Clark Louise I, O'toole Mary S
Florence Nightingale School of Nursing and Midwifery, King's College, London.
Br J Nurs. 2007;16(3):154-6. doi: 10.12968/bjon.2007.16.3.22968.
Inclusion into the wider community for people with learning disabilities and intellectual impairment has been problematic for many people and in some cases the result has been an exacerbation of mental health problems or a reduction in adaptive functioning. Research has found that people who have chronic mental illness or intellectual impairment are a sexually active group although they might not always be perceived as such. Therefore, there are questions that may be raised over an identified lack of sexual health promotion and practices surrounding safe sex. This short article will examine particular barriers to sexual health care for this patient group in the areas of consent (to sexual acts, screening and treatment), communication and health promotion in this field. Implications for future practice are discussed.
对于许多有学习障碍和智力缺陷的人来说,融入更广泛的社区一直存在问题,在某些情况下,结果是心理健康问题加剧或适应功能下降。研究发现,患有慢性精神疾病或智力缺陷的人是性活跃群体,尽管他们可能并不总是被这样认为。因此,对于已发现的性健康促进不足以及围绕安全性行为的做法,可能会引发一些问题。这篇短文将探讨该患者群体在性保健方面,在同意(性行为、筛查和治疗)、沟通以及该领域的健康促进等方面存在的特殊障碍。并讨论了对未来实践的影响。