Vijayalakshmi Sundaram, Rajagopal Kaipangala, Govindan Radhakrishnan, Ganjekar Sundarnag, Prathyusha P V, Chacko Leena K
College of Nursing, National Institute of Mental Health and Neurosciences, (Institute of National Importance), Bengaluru, Karnataka, India.
Department of OBG, Yenepoya (Deemed to be) University, Mangalore, Karnataka, India.
J Educ Health Promot. 2024 Feb 7;13:39. doi: 10.4103/jehp.jehp_857_23. eCollection 2024.
Women with mental illness (WMI) experience considerable disparities in sexual and reproductive health (SRH) when compared to the general population. Due to their restricted access to SRH services, they have unmet contraceptive needs, a greater prevalence of sexually transmitted infections (STIs), and sexual dysfunction. The study aimed to explore the SRH issues of WMI in a tertiary care psychiatric outpatient clinic in Bengaluru, India.
A qualitative hermeneutic phenomenological approach was used. A reproductive age group (18-49 years) WMI ( = 32) was selected by purposive sampling technique. The period of data collection was from January 2021 to September 2021. An in-depth face-to-face interview was conducted using a validated interview schedule. Hycner's explicitation process was used to investigate the constituents of a phenomenon.
The codes revealed potential themes and subthemes. SRH issues faced by WMI were organized under three main themes, namely, (1) factors responsible for sexual dysfunction, (2) symptoms of STI and treatment adherence, and (3) use of contraception and its barrier.
Sexual dysfunction among WMI is contributed by numerous factors. Women were exhibited limited knowledge of STI symptoms and treatment compliance. Such women experience issues with current method of contraception and are unaware of the alternatives. The findings of this study may be helpful for clinical nurses in drawing attention to and increasing knowledge of the reproductive health issues that women with psychiatric disorders face, taking the required precautions, and devising strategies for minimizing harm.
与普通人群相比，患有精神疾病的女性（WMI）在性健康和生殖健康（SRH）方面存在相当大的差异。由于她们获得性健康和生殖健康服务的机会有限，她们有未满足的避孕需求，性传播感染（STIs）的患病率更高，并且存在性功能障碍。本研究旨在探讨印度班加罗尔一家三级护理精神科门诊中患有精神疾病的女性的性健康和生殖健康问题。
采用定性诠释现象学方法。通过目的抽样技术选择了生殖年龄组（18 - 49岁）的患有精神疾病的女性（n = 32）。数据收集期为2021年1月至2021年9月。使用经过验证的访谈提纲进行深入的面对面访谈。采用Hycner的明确化过程来研究现象的构成要素。
编码揭示了潜在的主题和子主题。患有精神疾病的女性面临的性健康和生殖健康问题被归纳为三个主要主题，即：（1）导致性功能障碍的因素，（2）性传播感染的症状及治疗依从性，（3）避孕方法及其障碍。
患有精神疾病的女性的性功能障碍由多种因素导致。女性对性传播感染症状和治疗依从性的了解有限。这些女性在当前避孕方法上存在问题，并且不了解其他选择。本研究结果可能有助于临床护士关注并增加对患有精神疾病的女性所面临的生殖健康问题的认识，采取必要的预防措施，并制定将危害降至最低的策略。
