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解决中风后性活动康复中的差距:患者视角

Addressing the Gaps in Post-Stroke Sexual Activity Rehabilitation: Patient Perspectives.

作者信息

Prior Sarah, Reeves Nicole, Peterson Gregory, Jaffray Linda, Campbell Steven

机构信息

School of Medicine, College of Health and Medicine, University of Tasmania, Hobart, Tasmania 7000, Australia.

School of Health Sciences, College of Health and Medicine, University of Tasmania, Newnham Drive, Newnham, Tasmania 7250, Australia.

出版信息

Healthcare (Basel). 2019 Feb 5;7(1):25. doi: 10.3390/healthcare7010025.

DOI:10.3390/healthcare7010025
PMID:30764522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6473349/
Abstract

Sexual dysfunction is common but often under-recognised or neglected after stroke. This study sought to identify the existing methods for providing information and discussion on post-stroke sexual activity, and perceived gaps from the patient perspective. A sample of 1265 participants who had been admitted to any of the four major public hospitals in Tasmania, Australia, with stroke (International Classification of Diseases (ICD-10) group B70) were mailed a survey assessing their experiences with, and opinions about, receipt of post-stroke sexual activity education. One hundred and eighty-three participants (14.5%) responded; of these, 65% were male and the mean age was 69.1 years. The results indicated that, whilst over 30% or participants wanted to receive information related to post-stroke sexual activity, only a small proportion of participants (8.2%) had received this. In terms of the method of receiving this information, participants preferred to receive this from a doctor in a private discussion with or without their partner present. The delivery of post-stroke sexual activity information and education is inconsistent and fails to meet patient needs within major Tasmanian hospitals, highlighting the importance of developing sound, routine, post-stroke education and information processes.

摘要

性功能障碍很常见,但在中风后常常未得到充分认识或被忽视。本研究旨在确定现有的关于中风后性活动的信息提供和讨论方法,以及从患者角度感知到的差距。对澳大利亚塔斯马尼亚州四家主要公立医院中因中风(国际疾病分类(ICD - 10)B70组)入院的1265名参与者进行抽样,邮寄一份调查以评估他们对中风后性活动教育的接受经历和看法。183名参与者(14.5%)做出回应;其中,65%为男性,平均年龄为69.1岁。结果表明,虽然超过30%的参与者希望获得与中风后性活动相关的信息,但只有一小部分参与者(8.2%)收到过此类信息。在获取该信息的方式方面,参与者更倾向于在有或没有伴侣在场的情况下,在与医生的私下讨论中获取。在塔斯马尼亚州的主要医院中,中风后性活动信息和教育的提供不一致,未能满足患者需求,这凸显了制定完善、常规的中风后教育和信息流程的重要性。

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本文引用的文献

1
How is sexuality after stroke experienced by stroke survivors and partners of stroke survivors? A systematic review of qualitative studies.中风幸存者及其伴侣经历的中风后性行为如何?一项定性研究的系统评价。
Clin Rehabil. 2019 Feb;33(2):293-303. doi: 10.1177/0269215518793483. Epub 2018 Sep 5.
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Sexual function in post-stroke patients: considerations for rehabilitation.脑卒中患者的性功能:康复相关考虑。
J Sex Med. 2014 Jan;11(1):15-21. doi: 10.1111/jsm.12343. Epub 2013 Oct 29.
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Sexuality after stroke: patient counseling preferences.脑卒中后性生活:患者咨询偏好。
Disabil Rehabil. 2013 Oct;35(21):1842-7. doi: 10.3109/09638288.2012.754953. Epub 2013 Jan 22.
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Mixed methods evaluation of an interdisciplinary sexuality education programme for staff working with people who have an acquired physical disability.跨学科性行为教育计划对从事后天肢体残疾人士工作的员工的混合方法评估。
J Adv Nurs. 2012 Nov;68(11):2559-69. doi: 10.1111/j.1365-2648.2012.05959.x. Epub 2012 Feb 20.
9
Effects of a sexual rehabilitation intervention program on stroke patients and their spouses.性康复干预方案对脑卒中患者及其配偶的影响。
NeuroRehabilitation. 2011;28(2):143-50. doi: 10.3233/NRE-2011-0642.
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Post-stroke sexual functioning in first stroke patients.首次中风患者中风后的性功能
Eur J Neurol. 2008 Jul;15(7):660-6. doi: 10.1111/j.1468-1331.2008.02184.x. Epub 2008 May 15.