-

Abstract

Assessment of Patient's Sexuality And Nursing: Barriers and Recommendations Patient's sexual health and sexual concerns assessment counseling are part of the nurse’s professional role and holistic care, but few nurses integrate this awareness into practice. Most of nurses were reluctant to discuss sexuality with their patients. The purpose of this review is to assess the barriers faced by nurses that restrict to assess the sexuality of the patient and to make suggestions that overcome these obstacles to improve nurses' sense of comfort and confidence needed.

Keywords

• Patient; sexuality; nursing.

HASTA CİNSELLİĞİNİN DEĞERLENDİRİLMESİ VE HEMŞİRELİK: ENGELLER VE ÖNERİLER

Abstract

Hastaların cinsel sağlığının ve cinselliğe ilişkin kaygılarının değerlendirilmesi profesyonel hemşirelik rolünün ve holistik bakımın önemli bir parçasıdır. Ancak hemşirelerin çok azı bu beceriyi klinik uygulamalarına entegre edebilmektedir. Hemşirelerin önemli bir kısmı ise hastalarıyla cinselliği tartışmada isteksizlik yaşamaktadırlar. Bu derlemenin amacı hasta bireyin cinselliğinin değerlendirilmesinde hemşirelerin karşılaştıkları engelleri tanımlamak ve bu engellerin üstesinden gelmek için hemşirelerin ihtiyaç duyduğu güven ve rahatlık duygusunu artırmak için önerilerde bulunmaktır.

Keywords

• Hasta, cinsellik, hemşirelik

References

1. Basson R, Brotto LA, Laan E, Redmond G, Utian WH. Assessment And Management Of Women's Sexual Dysfunctions: Problematic Desire And Arousal. J Sex Med 2005;2(3):291-300.
2. Bates J. Broaching Sexual Health İssues With Patients. Nurs Times 2011;107(48):20-2.
3. Berman L, Berman J , Felder S , Pollets D, Chhabra S, Miles M et al. Seeking Help For Sexual Function Complaints: What Gynecologists Need To Know About The Female Patient’s Experience. Fertil Steril. 2003;79(3):572-6.
4. Blagbrough J. Importance Of Sexual Needs Assessment İn Palliative Care. Nurs Stand. 2010;24(52):35-9.
5. Byrne M, Doherty S, McGee H, Murphy AW. Generall Practitioner Views About Discussing Sexual Issues with Patients with Coronary Heart Disease: A National Survey in Ireland. BMC Fam Pract. 2010; 11: doi:10.1186/1471-2296-11-40.
6. Cort E, Attenborough J, Watson J. An Initial Exploration of Community Mental Health Nurses: Attitudes to and Experience of Sexuality-Related Issues in Their Work with People Experiencing Mental Health Problems. J Psychiatr Ment Health Nurs. 2001;8(6):489-99.
7. Flynn KE, Reese JB, Jeffery DD, Abernethy AP, Lin L, Shelby RA et al. Patient Experiences With Communication About Sex During And After Treatment For Cancer. Psychooncology 2012;21(6):594-601.
8. Francoeur RT, Noonan RJ, Opiyo-Omolo B, Pastoetter J. Female Sexuality Today: Challenging Cultural Repression. Cross Currents 2004;54(3):55

