Kreuter Margareta, Siösteen Agneta, Biering-Sørensen Fin
The Sahlgrenska Academy at Göteborg University, Institute of Neuroscience and Physiology, Göteborg, Sweden.
J Rehabil Med. 2008 Jan;40(1):61-9. doi: 10.2340/16501977-0128.
To describe sexual life in women with spinal cord injury.
Controlled cross-sectional, questionnaire.
Women, 18-65 years, treated at spinal cord centres in Sweden, Denmark, Norway, Finland and Iceland. 545 women (57%) completed the questionnaires. The age-matched control group consisted of 507 women. The 104-item Spinal Cord Injury Women Questionnaire, was designed to assess different dimensions of sexuality.
80% of the women with spinal cord injury had engaged in sex after the injury. Reasons for not wanting or not having the courage to be intimate and sexual were physical problems, low sexual desire, low self-esteem and feelings of being unattractive. The motivations of both the women with spinal cord injury and controls to engage in sexual activity were intimacy-based rather than primarily sexual. Being in the right mood both before and during sex to become receptive to sexual stimulation was important.
For women who are able to overcome the physical restrictions and mental obstacles due to injury, it is possible to regain an active and positive sexual life together with a partner. Sexual information and counselling should be available both during initial rehabilitation and later when the women have returned to their homes.
描述脊髓损伤女性的性生活。
对照横断面问卷调查。
年龄在18至65岁之间，在瑞典、丹麦、挪威、芬兰和冰岛的脊髓损伤中心接受治疗的女性。545名女性（57%）完成了问卷调查。年龄匹配的对照组由507名女性组成。104项脊髓损伤女性问卷旨在评估性方面的不同维度。
80%的脊髓损伤女性在受伤后有过性行为。不想或没有勇气进行亲密和性接触的原因包括身体问题、性欲低下、自尊心低以及觉得自己没有吸引力。脊髓损伤女性和对照组参与性活动的动机都是基于亲密感，而非主要基于性。在性行为前后保持良好的情绪以接受性刺激很重要。
对于能够克服因损伤导致的身体限制和心理障碍的女性来说，有可能与伴侣一起重新获得积极活跃的性生活。在初期康复期间以及女性回家后都应提供性信息和咨询服务。
