BACKGROUND Sexual activity is an important element of quality of life for many individuals suffering from heart failure. AIMS The study investigated the influence of disease acceptance on sexual function in a population of male patients with chronic heart failure. METHODS The study included 80 patients with chronic heart failure (mean age 63.3±9.2 years) who filled in the Mell-Krat Scale questionnaire to evaluate sexual needs and reactions. We also used the International Index of Erection Function (IIEF-5) inventory and the Acceptance of Illness Scale (AIS). RESULTS The study showed that the acceptance of the illness was positively associated with all of the Mell-Krat components such as sexual need, F = (3.27), frequency of intercourse, F = (2.46), position and technique, F = (1.88). Also, according to the IIEF-5 questionnaire, 84.42% of respondents had erectile dysfunction. Taken together these indicated that psychological adjustments such as acceptance of disease increase quality of all aspects of sexual functions in heart failure patients, including their erectile functions. CONCLUSIONS Our findings suggest that psychological adjustments to feelings of loss associated with the onset of heart failure disease is the important determinant of quality of sexual life among male adults. Our research implicates that effects of AIS on sexual functioning give reasonable information to tailor sexual counselling for males suffering from heart failure.

中文翻译：

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对心力衰竭患者疾病和性功能的接受

背景技术性活动是许多患有心力衰竭的个体的生活质量的重要因素。目的 该研究调查了疾病接受度对慢性心力衰竭男性患者群体性功能的影响。方法 该研究包括 80 名慢性心力衰竭患者（平均年龄 63.3±9.2 岁），他们填写了 Mell-Krat 量表问卷以评估性需求和反应。我们还使用了国际勃起功能指数 (IIEF-5) 清单和疾病接受量表 (AIS)。结果 研究表明，接受疾病与所有 Mell-Krat 成分呈正相关，例如性需求，F = (3.27)，性交频率，F = (2.46)，姿势和技术，F = (1.88) ）。此外，根据 IIEF-5 问卷调查，84。42% 的受访者患有勃起功能障碍。综上所述，这些心理调整（例如接受疾病）提高了心力衰竭患者性功能各个方面的质量，包括他们的勃起功能。结论 我们的研究结果表明，对与心力衰竭发病相关的失落感的心理调整是男性成年人性生活质量的重要决定因素。我们的研究表明，AIS 对性功能的影响为为患有心力衰竭的男性量身定制性咨询提供了合理的信息。结论 我们的研究结果表明，对与心力衰竭发病相关的失落感的心理调整是男性成年人性生活质量的重要决定因素。我们的研究表明，AIS 对性功能的影响为为患有心力衰竭的男性量身定制性咨询提供了合理的信息。结论 我们的研究结果表明，对与心力衰竭发病相关的失落感的心理调整是男性成年人性生活质量的重要决定因素。我们的研究表明，AIS 对性功能的影响为为患有心力衰竭的男性量身定制性咨询提供了合理的信息。