The County Council of Gävleborg, and Department of Caring Science and Sociology, University of Gävle, Sweden.
J Adv Nurs. 2010 Jun;66(6):1308-16. doi: 10.1111/j.1365-2648.2010.05260.x. Epub 2010 Apr 1.
This paper is a report of a study of Registered Nurses' attitudes and beliefs towards discussing sexuality with patients.
The World Health Organization regards sexuality as an essential and integrated part of being human. Studies show that diseases and treatments can affect sexuality and that a positive and respectful attitude towards sexuality is important to achieving sexual health.
The study had a correlative and comparative design. The Sexual Attitudes and Beliefs Survey was distributed to a convenience sample of 100 Swedish nurses in 2006, with a response rate of 88%.
Over 90% of nurses understood how patients' diseases and treatment might affect their sexuality. About two-thirds felt comfortable talking about sexual issues and agreed that it was their responsibility to encourage talk about sexual concerns. However, 80% did not take time to discuss sexual concerns, and 60% did not feel confident in their ability to address patients' sexual concerns. Older nurses felt more confident in their ability to address patients' sexual concerns, and the older the nurses, the more positive were their attitudes towards discussing sexuality. Nurses with further education also had a more positive attitude towards discussing sexuality.
Education is essential to improve nurses' ability to give patients the holistic care they deserve. Studies are needed to understand fully what mechanisms underlie the barriers that clearly prevent nurses from addressing patients' sexuality.
本文是一项关于注册护士对与患者讨论性行为的态度和信念的研究报告。
世界卫生组织将性行为视为人类的重要组成部分。研究表明，疾病和治疗方法会影响到患者的性行为，而对性行为采取积极和尊重的态度对于实现性健康至关重要。
该研究采用了相关性和对比性设计。2006 年，我们向瑞典的 100 名护士发放了性态度和信念调查问卷，回收率为 88%。
超过 90%的护士了解到患者的疾病和治疗可能会影响他们的性行为。大约三分之二的护士表示在讨论性问题时感到自在，并认为鼓励患者谈论性问题是他们的责任。然而，80%的护士没有花时间讨论性问题，60%的护士对自己解决患者性问题的能力缺乏信心。年长的护士对自己解决患者性问题的能力更有信心，而且年龄越大，他们对讨论性行为的态度越积极。接受过继续教育的护士对讨论性行为的态度也更为积极。
教育对于提高护士为患者提供全面护理的能力至关重要。需要进行研究以充分了解哪些机制导致了护士显然无法解决患者性问题的障碍。
