Herson L, Hart K A, Gordon M J, Rintala D H
Rehabilitation Research and Training Center, Community Integration of Individuals with Spinal Cord Injury, Baylor College of Medicine, Houston, TX 77030, USA.
Rehabil Nurs. 1999 Jul-Aug;24(4):148-51. doi: 10.1002/j.2048-7940.1999.tb02162.x.
While the scope of the clinician-patient relationship in rehabilitation includes the opportunity to provide information on sexuality, all too often this does not occur. This article identifies barriers to providing information on sexuality and makes suggestions for overcoming them. At a preconference workshop, "Sexuality After Spinal Cord Injury: Understanding the Effects of Knowledge and Attitude on Dissemination Practices," held during the Association of Rehabilitation Nurses 22nd Annual Educational Conference, participants explored barriers to providing sexuality information to their patients and ways for nurse managers and staff members to ameliorate their own discomfort and that of their patients. The barriers identified included lack of time, lack of knowledge, personal attitudes about sexuality, and patient lack of readiness. Approaches that can improve the comfort levels of nurse managers and staff include using educational films and written materials, conducting role playing to explore typical patient questions, and initiating conversation about sexuality with patients. Participants' suggestions for increasing patient comfort level included adopting an open and nonjudgmental listening mode, distinguishing between the physical and emotional aspects of sexual issues, and promoting peer counseling.
虽然康复领域中临床医生与患者的关系包括有机会提供关于性方面的信息，但这种情况却常常没有发生。本文指出了在提供性方面信息时存在的障碍，并提出了克服这些障碍的建议。在康复护士协会第22届年度教育会议期间举办的一次会前研讨会上，即“脊髓损伤后的性：理解知识和态度对传播实践的影响”，与会者探讨了向患者提供性信息时存在的障碍，以及护士长和工作人员缓解自身及患者不适感的方法。所确定的障碍包括时间不足、知识欠缺、对性的个人态度以及患者尚未做好准备。能够提高护士长和工作人员舒适度的方法包括使用教育影片和书面材料、进行角色扮演以探讨患者的典型问题，以及与患者展开关于性的对话。与会者对于提高患者舒适度的建议包括采用开放且无偏见的倾听方式、区分性问题的生理和情感方面，以及推广同伴咨询。
