Kautz Donald D, Van Horn Elizabeth R
School of Nursing, The University of North Carolina at Greensboro, Greensboro, NC, USA.
Rehabil Nurs. 2017 Nov/Dec;42(6):333-340. doi: 10.1002/rnj.296.
The sequelae of a stroke can negatively affect sex and intimacy for survivors and their partners.
This clinical article offers practical evidence-based recommendations for nurses to use in advising couples who may be experiencing sexual problems due to decreased desire, erectile dysfunction, vaginal dryness, paraparesis, pain, spasticity, fatigue, aphasia, concrete thinking, emotional lability, shame, embarrassment, fear, depression, or neurogenic bladder.
Recent research and clinical articles show that intimacy and sexual concerns are often ignored by the rehabilitation team, yet research shows that couples want information to assist them to maintain their sexual relationships. Using the PLISSIT model to address sexual concerns, nurses can facilitate discussions to aid couples toward improved sexual function and quality of life.
中风后遗症会对幸存者及其伴侣的性和亲密关系产生负面影响。
本文为护士提供基于实际证据的实用建议，以便在为可能因性欲减退、勃起功能障碍、阴道干涩、下肢轻瘫、疼痛、痉挛、疲劳、失语、具体思维、情绪不稳定、羞耻、尴尬、恐惧、抑郁或神经源性膀胱而出现性问题的夫妇提供咨询时使用。
近期的研究和临床文章表明，康复团队常常忽视亲密关系和性方面的问题，但研究显示夫妇们希望获得有助于维持他们性关系的信息。运用PLISSIT模型来解决性方面的问题，护士可以推动相关讨论，以帮助夫妇改善性功能和生活质量。