9. French K. Sexual Health. 1 st ed. United Kingdom: Blackwell Publshing Ltd; 2009.p. 1-7
10. Guthrie C. Nurses' Perceptions of Sexuality Relating to Patient Care. J Clin Nurs. 1999;8(3):313-21.
11. Haboubi N, Lincoln N. Views of Health Professionals on Discussing Sexual Issues with Patients. Disabil Rehabil. 2003;25(6):291- 6.
12. Hautam K, Miettinen M. Opening Communication with Cancer Patients about Sexuality-Related Issues. Cancer Nursing 2007;30(5):399-404.
13. Heath H, White I. The Challenge Of Sexuality in Health Care Facilitating Sexual Expression: Challenges For Contemporary Practice. The Challenge of Sexuality in Health Care. 1 st ed. Oxford: Blackwell Science; 2002. p.200-86.
14. Henson HK. Breast Cancer and Sexuality. Sex Disabil. 2002; 20(4): 261-74.
15. Higgins A, Barker P, Begley CM. Sexuality: The Challenge To Espoused Holistic Care. Int J Nurs Pract. 2006; 12(6):345–51.
16. Jaarsma T, Strömberg A, Fridlund B, De Geest S, Martensson J, Moons P et al. Sexual Counselling Of Cardiac Patients: Nurses' Perception of Practice, Responsibility and Confidence. Eur J Cardiovasc Nurs. 2010; 9 (1): 24–9.
17. Jolley S. Taking a sexual history: the role of the nurse. Nurs Times 2002;98(18):39-41.
18. Julien JO, Thom B, Kline NE. Identification of Barriers to Sexual Health Assessment in Oncology Nursing Practice. Oncol Nurs Forum 2010;37(3):186
19. Karadeniz G, Altıparmak S, Marul G. Hemodiyaliz Tedavisi Alan Hastaların Cinsel Yaşama İlişkin Yaşadıkları Sorunlar ve Danışmanlık Gereksinimleri. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi 2005; 21(2):29-36.
20. Katz A. Sexuality After Hysterectomy: A Review Of The Literature and Discussion of Nurses’ Role. J Adv Nurs. 2003;42(3):297-303.
21. Katz A. The Sounds of Silence: Sexuality Information for Cancer Patients. J Clin Oncol 2005a;23(1):238-41.
22. Katz A. Do Ask, Do Tell. Why do so Many Nurses Avoid the Topic of Sexuality?. Am J Nurs. 2005b;105(7):66-68.
23. Krebs LU. Sexual Assessment in Cancer Care: Concepts, Methods, and Strategies for Success. Semin Oncol Nurs. 2008;24(2):80-90.
24. Lally R. Sexuality: Everything You Might Be Afraid To Ask But Patients Need To Know. ONS News 2006;21(9):1-5.
25. Lavin M, Hyde A. Sexuality as an Aspect of Nursing Care For Women Receiving Chemotherapy for Breast Cancer in an Irish Context. Eur J Oncol Nurs. 2006;10(1):10–8.
26. Magnan M, Reynolds K, Galvin E. Barriers To Addressing Patient Sexuality in Nursing Practice. Medsurg Nursing 2005;14(5):282-9.
27. Mick J. Sexuality Assessment: 10 Strategies for Improvement. Clin J Oncol Nurs. 2007;11(5):671-75. Mick J. Using The BETTER Model to Assess Sexuality. Clin J Oncol Nurs. 2004 Feb;8(1):84-6.
28. Nakopoulou E, Papaharitou S, Hatzichristou D. Patients’sexual Health: A Qualitative Research Approach on Greek Nurses’perceptions. J Sex Med 2009;6:2124-2132
29. Nusbaum M, Rosenfeld JA. Sexual health Across the Lifecycle. 1 nd ed. United Kingdom: Cambridge University Press;2004.p. 1-3.
30. Nusbaum MRH, Singh AR, Pyles AA. Sexual Healthcare Needs of Women Aged 65 and Older. J Am Geriatr Soc. 2004; 52(1):117–22.
31. Olsson C, Berglund AL, Larsson M, Athlin E. Patient's Sexuality - A Neglected Area of Cancer Nursing?. Eur J Oncol Nurs. 2012;16 (4): 426-31.
32. Oskay ÜY, Beji NK, Demirgöz M, Yılmaz SD. Evaluation of Sexual Function in Patients with Gynecologic Cancer and Evidence-Based Nursing Interventions. Sex Disabil. 2011;29(1):33–41.
33. Pınar G. Kanser Tedavisi Alan Hastalarda Cinsel Disfonksiyon ve Danışmanlığa İlişkin Hemşirelik Yaklaşımları. Gülhane Tıp Dergisi 2010;52(4): 241
34. Quinn C, Browne G. Sexuality of People Living With Mental İllness: A Collaborative Challenge for Mental Health Nurses. Int J Ment Health Nurs. 2009;18(3):195-203.
35. Rana Y, Kanik A, Özcan A,Yüzer S. Nurses’ Approaches Towards Sexuality of Adolescent Patients in Turkey. J Clin Nurs. 2007;16(4):638–45.
36. Saunamäki N, Andersson M, Engström M. Discussing Sexuality With Patients: Nurses’ Attitudes and Beliefs. J Adv Nurs 2010 Jun; 66(6):1308-16.
37. Shell A. Evidence-Based Practice for Symptom Management in Adults with Cancer: Sexual Dysfunction. Oncol Nurs Forum 2002;29(1):53-66.
38. Stead Ml, Brown J, Fallowfield L, Selby P. Communication about Sexual Problems and Sexual Concerns in Ovarian Cancer: Qualitative Study. West J Med. 2002; 176(1): 18–9.
39. Steinke EE. Sexual Counseling After Myocardial Infarction. Am J Nurs. 2000; 100(12):38-44.
40. Stokes T, Mears J. Sexual Health and The Practice Nurse: A Survey of Reported Practice and Attitudes. Br J Fam Plann. 2000; 26(2):89–92.
41. Taylor B, Davis S. Using The Extended PLISSIT Model to Address Sexual Healthcare Needs. Nurs Stand. 2006; 21(11):35-40.
42. Vassiliadou A, Stamatopoulou E. The Role of Nurses in The Sexual Counseling of Patients After Myocardial Infarction. Health Science Journal 2008; 2(2):111-9.
43. Verkuyl DA. Self-Reported Sexual and Reproductive Behavior of Male and Female Student Nurses and Midwives in Bulawayo. Cent Afr J Med 2000; 46(12): 325–
44. Waterhouse J, Metcalfe M. Attitudes Toward Nurses Discussing Sexual Concerns with Patients. J Adv Nurs. 1991; 16(9):1048-54.
45. Williams HA, Wilson ME, Hongladarom G, McDonell M. Nurses’ attitudes toward sexuality in cancer patients. Oncol Nurs Forum 1986; 13(2):39–
46. Zeng YC, Li Q, Wang N. Chinese Nurses' Attitudes and Beliefs Toward Sexuality Care in Cancer Patients. Cancer Nursing 2011 Mar-Apr; 34(2):14-20.