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[养老院中性表达的规范:专业视角]

[Regulation of sexual expression in residential aged care facilities: A professional point of view].

作者信息

Villar Feliciano, Fabà Josep, Celdrán Montserrat, Serrat Rodrigo

机构信息

Departament de Psicologia Evolutiva i de l'Educació, Facultat de Psicologia, Universitat de Barcelona, Barcelona, España.

Departament de Psicologia Evolutiva i de l'Educació, Facultat de Psicologia, Universitat de Barcelona, Barcelona, España.

出版信息

Rev Esp Geriatr Gerontol. 2014 Nov-Dec;49(6):272-8. doi: 10.1016/j.regg.2014.06.007. Epub 2014 Aug 7.

DOI:10.1016/j.regg.2014.06.007
PMID:25110141
Abstract

INTRODUCTION

The purpose of this study is to determine the opinion of professionals working in residential aged care facilities on the regulation of sexuality in these settings.

MATERIALS AND METHODS

Fifty-three professionals from five residential aged care facilities located in the metropolitan area of Barcelona answered several questions regarding the advisability of establishing measures for the regulation of sexuality in RACFs, the elements that could contribute to this, and the aspects that such regulations should consider.

RESULTS

Around 50% of the participants recognized the advisability of having some type of measures for sexuality regulation in residential aged care facilities. According to their responses this should be developed taking into account professional opinions, but also the points of view of the residents and their relatives. The most frequently mentioned regulations were those that ensured that any kind of sexually charged situation occurred in a private environment. The development of strategies are suggested to distinguish those people with dementia that are competent to consent to sexual acts from those who are not.

CONCLUSIONS

The opinion of professionals working in RACFs regarding the advisability of establishing measures for sexuality regulation seems to be considerably divided. Thus, whilst around 50% of them recognize their potential usefulness, the other half consider them unnecessary or even counterproductive for the sexual freedom of residents. Associating regulation with prohibition and sexuality with sexual activity was not uncommon among the responses of the participants.

摘要

引言

本研究旨在确定在老年居住护理机构工作的专业人员对这些场所性行为规范的看法。

材料与方法

来自巴塞罗那大都市区五家老年居住护理机构的53名专业人员回答了几个问题,这些问题涉及在老年居住护理机构制定性行为规范措施的可取性、可能有助于规范的因素以及此类规范应考虑的方面。

结果

约50%的参与者认可在老年居住护理机构采取某种类型的性行为规范措施。根据他们的回答,制定规范时应考虑专业意见,同时也要考虑居民及其亲属的观点。最常提到的规范是确保任何带有性意味的情况都在私密环境中发生。建议制定策略,以区分有能力同意性行为的痴呆症患者和无此能力的患者。

结论

老年居住护理机构工作人员对于制定性行为规范措施的可取性看法似乎存在很大分歧。因此,虽然约50%的人认识到其潜在用处,但另一半人认为这些措施对居民的性自由而言不必要甚至适得其反。在参与者的回答中,将规范与禁止、性行为与性活动联系起来的情况并不少见。

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