The sexuality of patients with onco-hematological diseases

Abstract

LA SEXUALIDAD DEL PACIENTE PORTADOR DE ENFERMEDADES ONCO-HEMATOLÓGICAS Con el intento de caracterizar los aspectos biológicos, psicológicos y socioculturales que involucran la sexualidad humana afectados en las personas portadoras de patologías onco-hematológicas, entrevistamos a 20 pacientes internados en una unidad hospitalaria por medio de un instrumento de recopilación de datos basado en el modelo ecléctico. La investigación cumplió con las exigencias éticas para estudios con seres humanos. Los resultados evidenciaron que esta clientela presenta problemas relacionados a aspectos biológicos, respecto a la fase del deseo sexual (60% de la muestra), de la excitación sexual (75%) y del orgasmo (75%). Los aspectos psicológicos que se refieren al auto-imagen sexual se mostraron comprometidos en 60% de la muestra; la presencia de los problemas relacionados a los aspectos sociales (85%) principalmente ocurrió debido al miedo de adquirir una infección en consecuencia de la baja inmunidad provocada por la enfermedad y tratamiento. Esta clientela demostró alteraciones en la función sexual y en la manera de expresar su sexualidad. DESCRIPTORES: sexualidad; diagnóstico de enfermería; enfermedades hematológicas; oncología médica A SEXUALIDADE DO PACIENTE PORTADOR DE DOENÇAS ONCO-HEMATOLÓGICAS

Sex, Body Image, and Relationships: A BRIGHTLIGHT Workshop on Information and Support Needs of Adolescents and Young Adults

“…The impact of side-effects of treatment on young people's body image and sexual desire were consistent with existing evidence [10] which concluded that alterations in sexual function and expression occurred in most young people during treatment and continues into survivorship. [11] Despite sexuality and body image being an integral to young people's psychosocial health and identity formation, the impact of disease and treatment on self-image and sexuality for this group has largely been overlooked.…”

Defining characteristics, validated by specialists and manifested by patients: a study of the sexual dysfunction and ineffective sexuality pattern diagnoses

“…This study included two groups of experts, one of them with more expertise in the sexuality area, to participate in the validation process of the studied nursing diagnoses. Sexuality is a complex subject when compared to other human basic needs and is seen as an attribution of medical competence, that is, it is an area only partially incorporated into nursing professionals' (16) practice.…”

“…The conclusion is that changes are needed due to disagreement with what had been proposed in the taxonomy and in the literature for this diagnosis (15) . In addition to these studies, another research extracted from a doctoral dissertation, involving patients with onco-hematological disorders, looks at the incidence of defining characteristics of the two diagnoses mentioned above (16) . The authors also carried out a conceptual validation of these diagnoses (17) , based on findings in the literature and the NANDA (13) 2005/2006 version.…”

Proposed Revisions for the Nursing Diagnoses Sexual Dysfunction and Ineffective Sexuality Patterns

“…According to the literature review and the nursing experts, the nursing diagnosis of Sexual Dysfunction, defined as a “change in sexual function that is viewed as unsatisfying, unrewarding, inadequate” (NANDA International, 2005, p. 173) should address sexual function, including the three human sexual response phases: desire, excitation, and orgasm, as proposed by Kaplan (1977, 1983). Although, according to some classification schemes, sexual dysfunction is considered to imply some alteration in the phases mentioned by Kaplan (1983) or pain associated with the act (Abdo & Fleury, 2006; American Psychiatric Association, 2002; Basson, 2005; Brassil & Keller, 2002), in this study, the pain response was considered to be part of the sexual excitation phase (Melo, Carvalho, & Pelá, 2006).…”