Alencar Danielle Lopes de, Marques Ana Paula de Oliveira, Leal Márcia Carréra Campos, Vieira Júlia de Cássia Miguel
Departamento de Medicina Social, Centro de Ciências da Saúde, Universidade Federal de Pernambuco, Recife, PE, Brasil,
Cien Saude Colet. 2014 Aug;19(8):3533-42. doi: 10.1590/1413-81232014198.12092013.
The scope of this article is to analyze the scientific evidence addressing the factors that influence the sexuality of the elderly. It involved an online search carried out in pairs, including original articles published between 2006 and October 2011 in Portuguese, English or Spanish, which fulfilled the requirements of the study. The MEDLINE, LILACS, CidSaúde and BDENF databases were used with the key words: sexualidade e idoso / sexuality and elderly / sexualidad y anciano. The articles selected were assessed for methodological quality using two instruments, namely CASP and the Hierarchical Classification of Evidence. After analysis, 15 articles were included in the review, which discuss the culture of asexuality of the elderly, whereby the experience of sexuality only prevails among younger people. The absence of the partner due to widowhood, attributing value to beauty standards of the young, the occurrence of disease, use of medication, and changes in sexual physiology were identified as important factors that influence the sexuality of the elderly. The conclusion drawn is that social and cultural factors, changes in body physiology, and the occurrence of disease interfere with the sexuality of the elderly, making it necessary for nursing professionals to be proactive in debunking myths and providing orientation.
本文的范围是分析关于影响老年人性取向因素的科学证据。研究采用双人在线搜索，纳入2006年至2011年10月间发表的葡萄牙语、英语或西班牙语原创文章，这些文章符合研究要求。使用MEDLINE、LILACS、CidSaúde和BDENF数据库，关键词为：sexualidade e idoso / sexuality and elderly / sexualidad y anciano。使用两种工具（即CASP和证据分级分类）对所选文章的方法学质量进行评估。分析后，15篇文章纳入综述，这些文章讨论了老年人无性文化，即性体验仅在年轻人中普遍存在。因丧偶导致伴侣缺失、重视年轻人的美貌标准、疾病的发生、药物的使用以及性生理变化被确定为影响老年人性取向的重要因素。得出的结论是，社会文化因素、身体生理变化和疾病的发生会干扰老年人的性取向，这使得护理专业人员有必要积极破除误解并提供指导。
