Villar Feliciano, Celdrán Montserrat, Serrat Rodrigo, Fabà Josep, Martínez Teresa
Departamento de Cognición, Desarrollo y Psicología de la Educación, Universidad de Barcelona, Barcelona, España.
Departamento de Cognición, Desarrollo y Psicología de la Educación, Universidad de Barcelona, Barcelona, España.
Rev Esp Geriatr Gerontol. 2019 Jan-Feb;54(1):12-18. doi: 10.1016/j.regg.2018.09.001. Epub 2018 Dec 11.
The study had three objectives: (a) To determine how staff perceives the frequency of different sexual expressions in long-term care facilities for older people; (2) to quantify policies aimed at guaranteeing residents' sexual rights in such institutions, and (3) to determine factors influencing the presence of these kind of policies.
A total of 160 Directors of Nursing and 623 technical staff from Spanish long term care residential facilities completed a self-administered questionnaire including ítems to assess the experience and estimated frequency of different sexual expressions, an inventory of policies regarding sexual expression, and the Spanish version of the Person-Centred Care Assessment Tool.
Certain sexual behaviours, such as kisses and hugs, or masturbation, are very frequent in nursing homes. Many participants have reported to staff members on having witnessed inappropriate sexual behaviours, such as exhibitionism (39%) or unwanted touching (27%). Policies in relation to guaranteeing residents' sexual rights were the most frequently mentioned. In contrast, there were fewer participants who mentioned policies regarding training or availability of helpful materials and resources. Factors such as occupational level (Directors of Nursing vs.technical staff), personal education, the centre commitment to person-centred care, and estimated frequency of sexual behaviour were associated with a higher presence of sexual expression policies.
Although sexual behaviours among residents are quite frequent, there is still room for improvement in policies that support residents' expression of sexuality. Person-centred care models might help to guarantee sexual rights of older people living in long-term care facilities.
本研究有三个目标：（a）确定工作人员如何看待老年人长期护理机构中不同性表达的频率；（2）量化旨在保障此类机构中居民性权利的政策；（3）确定影响此类政策存在的因素。
来自西班牙长期护理住宅设施的160名护理主任和623名技术人员完成了一份自我管理的问卷，其中包括评估不同性表达的经历和估计频率的项目、性表达政策清单以及以人为本的护理评估工具的西班牙语版本。
某些性行为，如亲吻和拥抱或自慰，在养老院中非常常见。许多参与者向工作人员报告称目睹过不当性行为，如暴露癖（39%）或不必要的触摸（27%）。保障居民性权利的政策被提及的频率最高。相比之下，提及培训或有用材料及资源可用性政策的参与者较少。职业水平（护理主任与技术人员）、个人教育程度、中心对以人为本护理的承诺以及性行为估计频率等因素与性表达政策的较高存在相关。
尽管居民中的性行为相当常见，但支持居民性表达的政策仍有改进空间。以人为本的护理模式可能有助于保障住在长期护理机构中的老年人的性权利。
