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更年期女性亲密与性关系经历:一项定性综合研究

Women's Experiences of Intimate and Sexual Relationships During Menopause: A Qualitative Synthesis.

作者信息

Bulut Hatice, Hinchliff Sharron, Ali Parveen, Piercy Hilary

机构信息

Division of Obstetrics and Gynaecologic Nursing, Department of Nursing, Süleyman Demirel University Faculty of Health Science, Isparta, Turkey.

School of Allied Health Professions, Nursing and Midwifery, University of Sheffield, Sheffield, UK.

出版信息

J Clin Nurs. 2025 May;34(5):1543-1554. doi: 10.1111/jocn.17436. Epub 2024 Sep 27.

Abstract

AIM

The aim of this literature review was to explore women's experiences of their intimate and sexual relationships during menopause.

BACKGROUND

Evidence shows that the menopause transition can be a difficult time for women due to symptoms of menopause. There is little research evidence about how menopause-related symptoms impact women's intimate and sexual relationships.

METHOD

A qualitative synthesis was carried out on research published between May 2005 and July 2023 using five electronic databases: ASSIA, CINAHL, PubMed, PsycINFO and Web of Science. We also searched Google Scholar and used backward and forward chaining methods to identify results not listed in the databases and ensure that no relevant literature was omitted.

RESULTS

Eighteen qualitative studies were included in this review. Six main themes were identified: the meaning of menopause to women in different cultures; factors affecting women's sexual lives; changes in sexual desire and orgasm; talking about sexual issues; women's attempts to overcome the impact of ageing and menopause on their sexual lives; and concerns about partner sexual satisfaction during the menopause.

CONCLUSION

During the menopause transition, women can experience sexual difficulties that have an impact on their lives and intimate relationships. Qualitative studies showed that sexual changes associated with menopause can be difficult to manage and must be viewed in the social and cultural contexts of the women's lives.

RELEVANCE TO CLINICAL PRACTICE

The results of this review will be of interest to nurses to assess patient needs while offering health services to women in menopause. In addition, the results can be used to inform education and support programmes for women.

REPORTING METHOD

We have adhered to relevant EQUATOR guidelines and used the PRISMA-ScR reporting method. No patient or public contribution was required for this study.

摘要

目的

本综述的目的是探讨女性在更年期期间的亲密关系和性关系体验。

背景

有证据表明,由于更年期症状,更年期过渡对女性来说可能是一段艰难的时期。关于更年期相关症状如何影响女性的亲密关系和性关系,几乎没有研究证据。

方法

对2005年5月至2023年7月发表的研究进行了定性综合分析,使用了五个电子数据库:ASSIA、CINAHL、PubMed、PsycINFO和Web of Science。我们还搜索了谷歌学术,并使用向前和向后链接的方法来识别未在数据库中列出的结果,以确保没有遗漏相关文献。

结果

本综述纳入了18项定性研究。确定了六个主要主题:更年期在不同文化中对女性的意义;影响女性性生活的因素;性欲和性高潮的变化;谈论性问题;女性试图克服衰老和更年期对其性生活的影响;以及对更年期期间伴侣性满意度的担忧。

结论

在更年期过渡期间,女性可能会经历性方面的困难,这会对她们的生活和亲密关系产生影响。定性研究表明,与更年期相关的性变化可能难以应对,必须在女性生活的社会和文化背景中看待。

与临床实践的相关性

本综述的结果将有助于护士在为更年期女性提供健康服务时评估患者需求。此外,这些结果可用于为女性的教育和支持项目提供信息。

报告方法

我们遵循了相关的EQUATOR指南,并使用了PRISMA-ScR报告方法。本研究无需患者或公众参与。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17e2/12037939/523c464e04c4/JOCN-34-1543-g001.jpg

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