TY  - JOUR
T1  - Cinsel Sağlığın Değerlendirilmesi: Uluslararası Rehber Önerileri
TT  - Evaluation of Sexual Health: International Guide Recommendations
AU  - Çokyeter, Büşra
AU  - Başgöl, Şükran
AU  - Koç, Zeliha
PY  - 2025
DA  - August
Y2  - 2025
DO  - 10.71255/maunsbd.1638393
JF  - Muş Alparslan Üniversitesi Sağlık Bilimleri Dergisi
PB  - Muş Alparslan Üniversitesi
WT  - DergiPark
SN  - 2792-0925
SP  - 99
EP  - 110
VL  - 5
IS  - 2
LA  - tr
AB  - Cinsel sağlık, cinsellik açısından genel iyilik hali olarak tanımlanır ve genel sağlığın önemli bir bileşenidir. Ancak, sağlık profesyonelleri tarafından rutin olarak değerlendirilememektedir. Cinsel sağlık hakkında iletişimi başlatma veya sürdürme konusundaki zorluklar, bilgi ve zaman eksiklikleri ile neyi nasıl soracaklarını bilememe sağlık profesyonelleri için en büyük engellerdendir. Uluslararası rehberler, bireylerin cinsel sağlıklarının sağlık profesyonelleri tarafından rutin olarak değerlendirilmesini önermektedir. Bu doğrultuda, sağlık profesyonellerinin kapsamlı bir cinsel sağlık değerlendirmesi yapabilmeleri için sistematik ve bütüncül yaklaşımı benimseyen değerlendirme adımları, modeller ve ölçekler geliştirilmiştir. Bu derlemede; cinsel sağlığın değerlendirilmesinde izlenmesi gereken adımlar ve sağlık profesyonellerine yönelik öneriler güncel kanıta dayalı uluslararası rehberler eşliğinde tartışılmıştır.
KW  - cinsel sağlık
KW  - modeller
KW  - rehber
N2  - Sexual health is defined as a state of general well-being in terms of sexuality and is a crucial component of overall health. However, it is not routinely assessed by healthcare professionals. Challenges in initiating or maintaining communication about sexual health, as well as issues such as lack of knowledge, time constraints, and uncertainty about how to ask the right questions, are major barriers for healthcare professionals. International guidelines recommend that individuals' sexual health be routinely assessed by healthcare providers. Accordingly, systematic and comprehensive approaches, including assessment steps, models, and scales, have been developed to enable healthcare professionals to conduct thorough sexual health evaluations. This review discusses the steps to be followed in assessing sexual health and provides recommendations for healthcare professionals, based on current evidence-based international guidelines.
CR  - ACOG (American College of Obstetricians and Gynecologist), (2020, October). The Initial Reproductive Health Visit. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2020/10/the-initial-reproductive-health-visit
CR  - Akcan, K., & Turhan, İpek. (2022). Sexual Counseling Models. Gevher Nesibe Journal Of Medıcal and Health Scıences, 7(17), 50–56. https://doi.org/10.46648/gnj.382
CR  - Almeida, N. G., Britto, D. F., Figueiredo, J. V., Moreira, T. M. M., Carvalho, R. E. F. L., & Fialho, A. V. M. (2019). PLISSIT model: sexual counseling for breast cancer survivors. Revista brasileira de enfermagem, 72(4), 1109–1113. https://doi.org/10.1590/0034-7167-2018-0525
CR  - Avasthi, A., Grover, S., & Sathyanarayana Rao, T. S. (2017). Clinical Practice Guidelines for Management of Sexual Dysfunction. Indian journal of psychiatry, 59(Suppl 1), S91–S115. https://doi.org/10.4103/0019-5545.196977
CR  - Azar, M., Kroll, T., & Bradbury-Jones, C. (2022). How do nurses and midwives perceive their role in sexual healthcare?. BMC women's health, 22(1), 330. https://doi.org/10.1186/s12905-022-01891-y
CR  - Brookmeyer, K. A., Coor, A., Kachur, R. E., Beltran, O., Reno, H. E., & Dittus, P. J. (2021). Sexual History Taking in Clinical Settings: A Narrative Review. Sexually transmitted diseases, 48(6), 393–402. https://doi.org/10.1097/OLQ.0000000000001319
CR  - CDC (Centers for Disease Control and Prevention), (2025, February 10). “Discussing Sexual Health with Your Patients” https://www.cdc.gov/hivnexus/hcp/sexual-history/index.html
CR  - CDC (Centers for Disease Control and Prevention), (2024, June 26). “A Guide to Taking a Sexual History” https://www.cdc.gov/std/treatment/SexualHistory.htm
CR  - CDC (Centers for Disease Control and Prevention), (2021, July 23). Sexually Transmitted Infections Treatment Guidelines https://www.cdc.gov/std/treatment-guidelines/STI-Guidelines-2021.pdf
CR  - Cirillo, L., Fusco, G. M., Di Bello, F., Morgera, V., Cacace, G., Di Mauro, E., Mastrangelo, F., Romano, L., Calace, F. P., La Rocca, R., & Napolitano, L. (2023). Sexual dysfunction: Time for a multidisciplinary approach?. Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica, 95(1), 11236. https://doi.org/10.4081/aiua.2023.11236
CR  - Demirci, G., Başgöl, Ş., & Koç, Z. (2024). Cinsel sağlığın değerlendirilmesi: Yaşanan sorunlar ve çözüm önerileri. Androloji Bülteni (Andrology Bullettin), 26(4).
