García-Rodríguez Mª Teresa, Barreiro-Trillo Adriana, Seijo-Bestilleiro Rocío, González-Martin Cristina
Research in Nursing and Health Care, Institute of Biomedical Research of A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), SERGAS, As Xubias 84, 15006 A Coruña Universidade da Coruña (UDC), 15006 A Coruña, Spain.
Complexo Hospitalario Universitario de A Coruña (CHUAC), SERGAS, Universidade da Coruña, 15006 A Coruña, Spain.
Healthcare (Basel). 2021 Apr 29;9(5):520. doi: 10.3390/healthcare9050520.
The impact of an ostomy has a negative influence on sexuality. Healthcare professionals focus the care on surgery, and consider the sexual life is little relevant to the patient recovery. The aim of this systematized review is to give visibility to the sexual problems that ostomy patients have, to know what kind of sexual dysfunction occurs in this patients, to give information to the nursing staff about sexual disturbances and to recommend some resources to restart sexual activity. The research was conducted following de PRISMA guidelines and performed in several databases. Twelve papers were used to perform the systematized review. After ostomy, sexual dysfunction is different in men and women. It is related by the psychological aspects (low self-esteem, body image deterioration, etc.), the physical aspects (type of resection, complications, etc.) and the acceptance by the partner. A personalized sexual education focused on sexual problems that appear in ostomy patients is necessary to implement. In this way, adequate support, information and resources before and after surgery could be given for both, patients and their partners.
造口术对性功能有负面影响。医疗保健专业人员将护理重点放在手术上，认为性生活与患者康复关系不大。本系统评价的目的是关注造口术患者存在的性问题，了解这类患者会出现何种性功能障碍，向护理人员提供有关性障碍的信息，并推荐一些恢复性活动的资源。该研究遵循PRISMA指南进行，并在多个数据库中开展。使用了12篇论文进行系统评价。造口术后，男性和女性的性功能障碍有所不同。它与心理方面（自卑、身体形象恶化等）、生理方面（切除类型、并发症等）以及伴侣的接受程度有关。有必要开展针对造口术患者出现的性问题的个性化性教育。这样，就可以在手术前后为患者及其伴侣提供充分的支持、信息和资源。
