Inner Stability, Ltd., Bet Shemesh, Israel.
J Sex Med. 2014 Jan;11(1):15-21. doi: 10.1111/jsm.12343. Epub 2013 Oct 29.
While the rehabilitation goals of post-stroke patients include improving quality of life and returning to functional activities, the extent to which sexual activity is addressed as part of the standard rehabilitation process is unknown. Moreover, the specific sexual concerns of stroke patients, including the effect of stroke on intimate relationships and sexuality of the partner, the ability to physically engage in sex, and the effect of psychological components such as role identity, depression, and anxiety on sexuality, all warrant examination by rehabilitation professionals.
The aim of this study is to examine the existing literature on sexuality and stroke patients in order to better understand how the sexual lives of stroke patients and their partners are affected and to provide recommendations to rehabilitation professionals for addressing sexuality as part of treatment.
Narrative review, PubMed, PEDro, ISI Web of Science, and Google Scholar databases (inception-December 2012) were searched for the key words "stroke," "sexual dysfunction," "sexuality," "quality of life," and their combination. All relevant articles in English and secondary references were reviewed.
We report the results of the literature review.
Sexual dysfunction and decreased sexual satisfaction are common in the post-stroke population and are related to physical, psychosocial, and relational factors. However, they are not adequately addressed in post-stroke rehabilitation.
As sexual function is an important component to quality of life and activities of daily living, physicians and rehabilitation specialists, including physical, occupational, and speech therapists, should receive training in addressing sexuality in the treatment of post-stroke patients. Sexologists and sex therapists should be an integral part of the rehabilitation team.
虽然脑卒中患者的康复目标包括提高生活质量和回归功能活动，但性行为在标准康复过程中得到多大程度的关注尚不清楚。此外，脑卒中患者的具体性问题，包括脑卒中对亲密关系和伴侣性行为的影响、进行性行为的身体能力，以及心理因素（如角色认同、抑郁和焦虑）对性行为的影响，都需要康复专业人员进行检查。
本研究旨在检查现有的关于性行为和脑卒中患者的文献，以便更好地了解脑卒中患者及其伴侣的性生活受到哪些影响，并为康复专业人员提供关于将性行为纳入治疗的建议。
在 PubMed、PEDro、ISI Web of Science 和 Google Scholar 数据库（从创建到 2012 年 12 月）中，使用“stroke”（脑卒中）、“sexual dysfunction”（性功能障碍）、“sexuality”（性行为）和“quality of life”（生活质量）等关键词进行了检索，并对所有相关的英文文章和二级参考文献进行了综述。
我们报告文献综述的结果。
性功能障碍和性满意度降低在脑卒中后人群中很常见，与身体、心理社会和关系因素有关。然而，这些问题在脑卒中康复中并未得到充分解决。
由于性功能是生活质量和日常生活活动的重要组成部分，因此医生和康复专家（包括物理治疗师、职业治疗师和言语治疗师）应接受有关治疗脑卒中患者时处理性行为的培训。性治疗师和性治疗师应成为康复团队的重要组成部分。
