Sexuality and intimacy in the context of palliative and end-of-life care: a scoping review.

Michelle Traverse, Susan D Mueller, Susan DeSanto-Madeya, Melissa A Sutherland
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引用次数: 0

Abstract

Background: This scoping review identifies what is known about patient/partner sexuality and intimacy needs during end-of-life care and how healthcare professionals' (HCPs) approach these needs.

Methods: Following PRISMA-ScR, articles available in English published between 2010-2024 were screened.

Results: A total of 18 articles were included in the review. Four themes were identified: 1) negative impact of serious illness on sexuality and intimacy, 2) barriers and facilitators to addressing sexuality, 3) tension between expansive and genital-focused approaches to sexuality and intimacy, and 4) a disconnect between patient/partner needs and HCP preparation.

Discussion: Patient/partner sexuality and intimacy needs were consistent across cultural context and over time. HCPs require clear and comprehensive training to improve their ability to address sexuality and intimacy during end-of-life care. Taking an expansive view of sexuality and intimacy during this time may facilitate HCP interventions.

性和亲密关系在姑息治疗和临终关怀的背景下:范围审查。
背景:本综述确定了临终关怀期间患者/伴侣性行为和亲密需求的已知情况,以及医疗保健专业人员(HCPs)如何处理这些需求。方法:采用PRISMA-ScR筛选2010-2024年间发表的英文文献。结果:共纳入18篇文献。确定了四个主题:1)严重疾病对性行为和亲密关系的负面影响;2)解决性行为的障碍和促进因素;3)性行为和亲密关系的扩张性和以生殖器为中心的方法之间的紧张关系;4)患者/伴侣需求与HCP准备之间的脱节。讨论:患者/伴侣的性行为和亲密需求在不同的文化背景和时间是一致的。医护人员需要接受明确和全面的培训,以提高他们在临终关怀期间处理性和亲密关系的能力。在这段时间对性行为和亲密关系采取广泛的看法可能有助于HCP干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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