Hortal-Mas Roger, Moreno-Poyato Antonio Rafael, Granel-Giménez Nina, Roviralta-Vilella Maria, Watson-Badia Carolina, Gómez-Ibáñez Rebeca, Aguayo-González Mariela Patricia, Giménez-Díez David, Bernabeu-Tamayo Maria Dolores, Leyva-Moral Juan Manuel
Psychiatric Rehabilitation Area, Hermanas Hospitalarias - Hospital Sagrat Cor, Martorell, Catalonia, Spain.
Department of Public Health, Mental Health and Perinatal Nursing, Universitat de Barcelona, Barcelona, Catalonia, Spain.
J Psychiatr Ment Health Nurs. 2022 Feb;29(1):130-146. doi: 10.1111/jpm.12700. Epub 2020 Oct 26.
A serious mental illness influences sexual life and people affected have worries about their sexual health. People living with a serious mental illness can and want to participate in interventions related to sexual health.
People who suffer a serious mental illness are interested in maintaining an active sex life. People who suffer a serious mental illness experience rejection when they open up and they lose intimate relationships or possibilities of meeting other people because of ignorance and prejudices surrounding mental health.
Mental health services must respond to this need, that is including sexual needs assessment among routine standard practices or training nurses on sexual education to allow them to advise patients and their families and friends. Health systems should promote awareness programmes and reduce the stigma surrounding mental health and sexuality.
INTRODUCTION: Sexuality-related nursing care is scarce and mainly focuses on biological issues. There is also a lack of knowledge about how serious mental illnesses affect sexuality.
To explain how people with a serious mental illness perceive and experience their sexuality.
A meta-synthesis was conducted to integrate qualitative studies. Four databases were used to perform the search, focused in the last ten years. Nine articles were included, and their results analysed thematically.
Four categories were identified: "Pathologized sexuality," which explains how the disorder and treatment affect sexuality; "Not my sexuality anymore," which describes feelings emerging from the perceived limitations and the role of self-acceptance; "Learning to manage intimate relationships," which explains the desire to establish intimate personal relationships and define their meaning; and "Reconstructing my sexuality," which elucidates the influence of the environment on sexuality.
Sexuality is influenced by several factors, the main ones being: the clinical complications, the side effects of drug treatment, the social support, the relationship with the health sector and stigma.
Having a serious mental illness affects sexuality and can provoke suffering and social isolation. Mental health services should address this issue and carry out community interventions to reduce stigma.
严重精神疾病会影响性生活，患者会担心自己的性健康。患有严重精神疾病的人能够且希望参与与性健康相关的干预措施。
患有严重精神疾病的人有兴趣维持积极的性生活。患有严重精神疾病的人在敞开心扉时会遭遇拒绝，并且由于围绕心理健康的无知和偏见，他们会失去亲密关系或结识他人的机会。
精神卫生服务必须回应这一需求，即在常规标准做法中纳入性需求评估，或对护士进行性教育培训，以使他们能够为患者及其家人和朋友提供建议。卫生系统应推广提高认识的项目，并减少围绕心理健康和性方面的污名化。
引言：与性相关的护理服务稀缺，且主要集中在生物学问题上。对于严重精神疾病如何影响性方面也缺乏了解。
解释患有严重精神疾病的人如何看待和体验他们的性。
进行了一项元综合分析以整合定性研究。使用四个数据库进行搜索，重点关注过去十年。纳入了九篇文章，并对其结果进行了主题分析。
确定了四个类别：“病态化的性”，解释了疾病和治疗如何影响性；“不再是我的性”，描述了从感知到的限制以及自我接纳的作用中产生的感受；“学会管理亲密关系”，解释了建立亲密个人关系并定义其意义的愿望；以及“重构我的性”，阐明了环境对性的影响。
性受到多种因素的影响，主要因素包括：临床并发症、药物治疗的副作用、社会支持、与卫生部门的关系以及污名化。
患有严重精神疾病会影响性，并可能引发痛苦和社会隔离。精神卫生服务应解决这一问题并开展社区干预以减少污名化。
