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“再正常不过了!”——神经肌肉疾病患者在性方面所经历的挑战以及他们对性康复知识和性生活指导的需求

"It doesn't get more normal than that!" - challenges with sexuality experienced by people with neuromuscular diseases and their needs for rehabilitation knowledge and guidance on sexual life.

作者信息

Møller Joan Pathenia Kajhøj, Hansen Karina Winther, Handberg Charlotte

机构信息

Department of Public Health, Aarhus University, Aarhus, Denmark.

National Rehabilitation Center for Neuromuscular Diseases, Aarhus, Denmark.

出版信息

Disabil Rehabil. 2025 Aug;47(16):4127-4136. doi: 10.1080/09638288.2024.2440635. Epub 2024 Dec 18.

Abstract

PURPOSE

To investigate challenges with sexuality experienced by people with neuromuscular diseases and their needs for knowledge and guidance on sexual life to target future rehabilitation services.

MATERIALS AND METHODS

11 semi-structured individual interviews with 10 women and one man with neuromuscular diseases. The methodology was Interpretive Description, using the Crip Theory as the theoretical lens to guide the analysis.

RESULTS

The sexual expression of people with neuromuscular diseases was affected by three overall themes. was characterized by a dichotomous relation of being disabled or nondisabled, causing the nondisabled to consider people with neuromuscular diseases to be asexual even though sexual notions were not affected by the neuromuscular disease. represented discovering and unfolding sexuality and how a limited representation of people with disabilities in the public discourse made it difficult to find inspirational role models. demonstrated how the personal assistants or partners play significant roles to ensure autonomy of people with neuromuscular diseases.

CONCLUSION

The challenges related to how sexuality of people with neuromuscular diseses was affected by the lack of knowledge and general approach in society which was either silence or misconceived considerations. The healthcare professionals' reluctance toward addressing sexuality should be considered when planning rehabilitation services.

摘要

目的

调查神经肌肉疾病患者在性方面所面临的挑战,以及他们对性生活知识和指导的需求,以便为未来的康复服务提供方向。

材料与方法

对10名患有神经肌肉疾病的女性和1名男性进行了11次半结构化个人访谈。研究方法为诠释性描述,以酷儿理论为理论视角指导分析。

结果

神经肌肉疾病患者的性表达受到三个总体主题的影响。第一个主题的特点是存在残疾与非残疾的二分关系,这使得非残疾人士认为神经肌肉疾病患者是无性的,尽管性观念并未受到神经肌肉疾病的影响。第二个主题体现了对性取向的发现和展现,以及公共话语中对残疾人的有限呈现如何使得难以找到鼓舞人心的榜样。第三个主题表明了个人助理或伴侣在确保神经肌肉疾病患者自主性方面所发挥的重要作用。

结论

与神经肌肉疾病患者的性取向如何受到社会知识和普遍观念缺乏的影响相关的挑战,这种缺乏表现为沉默或错误的认知。在规划康复服务时,应考虑医疗保健专业人员对谈论性取向的不情愿态度。

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