“沉默的需求和隐藏的欲望”:护士对身体和/或智力残疾者的性保健的看法。

IF 3.2 3区 医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2024-12-22 DOI:10.1111/jocn.17635
José Granero-Molina, Laura Rodríguez Sastre, María del Mar Jiménez-Lasserrotte, Matías Correa-Casado, Alba Fernández-Férez, Isabel María Fernández-Medina
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引用次数: 0

摘要

目的和目的:描述护士对身体和/或智力残疾者的性保健的看法。背景:护士有责任满足身体和/或智力残疾者的基本需求,然而,当涉及到他们的性行为时,仍然存在问题。性助理可以帮助身体和/或智力残疾的人满足他们的性需求,但人们对这些隐形的、不受监管的护理提供者知之甚少。设计:定性描述性研究。方法:本研究在西班牙南部的一个地区进行。采用方便抽样的方法,招募了22名年龄在23-41岁之间,曾为身体和/或智力残疾者提供护理的护士。在2022年11月至2023年5月期间,通过半结构化访谈探讨了参与者的经历。结果:从数据分析中提取了三个主要主题:(1)需要提高身体和/或智力残疾者性行为的可见度;(2)性援助:沉默的阴谋;(3)定义性助理的角色。结论:根据护士的说法,性助理仍然是不受监管的护理提供者,他们匿名开展工作。性助理为身体和/或智力残疾者提供全方位性方面的支持;除了性快感,性爱还提供了亲密、情感、身体接触、刺激或爱抚的机会。护士致力于使性助理的作用正常化,并在健全的法律框架内规范其服务。保健专业人员需要在其培训方案中列入关于性援助的具体培训。与临床实践的相关性:了解护士如何感知身体和/或智力残疾者的性需求,以及性助理的角色,他们可以通过在不同的医疗保健环境中为他们提供护理来改善这群人的生活质量。没有病人或公众捐款。
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‘Silent Needs and Hidden Desires’: Nurses‘ Perceptions of Sexual Healthcare for People With Physical and/or Intellectual Disabilities

Aim and Objectives

To describe nurses' perceptions of sexual healthcare for people with physical and/or intellectual disabilities.

Background

Nurses are responsible for meeting the fundamental needs of people with physical and/or intellectual disabilities, yet there are still issues when it comes to their sexuality. Sexual assistants can help people with physical and/or intellectual disabilities to meet their sexual needs, but little is known about these invisible, unregulated care providers.

Design

Qualitative descriptive study.

Methods

The study was conducted in a region of southern Spain. Convenience sampling was used to recruit 22 nurses aged 23–41 years, who had provided care to people with physical and/or intellectual disabilities. The participants' experiences were explored through semi-structured interviews conducted between November 2022 and May 2023.

Findings

Three main themes were extracted from the data analysis: (1) the need to increase the visibility of people with physical and/or intellectual disabilities sexuality, (2) sexual assistance: a conspiracy of silence and (3) defining the role of sexual assistants.

Conclusion

According to the nurses, sexual assistants are still unregulated care providers who carry out their work in anonymity. Sexual assistants support people with physical and/or intellectual disabilities in the whole spectrum of their sexuality; in addition to sexual pleasure, they provide opportunities for bonding, affection, physical contact, stimulation or caressing. Nurses are committed to normalising the role of sexual assistants and regulating their services within a sound legal framework. Health professionals need to include specific training on sexual assistance in their training programmes.

Relevance to Clinical Practice

Understanding how nurses perceive the sexual needs of people with physical and/or intellectual disabilities, as well as the role of sexual assistants, who could improve this group of people's quality of life by providing them care in different healthcare settings.

No Patient or Public Contribution.

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来源期刊
CiteScore
6.40
自引率
2.40%
发文量
0
审稿时长
2 months
期刊介绍: The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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