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亲密关系与性表达偏好工具在长期护理中的应用:一项案例研究。

Utilization of the Intimacy and Sexuality Expression Preference tool in long-term care: a case study.

作者信息

Jones Cindy, Moyle Wendy, Van Haitsma Kimberly, Hudson Carly

机构信息

Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD, Australia.

Menzies Health Institute Queensland, Nathan, QLD, Australia.

出版信息

Front Dement. 2024 Feb 26;3:1270569. doi: 10.3389/frdem.2024.1270569. eCollection 2024.

Abstract

INTRODUCTION

Sexual wellness plays a crucial role in an individual's quality of life, interpersonal relationships, and self-concept, particularly among older adults residing in residential aged care facilities, including those with dementia. However, there is currently a limited person-centered approach to understanding the unique preferences of each older person regarding their intimate and sexual behaviors. To address this gap, the (ISEP) tool was developed to facilitate meaningful discussions between healthcare professionals or workers and older individuals about their intimacy and sexuality needs and preferences. This paper explores the use of the ISEP tool with residents in long-term aged care, including those with dementia via a user-centric case study.

METHODS

ISEP tool interviews were conducted with 14 residents in a single residential aged care facility in Queensland, Australia.

RESULTS

The study presented valuable insights and contextual information from using the ISEP tool, including an example of a resident's response, which provided recommendations for better supporting the resident. This involves engaging in supportive conversations to facilitate the exploration, implementation, and assessment of practical and actionable strategies to meet intimacy and sexuality needs and preferences.

DISCUSSION

The ISEP tool shows promise in improving care practices and addressing the intimacy and sexuality needs of older individuals in aged care facilities. However, it is important to acknowledge that the study was conducted in a single aged care facility with a small group of residents, potentially limiting the generalisability of the findings. Further large-scale studies are necessary to establish the tool's broader applicability across different care settings.

摘要

引言

性健康在个人生活质量、人际关系和自我概念中起着至关重要的作用,尤其是在居住于老年护理机构(包括患有痴呆症的老人)的老年人当中。然而,目前以个人为中心的方法有限,难以了解每个老年人在亲密行为和性行为方面的独特偏好。为了填补这一空白,开发了“老年人性健康评估工具”(ISEP),以促进医疗保健专业人员或工作者与老年人之间就他们的亲密关系和性需求及偏好展开有意义的讨论。本文通过一个以用户为中心的案例研究,探讨了ISEP工具在长期老年护理机构中(包括患有痴呆症的居民)的使用情况。

方法

对澳大利亚昆士兰州一家老年护理机构的14名居民进行了ISEP工具访谈。

结果

该研究展示了使用ISEP工具获得的宝贵见解和背景信息,包括一名居民的回答示例,并为更好地支持该居民提供了建议。这包括进行支持性对话,以促进探索、实施和评估满足亲密关系和性需求及偏好的切实可行的策略。

讨论

ISEP工具在改善护理实践以及满足老年护理机构中老年人的亲密关系和性需求方面显示出前景。然而,必须认识到该研究是在一家老年护理机构中对一小群居民进行的,这可能会限制研究结果的普遍性。需要进一步开展大规模研究,以确定该工具在不同护理环境中的更广泛适用性。

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