Tort-Nasarre Glòria, Galbany-Estragués Paola, Saz Roy María Ángeles, Romeu-Labayen Maria
Faculty of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Lleida, Spain.
AFIN Research Group and Outreach Centre, Autonomous University of Barcelona, 08193 Cerdanyola del Vallés, Barcelona, Spain.
Nurs Rep. 2025 Mar 28;15(4):119. doi: 10.3390/nursrep15040119.
: Women diagnosed with serious mental illness (SMI) face increased vulnerability and significant risks to their sexual and reproductive health, an issue that is often overlooked in healthcare systems. Aim: This study aimed to explore the sexual and reproductive healthcare provided to women with SMI, based on the perspectives of professionals specialising in mental health and sexual and reproductive health. : A descriptive qualitative design was used. Semi-structured interviews were conducted with a purposive sample of professionals from community mental health and sexual and reproductive health in Catalonia (Spain). Data were analysed using thematic analysis. : Two themes were identified: clinical practice and professional context. The clinical practice theme had three sub-themes: lack of a preventive framework, attention to sexual and reproductive needs, and supporting women in their desire for motherhood and in pregnancy. The professional context theme had four sub-themes: cross-disciplinary coordination, lack of protocols, lack of human resources and time, and lack of training in mental health. : Mental health professionals and sexual and reproductive health professionals expressed different perspectives about sexual and reproductive healthcare for women with SMI, pointing to a need for greater training and coordination.
被诊断患有严重精神疾病(SMI)的女性在性健康和生殖健康方面面临着更高的脆弱性和重大风险,而这一问题在医疗保健系统中常常被忽视。目的:本研究旨在基于心理健康以及性健康和生殖健康领域专业人士的视角,探索为患有严重精神疾病的女性提供的性健康和生殖健康护理。 :采用描述性定性设计。对来自西班牙加泰罗尼亚社区心理健康以及性健康和生殖健康领域的专业人士进行了有目的抽样的半结构化访谈。使用主题分析法对数据进行了分析。 :确定了两个主题:临床实践和专业背景。临床实践主题有三个子主题:缺乏预防框架、关注性健康和生殖需求、支持女性生育愿望及孕期需求。专业背景主题有四个子主题:跨学科协调、缺乏方案、缺乏人力资源和时间、心理健康方面缺乏培训。 :心理健康专业人士和性健康与生殖健康专业人士对患有严重精神疾病女性的性健康和生殖健康护理表达了不同观点,指出需要加强培训和协调。