Understanding nurses' perceptions of sexual health and function in people requiring haemodialysis

IF 1.5 4区医学 Q3 NURSING Journal of renal care Pub Date : 2024-08-16 DOI:10.1111/jorc.12509

Amanda L. Mckie RN, BN, GradCert Renal, MN, MPhil, Amornrat Saito RN, MN, PhD, Theresa Green RN, PhD, Ann Bonner RN, PhD

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Abstract

Background

Sexual dysfunction is common for adults receiving chronic haemodialysis; however, renal nurses seldom discuss this topic with patients.

Objectives

This study aimed to identify renal nurses' attitudes towards providing sexual healthcare and to determine their confidence in discussing sexual dysfunction with adults who are receiving haemodialysis.

Design

An online cross-sectional study.

Participants

Renal nurses across Australia and New Zealand (n = 65) who were members of the Renal Society of Australasia provided direct care to adults receiving haemodialysis.

Measurements

Two questionnaires measuring (1) the frequency of sexual health discussions, levels of knowledge and competence, barriers to discussing sexual dysfunction and views on accountability (Van Ek survey) and (2) communication, practical knowledge, and attitude (sexual health educator for professionals scale) were used. Demographic characteristics were also collected.

Results

Most participants were females (60%) with postgraduate qualifications (61.4%). The average nephrology nursing experience was 13.10 ± 9.14 years. Most renal nurses identified as having positive attitudes (77.2%) about providing sexual healthcare and were confident in communicating with patients about sexual concerns (42.9%), although many nurses (64.35%) rarely did so. Less than one-half (48.6%) indicated feeling competent to discuss sexual dysfunction, and less than one-third (30%) had sufficient knowledge about sexual dysfunction. Barriers were lack of practical training (74.2%) and insufficient time (57.1%). Younger nurses (≤45 years old) and male nurses were significantly more confident in discussing sexual health matters.

Conclusions

Overall, renal nurses had positive attitudes towards discussing sexual health concerns with patients however they rarely did so.

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了解护士对血液透析患者性健康和性功能的看法。

背景：性功能障碍在接受慢性血液透析的成人中很常见，但肾科护士很少与患者讨论这一话题：本研究旨在确定肾科护士对提供性保健的态度，并确定她们与接受血液透析的成人讨论性功能障碍的信心：设计：一项在线横断面研究：参与者：澳大利亚和新西兰的肾脏病护士（n = 65），他们都是澳大拉西亚肾脏病协会的成员，为接受血液透析的成年人提供直接护理：使用两份调查问卷来测量：(1) 性健康讨论的频率、知识和能力水平、讨论性功能障碍的障碍以及对责任的看法（Van Ek 调查）；(2) 沟通、实用知识和态度（专业人员性健康教育量表）。此外，还收集了人口统计学特征：大多数参与者为女性（60%），拥有研究生学历（61.4%）。平均肾科护理经验为 13.10 ± 9.14 年。大多数肾科护士认为自己对提供性保健服务持积极态度（77.2%），并有信心与患者就性问题进行沟通（42.9%），但许多护士（64.35%）很少这样做。不到二分之一的护士（48.6%）认为自己有能力讨论性功能障碍，不到三分之一的护士（30%）对性功能障碍有足够的了解。障碍是缺乏实践培训（74.2%）和时间不足（57.1%）。年轻护士（≤45 岁）和男护士在讨论性健康问题时明显更有信心：总体而言，肾科护士对与患者讨论性健康问题持积极态度，但很少这样做。

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来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.