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Igerc I, Schrems B. Sexual well-being needs of patients with chronic illness expressed in health care: A scoping review. J Clin Nurs 2023; 32:6832-6848. [PMID: 37323097 DOI: 10.1111/jocn.16773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 12/22/2022] [Accepted: 05/17/2023] [Indexed: 06/17/2023]
Abstract
AIMS To systematically identify and summarize the needs of chronically ill people concerning their sexual well-being in peer-reviewed published literature, to enable healthcare professionals to provide support in self-management satisfying the needs. DESIGN A scoping review was performed according to the framework of (JBI Manual for Evidence Synthesis. JBI Global Wiki, 2020). Findings are reported in line with the PRISMA extension for scoping reviews. REVIEW METHODS A literature search and thematic analysis were conducted. DATA SOURCES Full research was carried out in 2022 in the search engine BASE and the following databases: Scopus, MEDLINE, Science Citation Index Expanded, Social Sciences Citation Index and CINAHL. Peer-reviewed articles published after 2011 were included. RESULTS Fifty articles could be found. Seven categories of needs could be identified. People with chronic diseases want their providers to initiate discussions about sexual concerns and treat them trustfully and respectfully. Most of the patients would like the issue of sexuality to be included in routine care. They perceive their medical specialists and psychologists as preferred providers to talk to about this issue. Nurses are seen as primary contact persons but in a smaller number of studies. CONCLUSION Although the scoping review included different types of chronic diseases, the needs of chronically ill patients concerning their sexual well-being are not very different. Healthcare professionals, especially nurses, who are often the first point of contact for people with chronic illnesses, should take the initiative for open discussions about sexual issues. That requires a new understanding of the role of nurses, training and further education. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE Providing patient education and facilitating an open discussion about sexuality require further training in the new understanding of the role of the nurse and the concept of sexual well-being. IMPACT What problem did the study address? Chronic diseases have an impact on patients' sexuality. Patients want to be informed about sexual issues, but providers often do not address them. What were the main findings? Patients with a chronic condition expect providers to initiate discussions about sexual well-being, regardless of the type of chronic disease. Where and on whom will the research have an impact? The research will impact healthcare professionals', especially nurses', future educational standards and ultimately patients. REPORTING METHOD PRISMA extension for scoping reviews. NO PATIENT OR PUBLIC CONTRIBUTION Not required as it was a literary work (scoping review).
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Affiliation(s)
- Irina Igerc
- Department of Nursing Science, University of Vienna, Vienna, Austria
| | - Berta Schrems
- Department of Nursing Science, University of Vienna, Vienna, Austria
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Savel C, Fayet F, Abdi D, Marty L, Soubrier M, Malochet-Guinamand S. Results from a preliminary study on the theme of sexuality for therapeutic patient education for people with inflammatory arthritis. SEXOLOGIES 2022. [DOI: 10.1016/j.sexol.2021.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Saad RB, Fazaa A, Rouached L, Miladi S, Ouenniche K, Souabni L, Kassab S, Chekili S, Abdelghani KB, Laatar A. Sexual dysfunction and its determinants in women with rheumatoid arthritis. Z Rheumatol 2020; 80:373-378. [PMID: 32990787 DOI: 10.1007/s00393-020-00890-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVES To evaluate sexual function in Tunisian women with rheumatoid arthritis (RA) and to examine factors that are predictors of female sexual dysfunction including sociocultural factors, disease activity, and psychological status. METHODS We conducted a cross-sectional study including 71 women with a confirmed diagnosis of RA according to the 2010 American College of Rheumatology/European League against Rheumatism (ACR/EULAR) criteria. Clinical and sociodemographic characteristics were collected. The participants were asked to complete the Female Sexual Function Index (FSFI), which contains 19 questions, assessing six areas of female sexual function in the previous 4 weeks. Sexual dysfunction was defined as an FSFI score less than or equal to 26.55. The psychosocial status was evaluated by the Hospital Anxiety and Depression (HAD) scale. Prevalence of sexual dysfunction and predictors of sexual difficulties were assessed. RESULTS The prevalence of female sexual dysfunction in women with RA was 49.3%. All areas were altered especially desire (2.92 ± 1.3), arousal (3.27 ± 1.5), and orgasm (3.77 ± 1.5). In univariate analysis, sexual dysfunction was correlated with the age of patients (p = 0.049), the age of partners (p = 0.013), pain (p = 0.001), number of night awakenings (p = 0.02), morning stiffness (p = 0.010), tender joints (p = 0.05), disease activity score (DAS28 ESR) (p = 0.043), fatigue (p = 0.028), and Health assessment questionnaire (HAQ) (p = 0.02). In multivariate analysis, the age of patients and pain were predictive factors of sexual dysfunction. By analyzing each area of the FSFI score, the age of patients was the independent variable associated with desire. Tender joints were associated with lubrication and the age of partners with arousal, orgasm, and satisfaction. CONCLUSION Our study suggests that rheumatoid arthritis has a negative impact on patients' sexuality. Age of patients and partners, pain, and tender joints appear to be the main factors influencing sexual function.
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Affiliation(s)
- R B Saad
- Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.,Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia
| | - A Fazaa
- Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.,Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia
| | - L Rouached
- Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia. .,Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia.
| | - S Miladi
- Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.,Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia
| | - K Ouenniche
- Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.,Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia
| | - L Souabni
- Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.,Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia
| | - S Kassab
- Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.,Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia
| | - S Chekili
- Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.,Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia
| | - K B Abdelghani
- Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.,Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia
| | - A Laatar
- Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.,Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia
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Savel C, Cherillat MS, Berland P, Tronche AM, Soubrier M, Gerbaud L, Guiguet-Auclair C, Malochet Guinamand S. French survey on the crossed needs on sexual health for chronic inflammatory rheumatism patients and healthcare professionals. Rheumatol Int 2020; 40:1481-1491. [DOI: 10.1007/s00296-020-04630-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 06/13/2020] [Indexed: 10/23/2022]
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