Communication about sexual problems in male patients with multiple sclerosis

Rubin, Rona

doi:10.7748/ns.19.24.33.s54

Cited by 19 publications

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“…Six articles were located from the database search [13–18] and two additional articles were identified from checking reference lists [19,20]. One other article was also identified through reference lists [21]; however, it was not included as it was clearly a duplication of another article included in the review (this was acknowledged by the authors).…”

Section: Methodsmentioning

confidence: 99%

“…Eight articles were therefore included in the final review [13–20]. It was apparent that some articles reported on findings from the same study, which was evident from the authors, location, and sample size being the same (articles 14–17 reported on findings from the same study and articles 18 and 20 reported on findings from the same study).…”

Section: Methodsmentioning

confidence: 99%

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Why Don't Healthcare Professionals Talk About Sex? A Systematic Review of Recent Qualitative Studies Conducted in the United Kingdom

Dyer

Nair

2013

The Journal of Sexual Medicine

280

237

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Dyer, Kerry and das Nair, Roshan (2013) Why don't healthcare professionals talk about sex?: a systematic review of recent qualitative studies conducted in the United Kingdom. Journal of Sexual Medicine, 10 (11 A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.For more information, please contact eprints@nottingham.ac.uk A B S T R A C TIntroduction. Sexuality is considered to be an important aspect of holistic care, yet research has demonstrated that it is not routinely addressed in healthcare services. A greater understanding of this can be achieved through synthesizing qualitative studies investigating healthcare professionals' experiences of talking about sex. In doing so, policy makers and healthcare providers may be able to better address the sexual issues of service users. Aim. To gain an in-depth understanding of healthcare professionals' subjective experience of discussing sexuality with service users by identifying the factors that impede and facilitate such discussions. Main Outcome Measures. Review of healthcare professionals' experience of discussing sexuality with service users. Methods. Electronic databases and reference lists of published articles were searched in July 2011. Primary research studies were included in the review if they explored health professionals' experiences of discussing sexuality with adult service users, used qualitative methods, and were conducted in the United Kingdom over the last 10 years. Each study was reviewed and assessed. A secondary thematic analysis method was used where key themes were extracted and grouped and key concepts were explored. Results. Nineteen interconnected themes emerged relating to healthcare professionals' experience of discussing sexuality with service users, including fear about "opening up a can of worms," lack of time, resources, and training, concern about knowledge and abilities, worry about causing offense, personal discomfort, and a lack of awareness about sexual issues. Some themes were particularly marked relating to the sexuality of the opposite-gender, black and ethnic minority groups, older and nonheterosexual service users, and those with intellectual disabilities. Conclusions. The majority of healthcare professionals do not proactively discuss sexuality issues with service users, and this warrants further attention. An understanding of the perceived barriers and facilitators indicates that interventions to improve the extent to which sexuality issues are addressed need to take organizational, structural, and personal factors into consideration. Dyer K and das Nair R.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Why Don't Healthcare Professionals Talk About Sex? A Systematic Review of Recent Qualitative Studies Conducted in the United Kingdom

Dyer

Nair

2013

The Journal of Sexual Medicine

280

237

View full text Add to dashboard Cite

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“…Sexual communication skills are generally poor in the community (Roberts, 1992;Rubin, 2005) and amongst health professionals (Gott et al, 2004). This difficulty increases if illness, disability or aging are involved.…”

Section: Margaret Juliet Redelmanmentioning

confidence: 97%

Sexual difficulties for persons with multiple sclerosis in New South Wales, Australia

Redelman

2009

International Journal of Rehabilitation Research

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This 1992 study was conducted to ascertain the incidence of sexual difficulties in individuals diagnosed with multiple sclerosis (MS) living in New South Wales, Australia. New South Wales is a state lying roughly 29-36 degrees south of the equator. This is currently the largest study conducted. The anonymous questionnaire completed by 283 respondents included questions on sexual difficulties, relationship satisfaction and the ability to communicate about and seek help for the sexual difficulties. In this study, 30% of respondents claimed to have sexual difficulties attributable to MS. Sexual difficulties were experienced by 51% of female and 74% of male respondents. For females, the most frequently occurring sexual symptoms were difficulty with achieving orgasm, lowered libido, dissatisfaction with sexual performance, dissatisfaction with frequency of intercourse, arousal difficulties and decreased vaginal lubrication. For males, by far the most common problem was decreased frequency of intercourse, followed by dissatisfaction with sexual performance, masturbation difficulties, difficulty with achieving vaginal orgasms, erectile dysfunctions, retarded ejaculation and premature ejaculation. Overall, females rated their sexual difficulties as 10th in order of importance of disabilities from MS and males ranked sexual difficulties as fourth in importance. For both males and females, sexual disability increased with age, relationship unhappiness and disease disability. Communicating about sexual difficulties was an issue for both males and females. Fifty five percent of males and 39% of females had been able to talk about their sexual difficulties and of these, only 29% of males and 36% of females had been able to access help for their sexual difficulty. Educational level did not predict ability to talk about, or ability to access help. There was a very low satisfaction rate for the sexual help received. The study highlights areas of need for the MS population.

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“…Many sources in the nursing literature have used the PLISSIT model to illustrate an appropriate recognition of client needs and an approach for intervention [10]. Authors have described the use of the model with patients who had spinal cord injury, Hodgkin's disease, cancer and myocardial infarction [8][9][10][11][12][13]. However, in the literature, this model was found to be used only in one study of patients who had a stoma [14].…”

Section: Introductionmentioning

confidence: 98%

“…This model allows nurses in addressing sexual problems to start a discussion regarding sexual issues with individuals. In addition, this model can guide nurses in planning issues to be discussed with individuals, and useful information and suggestions to be incorporated to care plan [8,9]. Many sources in the nursing literature have used the PLISSIT model to illustrate an appropriate recognition of client needs and an approach for intervention [10].…”

Section: Introductionmentioning

confidence: 99%

Approach to Sexual Problems of Patients with Stoma by PLISSIT Model: An Alternative

Ayaz

2009

Sex Disabil

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The purpose of this paper is to explore the use of the PLISSIT model as an alternative tool for the assessment of sexual problems of patients with a stoma in nursing practice. The facts affecting the sexual life of people with a stoma, the methods for solving these problems and the use of the PLISSIT model by nurses in order to address these problems were reviewed. Results highlight the benefit of the PLISSIT model in solving the sexual problems of people with various diseases. People with a stoma can encounter sexual problems. However, nurses experience some difficulties while addressing sexual problems. The literature review suggests that use of the PLISSIT model and guiding model based interventions for sexual problems should be necessary during the care of the nurse to establish the role of education and consultation.

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Communication about sexual problems in male patients with multiple sclerosis

Abstract: Rehabilitation teams need training to deal with patients' sexual problems, and the nurse is likely to be identified as the specialist in this area.

Cited by 19 publications

References 0 publications

Why Don't Healthcare Professionals Talk About Sex? A Systematic Review of Recent Qualitative Studies Conducted in the United Kingdom

Why Don't Healthcare Professionals Talk About Sex? A Systematic Review of Recent Qualitative Studies Conducted in the United Kingdom

Sexual difficulties for persons with multiple sclerosis in New South Wales, Australia

Approach to Sexual Problems of Patients with Stoma by PLISSIT Model: An Alternative

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