Sexual Health Among Individuals with Spinal Cord Injury: A Meta-Synthesis of Qualitative Evidence

IF 1.1 4区 医学 Q3 REHABILITATION Sexuality and Disability Pub Date : 2023-07-23 DOI:10.1007/s11195-023-09804-z
Charlie Giurleo, Amanda McIntyre, Amber Harnett, Peiwen Cao, Robert Teasell, Julia Schmidt
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引用次数: 2

Abstract

To meta-synthesize the qualitative evidence on individuals’ subjective experiences of sexual health following a spinal cord injury (SCI). PubMed, EMBASE, CINAHL, and PsycInfo were searched from 1960 to 2021 for qualitative research articles that examined sexual health (i.e., sex, sexuality, reproductive health, etc.) in adults with SCI. Only studies published in English, including first-person accounts of living with a SCI were included. Using qualitative meta-synthesis methodology, data (reported results) from each selected study were coded line-by-line to develop descriptive and analytical themes by two investigators. A total of 22 studies met inclusion criteria. Some articles inquired about specific aspects of sexual health (e.g., how their sexual experiences are affected by urinary incontinence), and others inquired broadly about the experience of sexual relationships (e.g., how people engage in sexual relationships after their SCI). The themes identified in each study were positioned within the Sexual Rehabilitation Framework (Elliott 2017) composed of eight domains: sexual drive/interests, partnerships, self-image, bowel/bladder, sexual function, motor/sensory, fertility/contraception, and secondary complications. Sexual health was shown to be a significant priority for individuals after a SCI and they are impacted in a multitude of ways. Individuals report wanting education and knowledge on sexual health post SCI. Health care professionals were perceived to lack the ability to meet their needs and resources were inadequate. Further, providers’ approach, attitude, and insensitivity to patient needs were perceived barriers to adequate sexual health rehabilitation post SCI. The collective findings can inform (a) rehabilitation professionals’ awareness of patients’ sexual needs after SCI; (b) the development of SCI programming or services for sexual health rehabilitation; and (c) the design of future research studies (e.g., interventions for specific sexual issues).

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脊髓损伤个体的性健康:定性证据的综合
目的:对脊髓损伤后个体性健康主观体验的定性证据进行meta综合。检索PubMed、EMBASE、CINAHL和PsycInfo从1960年到2021年的定性研究文章,研究SCI成人的性健康(即性、性行为、生殖健康等)。仅包括以英语发表的研究,包括与SCI一起生活的第一人称描述。采用定性综合方法,每项选定研究的数据(报告的结果)由两位研究者逐行编码,以形成描述性和分析性主题。共有22项研究符合纳入标准。一些文章询问了性健康的具体方面(例如,他们的性经历如何受到尿失禁的影响),而另一些文章则广泛询问了性关系的经历(例如,人们在脊髓损伤后如何进行性关系)。每项研究中确定的主题都被定位在性康复框架(Elliott 2017)中,该框架由八个领域组成:性欲/兴趣、伴侣关系、自我形象、肠道/膀胱、性功能、运动/感觉、生育/避孕和继发并发症。对于脊髓损伤后的个体来说,性健康被证明是一个重要的优先事项,他们受到多种方式的影响。个人报告在脊髓损伤后需要性健康教育和知识。保健专业人员被认为缺乏满足其需要的能力,而且资源不足。此外,提供者的方法、态度和对患者需求的不敏感被认为是脊髓损伤后充分性健康康复的障碍。这些集体发现可以帮助(a)康复专业人员了解脊髓损伤后患者的性需求;(b)为性健康康复制定SCI方案或提供服务;(c)未来研究的设计(例如,针对特定性问题的干预措施)。
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来源期刊
Sexuality and Disability
Sexuality and Disability REHABILITATION-
CiteScore
2.70
自引率
20.00%
发文量
47
期刊介绍: Sexuality and Disability is an international forum for the publication of peer-reviewed original interdisciplinary scholarly papers that address the psychological and medical aspects of sexuality in relation to rehabilitation. Publishing timely research articles, review articles, case studies, clinical practice reports, brief research reports, survey data reports, and book and film reviews, the journal offers the latest developments in the area of sexuality as it relates to a wide range of disabilities and conditions. Contributions address: clinical and research progress; community programs; independent-living programs; guidelines for clinical practice; special grand-rounds topics; consumer issues; and contemporary developments in special programs in sex education and counseling for people with disabilities. The journal features special issues with internationally renowned guest editors focusing on current topics in sexual health. By publishing research, best-practice, evidence-based, and educational articles, the journal seeks to contribute to the field''s knowledge base and advancement. Sexuality and Disability is an essential resource for the exchange of new knowledge, issues, techniques, and available modalities for researchers and other professionals addressing the psychological and medical aspects of sexuality in rehabilitation, medical, academic, and community settings.
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