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心血管护士提供的性咨询:态度、信念、感知障碍及解决方案。

Sexual Counseling Provided by Cardiovascular Nurses: Attitudes, Beliefs, Perceived Barriers, and Proposed Solutions.

机构信息

Fadime Gök, PhD Assistant Associate Professor, Faculty of Health Sciences, Surgical Nursing Department, Pamukkale University, Denizli, Turkey. Fatma Demir Korkmaz, PhD Professor, Faculty of Nursing, Surgical Nursing Department, Ege University, Izmir, Turkey.

出版信息

J Cardiovasc Nurs. 2018 Nov/Dec;33(6):E24-E30. doi: 10.1097/JCN.0000000000000535.

Abstract

BACKGROUND

Although sex lives of patients with cardiovascular disease (CVD) are affected in various ways and degrees, nurses working with these patients refrain from talking about sexual matters with their patients or encounter barriers trying to do so.

OBJECTIVE

The purpose of this descriptive study was to identify attitudes and beliefs of cardiovascular nurses regarding talking to their patients about sexual problems, perceived barriers, and proposed solutions.

METHODS

The sample included 170 nurses working for the cardiology and cardiac surgery departments of 1 university hospital, 2 ministry of health hospitals, and 2 private hospitals in Turkey. Data were collected between April and August 2015 through a 4-section questionnaire including the Sexual Attitude and Beliefs Scale. Descriptive, parametric, and nonparametric statistics were used to analyze the data.

RESULTS

Most (73.5%) reported not talking to their patients about sexual issues, and only 35.9% stated that they had been educated on how to do so. The major reason for nurses avoiding discussions about sex with their patients was not considering sexuality as a patient care priority (86.4%). Establishing privacy for the patient (91.2%) was the solution proposed by most nurses. The average score of the nurses on the Sexual Attitude and Beliefs Scale was only medium.

CONCLUSION

Most of the nurses were untrained about how to talk about sexual problems with their patients and therefore were unable to talk about it freely.

摘要

背景

尽管心血管疾病 (CVD) 患者的性生活受到各种方式和程度的影响,但与这些患者一起工作的护士避免与患者谈论性问题,或者在尝试这样做时遇到障碍。

目的

本描述性研究的目的是确定心血管护士对与患者谈论性问题的态度和信念、感知障碍以及提出的解决方案。

方法

该样本包括土耳其 1 家大学医院、2 家卫生部医院和 2 家私立医院的心血管和心脏外科部门的 170 名护士。数据于 2015 年 4 月至 8 月期间通过包括性态度和信念量表在内的 4 节问卷收集。使用描述性、参数和非参数统计来分析数据。

结果

大多数护士(73.5%)表示没有与患者讨论性问题,只有 35.9%的护士表示他们接受过如何进行此类讨论的教育。护士避免与患者讨论性问题的主要原因是不将性视为患者护理的优先事项(86.4%)。大多数护士提出的解决方案是为患者建立隐私(91.2%)。护士在性态度和信念量表上的平均得分为中等。

结论

大多数护士在如何与患者谈论性问题方面未经培训,因此无法自由谈论。

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