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol 1994; 151: 54–61.

    Article  CAS  Google Scholar 

  11. Althof SE, Seftel AD . The evaluation and management of erectile dysfunction. Psych Clin North Am 1995; 18: 171–192.

    Article  CAS  Google Scholar 

  12. Foroutan SK, Rajabi M . Erectile dysfunction in men with angiographically documented coronary artery disease. J Urol 2007; 4: 28–32.

    Google Scholar 

  13. Schwarz ER, Kapur V, Bionat S, Rastogi S, Gupta R, Rosanio S . The prevalence and clinical relevance of sexual dysfunction in women and men with chronic heart failure. Inter J Impo Res 2008; 20: 85–91.

    Article  CAS  Google Scholar 

  14. Kloner RA, Mullin SH . Erectile dysfunction in the cardiac patient: how common and should we treat? J Urol 2003; 170: S46–S50.

    Article  Google Scholar 

  15. Akbulut B, Uçar HI, Öç B, Öç M, Karabay C, Özyüksel A et al. Erectile function after coronary artery bypass surgery. Anatol J Clin Investig 2008; 2: 146–149.

  16. Heaton JPW, Evans H, Adams MA, Smith K, Morales A . Coronary artery bypass surgery and its impact on erectile function: a preliminary retrospective study. Inter J Impot Res 1996; 8: 35–39.

    CAS  Google Scholar 

  17. Foruzan-Nia SK, Abdollahi MH, Hekmatimoghaddam SH, SeyedehMahdiyehNamayandeh SM, Mortazavi MH . Incidence of sexual dysfunction in men after cardiac surgery in Afshar hospital, Yazd. Ira J Repro Med 2011; 9: 89–94.

    Google Scholar 

  18. Schumann J, Zellweger MJ, DiValentino M, Piazallonga S, Hoffmann A . Sexual dysfunction before and after cardiac rehabilitation. Rehab Res Prac 2010; 1–8.

    Article  Google Scholar 

  19. Hu J, Wallace DC, Tesh AS . Physical activity, obesity, nutritional health and quality of life in low-income hispanic adults with diabetes. J Community Health Nurs 2010; 27: 70–83.

    Article  CAS  Google Scholar 

  20. Nadrian H, Morowatisharifabad MA, Bahmanpour MA . Development of a rheumatoid arthritis education program using the PRECEDE-PROCEED model. Health Promo Pers 2011; 1: 33–44.

    Google Scholar 

  21. Cannick GF, Horowitz AM, Garr DR, Reed SG, Neville BW, Day TA et al. Oral cancer prevention and early detection: using the PRECEDE-PROCEED framework to guide the training of health professional students. J Cancer Educ 2007; 22: 250–253.

    Article  Google Scholar 

  22. Gielen AC, McDonald EM, Gary TL, Bone LR . Using the PRECEDE-PROCEED model to apply health behavior theories. In Glanz K, Rimer FMB K, Viswanath K, (eds.) Health Behavior and Health Education: Theory, Research and Practice 4th edn Jossey-Bass: San Francisco, CA, USA, 2008; 407–433.

    Google Scholar 

  23. Dennison CR, Peer N, Stein K, Levitt NS, Hill MN . Determinants of hypertension care and control among peri-urban Black South Africans: the HiHi study. Eth Dis 2008; 17: 484–491.

    Google Scholar 

  24. Green LW, Kreuter MW, Deeds SG, Partridge KB . Health Promotion Planning: A Diagnostic Approach. Mayfield: Palo Alto, CA, USA, 1980.

    Google Scholar 

  25. Babaee G, Keshavarz M, Hidarnia A, Shayegan M . Evaluation of quality of life in patients with coronary artery bypass surgery using controlled clinical trial. Acta Medica Iranica 2007; 45: 69–75.

    Google Scholar 

  26. Geisser ME, Murray FT, Cohen MS, Shea PJ, Addeo RR . Use of the Florida Sexual History Questionnaire to differentiate primary organic from primary psychogenic impotence. J Androl 1993; 14: 298–303.

    CAS  PubMed  Google Scholar 

  27. Lovibond SH, Lovibond PF . Manual for the Depression Anxiety Stress Scales 2nd edn The Psychology Foundation of Australia: Sydney, Australia, 1995.

    Google Scholar 

  28. Lesan SH . Combination of educational theories in precede model and applying this model in reducing anxiety of firemen in Tehran. Doctoral dissertation, Tarbiat Modares University 2003 in Persian.

  29. Yates P, Edwards H, Nash R . Randomized controlled trials of a nurse-administered educational intervention for improve cancer pain management in a ambulatory settings. Patient Educ Couns 2004; 53: 227–237.

    Article  Google Scholar 

  30. Hendricks CS, Hendricks DL, Webb SJ, Bonner Davis J, Spencer-Morgan B Fostering self efficacy as an ethical mandate in health promotion practice and research. Available from http://Ethicsjournal.umc.edu/ojs/include/getdoc.php?id=117&article=19&mode Access: 10 June 2008.

  31. Masters WH, Johnson VE . Human Sexual Inadequacy. Little-Brown: Boston, MA, USA, 1970.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Psychology and Education, University of Tehran, Tehran, Iran

    S Pournaghash-Tehrani

  2. Cardiac Rehabilitation Center of Tehran Heart Center Hospital, Tehran, Iran

    S Etemadi

Authors
  1. S Pournaghash-Tehrani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S Etemadi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S Pournaghash-Tehrani.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pournaghash-Tehrani, S., Etemadi, S. ED and quality of life in CABG patients: an intervention study using PRECEDE-PROCEED educational program. Int J Impot Res 26, 16–19 (2014). https://doi.org/10.1038/ijir.2013.27

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijir.2013.27

Keywords

This article is cited by

Search

Advanced search

Quick links