Wallace Meredith, Safer Meredith
School of Nursing, Yale University, New Haven, CT, USA.
Geriatr Nurs. 2009 Jul-Aug;30(4):230-7. doi: 10.1016/j.gerinurse.2008.09.001. Epub 2009 Apr 8.
Hypersexuality, also referred to in the literature as sexually inappropriate behavior and sexual disinhibition, involves persistent, uninhibited sexual behaviors directed at oneself or at others. For older adults, the literature generally attributes the behavior to biochemical or physiological changes that accompany cognitive impairment-specifically, dementia. Although less common than other behavioral issues, such as aggression and agitation, hypersexuality presents complex logistical and ethical problems for caregivers. This article reviews the current literature on hypersexual behavior. Assessment essentials as well as nonpharmacological and pharmacological treatment approaches are discussed, identifying the need for standardization as well as caregiver education and training.
性欲亢进在文献中也被称为性不当行为和性抑制解除,表现为针对自己或他人的持续、无节制的性行为。对于老年人而言,文献通常将这种行为归因于伴随认知障碍(尤其是痴呆症)出现的生化或生理变化。尽管性欲亢进不如攻击和激越等其他行为问题常见,但它给护理人员带来了复杂的后勤和伦理问题。本文综述了当前关于性欲亢进行为的文献。讨论了评估要点以及非药物和药物治疗方法,指出了标准化以及护理人员教育和培训的必要性。