J Gerontol Nurs. 2024 Oct;50(10):17-23. doi: 10.3928/00989134-20240912-05. Epub 2024 Oct 1.
To explore barriers and facilitators to nurses' provision of sexual and reproductive health (SRH) care to community-dwelling older adults.
An integrative literature review was performed using Whittemore and Knafl's method. Three databases were searched for research conducted between 2012 and 2023, and the Mixed Methods Appraisal Tool was used to determine the quality of included studies.
Nine studies were ultimately included for analysis, and themes were and . included: nurses' lack of knowledge about older adults' sexual health, discomfort discussing sexual topics, age-related stereotypes regarding older adults' sexuality, and older adults' lack of knowledge of and reluctance to discuss sexuality and sexual health issues. included: gender of health care provider, nursing education on effective communication strategies, encouraging open dialogue to challenge ageist perceptions, and sexual education for older adults.
Findings underscore the impact of stigma and negative ageist assumptions on whether discussions about SRH occur between nurses and older adults. There is a need for comprehensive education for nurses and older adults about SRH to recognize sexual health needs and promote open and constructive conversations. Moreover, research about how to best facilitate older adults' SRH is needed. [(10), 17-23.].
探讨护士为社区居住的老年人群提供性与生殖健康（SRH）护理的障碍和促进因素。
采用 Whittemore 和 Knafl 的方法进行综合文献回顾。检索了 2012 年至 2023 年期间的三项数据库，并使用混合方法评估工具来确定纳入研究的质量。
最终有 9 项研究被纳入分析，主题为 和 。前者包括：护士对老年人性健康知识的缺乏、讨论性话题时的不适、与老年人性行为相关的年龄刻板印象，以及老年人对性和性健康问题的了解和讨论的意愿不足。后者包括：医护提供者的性别、关于有效沟通策略的护理教育、鼓励开放对话以挑战年龄歧视观念，以及对老年人进行性教育。
这些发现强调了污名和消极的年龄歧视观念对护士与老年人之间是否讨论 SRH 的影响。需要对护士和老年人进行全面的 SRH 教育，以认识到性健康需求，并促进开放和建设性的对话。此外，还需要研究如何最好地促进老年人的 SRH。[（10），17-23]。
