Muliira Joshua K, Muliira Rhoda S
College of Nursing, Sultan Qaboos University, Muscat, Oman.
Sultan Qaboos Univ Med J. 2013 Nov;13(4):469-76. doi: 10.12816/0003304. Epub 2013 Nov 8.
This article presents findings from a review of the evidence regarding sexual health for older women from MEDLINE, SCOPUS and the Cumulative Index to Nursing and Allied Health (CINHAL) databases. A total of 10 articles based on primary studies, reporting about the sexuality or sexual health of older women (and older people), and published between 2002-2012, were deemed suitable. The major themes that emerged from the available literature suggest that the sexual health of older people is affected by factors such as physical changes, mental health, changes to their relationship with their husband, chronic ill health and other psychosocial situations. It is concluded that nurses and other healthcare providers have a range of interventions that can be adopted to promote sexual health among older women. These interventions may focus on improving the older woman's sexual health assessment; increasing awareness and knowledge about sexuality in later life; pharmacological and psychotherapeutic therapies; using alternative techniques to achieve better sexual functioning; addressing partner and relationship issues, and advocating the importance of sexual health through media and policy development.
本文介绍了一项综述的研究结果,该综述对来自MEDLINE、SCOPUS以及护理学与健康相关学科累积索引(CINHAL)数据库中有关老年女性性健康的证据进行了回顾。共有10篇基于原始研究的文章被认为合适,这些文章报道了2002年至2012年间老年女性(及老年人)的性行为或性健康情况。现有文献中出现的主要主题表明,老年人的性健康受到身体变化、心理健康、与丈夫关系的变化、慢性疾病以及其他社会心理状况等因素的影响。研究得出结论,护士和其他医疗保健提供者有一系列干预措施可用于促进老年女性的性健康。这些干预措施可能侧重于改善老年女性的性健康评估;提高对晚年性行为的认识和知识;药物治疗和心理治疗;采用替代技术以实现更好的性功能;解决伴侣和关系问题,以及通过媒体和政策制定倡导性健康的重要性。