约旦护士对心脏病患者进行性咨询的调查。
A Survey on Sexual Counseling for Patients With Cardiac Disease Among Nurses in Jordan.
机构信息
Raeda M. Abu Ali, MSN, RN Lecturer, Department of Medical Sciences, Salt College, Albalqa Applied University, Amman, Jordan. Mona A. Abed, PhD, RN Associate Professor, Department of Adult Health Nursing, Hashemite University, Zarqa, Jordan. Amani A. Khalil, PhD, RN Associate Professor, Department of Clinical Nursing, The University of Jordan, Amman. Manal I. Al-Kloub, PhD, RN Assistant Professor, Department of Maternal, Child, and Family Health, Hashemite University, Zarqa, Jordan. Ala F. Ashour, PhD, RN Assistant Professor, Department of Adult Health Nursing, Hashemite University, Zarqa, Jordan. Intesar A. Alnsour, MSN, RN Lecturer, Department of Medical Sciences, Salt College, Albalqa Applied University, Amman, Jordan.
出版信息
J Cardiovasc Nurs. 2018 Sep/Oct;33(5):467-473. doi: 10.1097/JCN.0000000000000472.
BACKGROUND
Recovery among patients with cardiac disease also requires attention to their sexual health. However, cultural, religious, and social factors may make Arab Muslim patients reluctant to disclose their sexual concerns and nurses hesitant to discuss patients' sexuality matters.
OBJECTIVE
The aim of this study was to explore sexual counseling (SC) among nurses in Jordan in terms of responsibility, confidence, and practice.
METHOD
This was a descriptive, correlational study. Staff nurses were recruited from 10 hospitals in Jordan. Nurses completed the cardiac version of the Survey of Sexuality-Related Nursing Practice and reported their demographics.
RESULTS
The sample consisted of 379 nurses (female, 59%; mean age, 28.1 years). A significant proportion of nurses viewed assessment/discussion of patients' sexuality matters as not within their responsibilities (39%), did not feel confident to address sexuality matters (50%), and rated themselves as not at all/not very knowledgeable about sexuality (60%). Few nurses were routinely integrating SC in clinical practice (9%). Sexual counseling was associated with nurses' gender (male, higher confidence and practice) and previous training on sexuality in nursing practice.
CONCLUSIONS
Nurses in Jordan, especially female nurses, are neither prepared nor competent to provide SC. Nurses need focused education on sexuality to optimize patients' sexual health.
背景
心脏病患者的康复也需要关注他们的性健康。然而，文化、宗教和社会因素可能使阿拉伯穆斯林患者不愿意透露他们的性问题，护士也不愿意讨论患者的性问题。
目的
本研究旨在探讨约旦护士在性咨询方面的责任、信心和实践情况。
方法
这是一项描述性相关性研究。从约旦的 10 家医院招募了在职护士。护士们填写了心脏病患者版的《性相关护理实践调查》，并报告了他们的人口统计学资料。
结果
样本由 379 名护士组成（女性占 59%；平均年龄 28.1 岁）。相当一部分护士认为评估/讨论患者的性问题不属于他们的职责范围（39%），他们对处理性问题没有信心（50%），并且认为自己对性知识的了解程度很低（60%）。很少有护士会将性咨询常规纳入临床实践（9%）。性咨询与护士的性别（男性，更高的信心和实践）和护理实践中有关性的先前培训有关。
结论
约旦的护士，尤其是女性护士，既没有准备好也没有能力提供性咨询。护士需要接受有关性的重点教育，以优化患者的性健康。
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