CR  - Duman, N. B. (Ed.). (2019). Cinsel sağlık. Nobel Tıp Kitabevi.
CR  - Duman, N.B. (2018) Cinsel Sağlığın Değerlendirilmesinde Model Kullanımı. İçinde: Cinsel Sağlık (Ed: Nuriye Büyükkayacı Duman), Nobel Tıp Kitabevleri, İstanbul, s: 59-66.
CR  - Hegde, D., Sreedaran, P., & Pradeep, J. (2018). Challenges in Taking Sexual History: A Qualitative Study of Indian Postgraduate Psychiatry Trainees. Indian journal of psychological medicine, 40(4), 356–363. https://doi.org/10.4103/IJPSYM.IJPSYM_64_18
CR  - Lotti, F., & Maggi, M. (2018). Sexual dysfunction and male infertility. Nature reviews. Urology, 15(5), 287–307. https://doi.org/10.1038/nrurol.2018.20
CR  - Malakouti, J., Golizadeh, R., Mirghafourvand, M., & Farshbaf-Khalili, A. (2020). The effect of counseling based on ex-PLISSIT model on sexual function and marital satisfaction of postpartum women: A randomized controlled clinical trial. Journal of education and health promotion, 9, 284. https://doi.org/10.4103/jehp.jehp_168_20
CR  - Massae, A. F., Mgopa, L. R., Bonilla, Z. E., Mohammed, I., Rosser, B. R. S., Mushy, S. E., … Trent, M. (2024). Addressing sexual health concerns in Tanzania: perceived barriers among healthcare professionals and students in the “training for health professionals” study. Culture, Health & Sexuality, 26(9), 1217–1231. https://doi.org/10.1080/13691058.2024.2306227
CR  - Mick, J., Hughes, M., & Cohen, M. Z. (2004). Using the BETTER Model to assess sexuality. Clinical journal of oncology nursing, 8(1), 84–86. https://doi.org/10.1188/04.CJON.84-86
CR  - Morenas, R., Singh, D., & Hellstrom, W. J. G. (2024). Thyroid disorders and male sexual dysfunction. International journal of impotence research, 36(4), 333–338. https://doi.org/10.1038/s41443-023-00768-4
CR  - National Coalition for Sexual Health (NCSH), (2022) Sexual Health Questions to Ask All Patients https://nationalcoalitionforsexualhealth.org/tools/for-healthcare-providers/sexual-health-questions-to-ask-all-patients
National Institute of Health and Clinical Exellence (NICE), (2019, February 5). “Sexual health” https://www.nice.org.uk/guidance/qs178/resources/sexual-health-pdf-75545667625669
CR  - Oveisi, N., Cheng, V., Brotto, L. A., Peacock, S., McTaggart-Cowan, H., Hanley, G., Gill, S., Rayar, M., Srikanthan, A., Ellis, U., & De Vera, M. A. (2023). Sexual health outcomes among adolescent and young adult cancer patients: a systematic review and meta-analysis. JNCI cancer spectrum, 7(6), pkad087. https://doi.org/10.1093/jncics/pkad087
CR  - Özer Yurdal, N. E., Özsoy, S., & Karaçam, Z. (2024). Sağlık Çalışanlarının Cinsel Mitlere İnanma Durumunun, Menopoz Tutum Ve Semptomları İle İlişkisi. ERÜ Sağlık Bilimleri Fakültesi Dergisi, 11(1), 10-18.
CR  - Pretorius, D., Couper, I. D., & Mlambo, M. G. (2022). Sexual history taking by doctors in primary care in North West province, South Africa: Patients at risk of sexual dysfunction overlooked. African journal of primary health care & family medicine, 14(1), e1–e9. https://doi.org/10.4102/phcfm.v14i1.3238
CR  - Tuğut, N., Gölbaşı, Z. (2014). Cinselliğin Değerlendirilmesi: Hemşireler İçin Öneriler ve Klinik Stratejiler. Hemşirelikte Eğitim ve Araştırma, 11(2),59-63.
CR  - Turhan, İ., & Akcan, K. (2022). Current Diagnosis and Treatments of Female Sexual Dysfunction. Gevher Nesibe Journal Of Medikal and Health Sciences, 7(17), 57–63. https://doi.org/10.46648/gnj.384
CR  - Uzdavines, A., Helmer, D. A., Spelman, J. F., Mattocks, K. M., Johnson, A. M., Chardos, J. F., Lynch, K. E., & Kauth, M. R. (2022). Sexual Health Assessment Is Vital to Whole Health Models of Care. JMIRx med, 3(3), e36266. https://doi.org/10.2196/36266
CR  - World Health Organization (WHO), (2024) “Sexual Health” https://www.who.int/health-topics/sexual-health#tab=tab_1
CR  - World Health Organization, (WHO). (2018, March 14). International Technical Guidance on Sexuality Education. https://cdn.who.int/media/docs/default-source/reproductive-health/sexual-health/international-technical-guidance-on-sexuality-education.pdf?sfvrsn=10113efc_29&download=true
UR  - https://doi.org/10.71255/maunsbd.1638393
L1  - https://dergipark.org.tr/tr/download/article-file/4602928
ER  -