McInnes Rosemary A
Australian Centre for Sexual Health, St Lukes Hospital, Sydney, NSW.
Med J Aust. 2003 Sep 1;179(5):263-6. doi: 10.5694/j.1326-5377.2003.tb05535.x.
Sex remains an important contributor to quality of life in many patients with chronic illness and their partners. The effects of chronic illness on sexuality are multifactorial and can impact on all phases of sexual response. Sexual dysfunction and dissatisfaction in chronically ill patients are underdetected and undertreated because of barriers to doctor-patient discussion about sex and lack of medical training in human sexuality. For doctors to become more motivated to broach the topic of sex, they need to recognise that people may be sexually interested even though they are old, ill or disabled. The PLISSIT model provides a graded counselling approach that allows doctors to deal with sexual issues at their own level of expertise and comfort.
对于许多慢性病患者及其伴侣而言，性仍然是生活质量的一个重要影响因素。慢性病对性的影响是多方面的，并且会对性反应的各个阶段产生影响。由于医患之间关于性话题讨论存在障碍以及缺乏人类性学方面的医学培训，慢性病患者的性功能障碍和性方面的不满未得到充分检测和治疗。为了让医生更有动力去探讨性这个话题，他们需要认识到，即使人们年老、患病或残疾，他们仍可能有性方面的兴趣。PLISSIT模型提供了一种分级咨询方法，使医生能够根据自己的专业水平和舒适度来处理性问题。
