Katz Anne
Faculty of Nursing, Helen Glass Centre for Nursing, University of Manitoba, Winnipeg, Manitoba, Canada.
J Adv Nurs. 2003 May;42(3):297-303. doi: 10.1046/j.1365-2648.2003.02619.x.
To review the literature on studies of sexuality after hysterectomy and to identify barriers to nursing assessment of this aspect of human functioning.
Articles published between 1970 and 2002 on female sexuality, hysterectomy, and nursing assessment of sexuality were located using MEDLINE, CINAHL, Psychlit and Sociofile databases. Study findings were reviewed in relation to the effect of hysterectomy on sexuality, as well as women's perspectives on hysterectomy. Barriers to nursing assessment of sexual functioning are described with suggestions for inclusion of this topic in practice.
There are very few nursing studies on the topic, which may reflect the lack of inclusion of sexual assessment and education in clinical practice. Reasons for this are discussed, and instruments used in sex research are described. There are a number of gaps in the knowledge base on to this topic. Future research in this area is needed to provide direction for nurses in this aspect of clinical practice.
回顾关于子宫切除术后性功能研究的文献，并确定在护理评估人类这一功能方面存在的障碍。
使用医学文献数据库（MEDLINE）、护理学与健康领域数据库（CINAHL）、心理学文摘数据库（Psychlit）和社会科学文献数据库（Sociofile）查找1970年至2002年间发表的关于女性性功能、子宫切除术以及性功能护理评估的文章。对研究结果进行了回顾，涉及子宫切除术对性功能的影响以及女性对子宫切除术的看法。描述了护理评估性功能的障碍，并提出了将该主题纳入实践的建议。
关于该主题的护理研究非常少，这可能反映出临床实践中缺乏性评估和教育。讨论了其原因，并描述了性研究中使用的工具。关于该主题的知识库存在一些空白。需要在这一领域开展未来研究，为护士在这方面的临床实践提供指导。
