从患者和专业人员的角度解决接受肾脏替代疗法者的性问题

Andrea Canillas-Sáez, Marta Natalia Gutiérrez-González, Maite González-Manjón, Virginia Fernández-Íñiguez de Heredia
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摘要

导言慢性肾脏病影响个人生活的多个方面,性生活是其中之一。很少有研究分析透析单位在这些方面所采取的方法:分析透析单位的患者和专业人员对透析患者性行为的看法:2022 年 4 月至 5 月期间,在阿拉巴综合卫生组织进行了横断面描述性观察研究。参与者包括接受透析(腹膜透析和血液透析,包括中心透析和家庭透析)的患者以及这些单位的专业人员(护士、护理技师和医生)。他们填写了一份临时问卷,收集社会人口学数据以及与透析患者性生活方式相关的方面。67.7%的患者表示,治疗对他们的性需求产生了 "很大 "或 "一定程度 "的影响。66.7%的团队成员认为 "完全 "或 "不太 "有信心解决这类人群的性问题:结论:接受透析肾替代治疗的患者的性生活会受到影响,而相当一部分专业人员对解决他们的这一问题没有信心。满足这一需求仍然是一个需要改进的重要领域。有必要为专业人员提供必要的工具来满足这一需求。
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Abordaje de la sexualidad en las personas en tratamiento renal sustitutivo desde el punto de vista de pacientes y profesionales
Introduction: Chronic kidney disease affects multiple areas of individuals’ lives, with sexuality being one of them. Few studies analyze the approach taken by dialysis units on these aspects.Objetives: To analyze the perception of patients and professionals in dialysis units regarding the approach to sexuality in individuals undergoing dialysis.Material and Method: Cross-sectional descriptive observational study conducted between April and May 2022 in the Integrated Health Organization of Araba. Participants included patients undergoing dialysis (peritoneal dialysis and hemodialysis, both in-center and at home) and professionals (nurses, nursing care technicians, and physicians) from these units. They completed an ad-hoc questionnaire collecting sociodemographic data and aspects related to the approach to sexuality in individuals undergoing dialysis.Results: 20.2% of patients and 50.0% of the team participated. 67.7% of patients reported that the treatment had affected their sexual needs “much” or “to some extent.” 66.7% of the team felt “not at all” or “not very” confident in addressing sexuality in this population.Conclusions: Sexuality is impacted in individuals undergoing renal replacement therapy with dialysis, and a significant portion of professionals do not feel confident in addressing this issue with them. Addressing this need remains an important area for improvement. It is necessary to provide professionals with the necessary tools to address this need.
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