Exploring Sexual Life Experiences and Perceptions of Women with Diabetes: A Qualitative Study.

Q1 Nursing
Roza Hoorsan, Minoor Lamyian, Fazlollah Ahmadi, Seyed Ali Azin, Abbas Rahimiforoushani
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引用次数: 0

Abstract

Background: Sexual life can be affected through different aspects of living with diabetes. This study aimed to explore the perception and experiences of Iranian women with diabetes at reproductive age regarding the impact of diabetes on their sexual life.

Methods: This qualitative study was conducted from August 2018 to February 2019 in five diabetes centers in Tehran. Purposeful sampling method was used to select the participants, and data were collected by in-depth semi-structured interviews. Data were analyzed manually using the conventional content analysis method. Data saturation occurred after interviewing 24 women with diabetes.

Results: Three themes were identified. The first theme was "diabetes-related threatened sexual life" with three categories: change in sexual functioning, negative sexual self-evaluation, and concern in sexual relationships. The second theme was "diabetes treatment challenges in sexual life," which included two categories: adverse effects of diabetes treatment in sexual life and the psychosocial distress related to diabetes treatment. "Couples' relationship adjustment to diabetes," was identified as the third theme, including four categories: the need for spouse's understanding of living with diabetes problems, perceived need for spouse's support, perceived need for intimacy, and the need to cope with diabetes-related childbearing challenges.

Conclusion: According to the participants' perception and experiences, in addition to sexual problems, diabetes had affected their sexual life through diabetes treatment challenges in sexual life and the way the couples' relationships adjust to diabetes. Therefore, sexual problems screening and providing counseling services in community-based diabetes care planning are recommended.

探讨女性糖尿病患者的性生活经验和观念:一项定性研究。
背景:糖尿病患者的性生活会受到不同方面的影响。本研究旨在探讨伊朗育龄糖尿病妇女对糖尿病对其性生活影响的看法和经历。方法:本定性研究于2018年8月至2019年2月在德黑兰的五个糖尿病中心进行。采用有目的抽样的方法选择研究对象,采用深度半结构化访谈的方式收集数据。采用传统的含量分析法对数据进行人工分析。在采访了24名女性糖尿病患者后,数据达到饱和。结果:确定了三个主题。第一个主题是“与糖尿病相关的性生活威胁”,分为三类:性功能改变、消极的性自我评价和对性关系的担忧。第二个主题是“糖尿病治疗在性生活中的挑战”,包括两类:糖尿病治疗在性生活中的不良影响和与糖尿病治疗相关的社会心理困扰。“夫妻关系对糖尿病的调整”被确定为第三个主题,包括四个类别:配偶对糖尿病患者生活问题的理解需求,对配偶支持的感知需求,对亲密关系的感知需求,以及应对糖尿病相关生育挑战的需求。结论:根据参与者的感知和经验,除了性问题外,糖尿病还通过性生活中的糖尿病治疗挑战和夫妻关系适应糖尿病的方式影响了他们的性生活。因此,建议在社区糖尿病护理计划中进行性问题筛查和提供咨询服务。
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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来源期刊
CiteScore
4.00
自引率
0.00%
发文量
44
审稿时长
12 weeks
期刊介绍: Aim and Scope: International Journal of Community Based Nursing and Midwifery (IJCBNM) is an international innovating peer-reviewed quarterly publication for Nurses, Midwives, related fields educators and researchers. The Journal accepts original contributions of interest to those involved in all aspects of community practice, quantitative and qualitative research and management. Manuscripts are publishable in the form of original article, review article, case report, letter to the editor, short communications, etc. The Journal invites health care specialist concerned with any of these areas to submit material on topics including, but not limited to: Health promotion & disease prevention in all stages of human life Home - health care Patient & client education Individual care in the context of family and community Health care delivery and health out come Continuity of care.
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