Haesler Emily, Bauer Michael, Fetherstonhaugh Deirdre
Australian Centre for Evidence Based Aged Care (ACEBAC), College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria 3086, Australia.
Australian Centre for Evidence Based Aged Care (ACEBAC), College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria 3086, Australia.
Nurse Educ Today. 2016 May;40:57-71. doi: 10.1016/j.nedt.2016.02.012. Epub 2016 Feb 24.
Sexuality remains important to older people and should be recognised as an important part of their overall care. However, this appears to be poorly understood and addressed by many healthcare professionals. This systematic review reports on knowledge and attitudes of health professionals towards sexuality and sexual health of older people, including factors that impact knowledge and perceptions.
The review, conducted using Joanna Briggs Institute methods, included 23 studies of varied methodology published between January 2004 and January 2015.
Findings indicated that healthcare professionals often consider older people's sexuality as outside their scope of practice and there is lack of knowledge and confidence in this area. Cultural norms and taboos, length of time spent working with older people, familiarity with the older person, previous training and degree of exposure to people who are not heterosexual were all identified as factors that impact knowledge and attitude.
Better role modelling and education are needed to improve knowledge and attitudes toward later life sexuality.
性取向对老年人而言仍然很重要，应被视为其整体护理的重要组成部分。然而，许多医疗保健专业人员似乎对此理解不足且未加以关注。本系统综述报告了卫生专业人员对老年人性取向和性健康的知识与态度，包括影响知识和认知的因素。
本综述采用乔安娜·布里格斯研究所的方法进行，纳入了2004年1月至2015年1月期间发表的23项方法各异的研究。
研究结果表明，医疗保健专业人员通常认为老年人的性取向超出了他们的执业范围，并且在这一领域缺乏知识和信心。文化规范和禁忌、与老年人共事的时长、对老年人的熟悉程度、先前的培训以及与非异性恋者的接触程度均被确定为影响知识和态度的因素。
需要更好的榜样示范和教育，以改善对老年人性取向的知识和态度。
