Royal Rehabilitation Centre, Sydney, Australia.
Faculty of Nursing and Midwifery, University of Sydney, Sydney, Australia.
Disabil Rehabil. 2020 Jan;42(1):71-77. doi: 10.1080/09638288.2018.1492635. Epub 2018 Sep 6.
The purpose of this study was to provide insights into the nature of female sexuality from the perspective of one group of women following a stroke. Nine female stroke survivors from metropolitan and surrounding districts of Sydney, Australia participated in face to face semi-structured interviews about sexuality after stroke. The age of stroke survivors ranged from 31 to 70 years. The majority of females identified as heterosexual ( = 8). Length of time between stroke and interview ranged from 1 year, 2 months to 15 years, 9 months. The interviews were digitally recorded and transcribed. Braun and Clarke's 6 steps of thematic analysis were used to answer the question: what is the nature of female sexuality? The women in this study saw themselves as sexual beings and communicated a tacit knowledge of the nature of female sexuality. Female sexuality was described as having two distinct, but related aspects, that captured "the being" and "the doing" of female sexuality. These encompassed a woman's way of being female and expressions of that way of being through engagement in specific activities. The findings of this study underline the importance of addressing sexuality as part of rehabilitation and provide some guidance about what might be important to address.Implications for RehabilitationSexuality should be addressed by clinicians as part of person-centred rehabilitation.Understanding "the being" and "the doing" of female sexuality is a pre-requisite for understanding female sexuality post-stroke.Idealised constructions of being female formulated pre-stroke may continue to be points of reference for self-assessment post-stroke, hence need to be understood when seeking to support a positive sense of self.The influence of significant others on the self-esteem of females may be important to consider for some individuals post-stroke.
本研究旨在从一组中风后女性的角度深入了解女性性行为的本质。9 名来自澳大利亚悉尼大都市和周边地区的中风后女性幸存者参与了关于中风后性行为的面对面半结构化访谈。中风幸存者的年龄从 31 岁到 70 岁不等。大多数女性认同自己是异性恋者( = 8)。中风和访谈之间的时间长度从 1 年 2 个月到 15 年 9 个月不等。访谈以数字方式记录并转录。Braun 和 Clarke 的 6 步主题分析用于回答问题:女性性行为的本质是什么?本研究中的女性将自己视为性行为者,并传达了对女性性行为本质的默会知识。女性性行为被描述为具有两个截然不同但相关的方面,即捕捉女性性行为的“存在”和“表现”。这些方面包括女性作为女性的方式以及通过参与特定活动来表达这种方式。这项研究的结果强调了将性行为作为康复的一部分来解决的重要性,并为解决问题提供了一些指导。
康复意义
临床医生应将性行为作为以人为本的康复的一部分来解决。
了解女性性行为的“存在”和“表现”是理解中风后女性性行为的前提。
中风前形成的理想化女性存在构建可能会继续成为中风后自我评估的参考点,因此在寻求支持积极的自我意识时需要加以理解。
中风后,某些个体可能需要考虑重要他人对女性自尊心的影响。