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肌萎缩侧索硬化症(ALS)患者及其治疗临床医生对性的认知。

Perceptions of sexuality in individuals with Amyotrophic Lateral Sclerosis (ALS) and their treating clinicians.

作者信息

Shahbazi Mona, Holzberg Shara, Thirunavukkarasu Saeyoan, Ciani Gioia

机构信息

Department of Neurology, Hospital for Special Surgery, New York, NY, USA.

Department of Neurology, Northwell Health, North Shore University Hospital, Manhasset, NY, USA.

出版信息

NeuroRehabilitation. 2017;41(2):331-342. doi: 10.3233/NRE-172204.

Abstract

INTRODUCTION

Amyotrophic Lateral Sclerosis (ALS) may not affect an individual's sexual function directly, but it can indirectly impact their sexual activity. Sexual partners often become caregivers, diminishing sexuality within a relationship. This can result in decline of quality of life.

OBJECTIVE

The study aimed to explore the perspectives of individuals with ALS and their treating clinicians regarding the importance of sexuality in rehabilitation within a multidisciplinary ALS center. We hypothesize that individuals with ALS will express the need for sexuality-related discussions as a therapy.

METHOD

Electronic 11-item questionnaires were anonymously completed by individuals with ALS (n = 21) and ALS healthcare professionals (n = 81) between August 2014 to June 2016. Descriptive statistics were performed in STATA 14.

RESULTS

Majority (90%, n = 92) of respondents stated that ALS impacts the sexuality of an individual with ALS, and agreed that sexuality-related discussion is needed as a complementary therapy. Over 75% of clinicians reported they were not familiar with any strategies or interventions to help the patients.

CONCLUSION

ALS indirectly affects sexuality, thus confirming the need for promoting awareness regarding sexuality-related topics among individuals with ALS and healthcare professionals. ALS multidisciplinary clinics need to improve their delivery of care to address sexual rehabilitation as a complementary therapy.

摘要

引言

肌萎缩侧索硬化症(ALS)可能不会直接影响个体的性功能,但会间接影响其性活动。性伴侣往往会成为照料者,从而削弱两性关系中的性方面。这可能导致生活质量下降。

目的

本研究旨在探讨肌萎缩侧索硬化症患者及其治疗临床医生对于在多学科ALS中心康复过程中性方面重要性的看法。我们假设肌萎缩侧索硬化症患者会表达将与性相关的讨论作为一种治疗方式的需求。

方法

2014年8月至2016年6月期间,肌萎缩侧索硬化症患者(n = 21)和ALS医疗专业人员(n = 81)匿名填写了11项电子问卷。在STATA 14中进行描述性统计。

结果

大多数(90%,n = 92)受访者表示ALS会影响肌萎缩侧索硬化症患者的性方面,并认同需要将与性相关的讨论作为一种辅助治疗。超过75%的临床医生报告称他们不熟悉任何帮助患者的策略或干预措施。

结论

ALS间接影响性方面,因此证实有必要提高肌萎缩侧索硬化症患者和医疗专业人员对与性相关话题的认识。ALS多学科诊所需要改进其护理服务,将性康复作为一种辅助治疗加以解决。

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