{"title":"脊髓损伤后的性积极性：系统回顾与定性综合。","authors":"Blaze Ireland, Roxanna Nasseri Pebdani, Marita Heck, Asmita Mudholkar, Michèle Verdonck","doi":"10.1037/rep0000573","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose/objective: </strong>Many qualitative studies have focused on sex and spinal cord injury (SCI), often taking a deficit lens to interpretation and reporting. However, it is important to understand what can facilitate positive sexuality for people with SCI; therefore this study examines facilitators of sexuality for people with SCI.</p><p><strong>Research method/design: </strong>A systematic review and metasynthesis of 38 qualitative papers (published before February 2024) on sexuality for people with SCI was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Thematic synthesis was conducted in three stages: line-by-line coding; the identification of common descriptive themes across papers; and the generation of novel analytical themes.</p><p><strong>Results: </strong>Thirty-eight eligible papers were analyzed. Thematic synthesis resulted in four common descriptive themes that were linked to positive sexuality: (a) being sexually active; (b) trying new and other ways of sexual expression; (c) having a positive relationship with a partner; and (d) peer support. These descriptive themes were interrelated and incorporated in two in-depth analytical themes: (a) redefining sexuality and (b) establishing a sexual identity.</p><p><strong>Conclusions/implications: </strong>This study highlights facilitators to sexuality post-SCI. In order to maintain a sex-positive approach to sexuality rehabilitation for people with SCI, sexuality facilitators should remain at the forefront of sexual rehabilitation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sex-positive sexuality post-spinal cord injury: A systematic review and qualitative metasynthesis.\",\"authors\":\"Blaze Ireland, Roxanna Nasseri Pebdani, Marita Heck, Asmita Mudholkar, Michèle Verdonck\",\"doi\":\"10.1037/rep0000573\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose/objective: </strong>Many qualitative studies have focused on sex and spinal cord injury (SCI), often taking a deficit lens to interpretation and reporting. 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引用次数: 0
摘要
目的/目标：许多定性研究都关注性与脊髓损伤（SCI）问题，但在解释和报告时往往采用缺陷视角。然而，了解什么能够促进脊髓损伤患者积极的性行为是非常重要的；因此，本研究探讨了脊髓损伤患者性行为的促进因素：研究方法/设计：根据《系统综述和元分析首选报告项目》（Preferred Reporting Items for Systematic Reviews and Meta-Analyses）指南，对 38 篇有关 SCI 患者性行为的定性论文（2024 年 2 月之前发表）进行了系统综述和元综合。专题综述分三个阶段进行：逐行编码；确定各篇论文的共同描述性主题；生成新的分析性主题：对 38 篇符合条件的论文进行了分析。专题综合得出了与积极性行为相关的四个共同描述性主题：(a) 性生活活跃；(b) 尝试新的和其他的性表达方式；(c) 与伴侣保持积极的关系；(d) 同伴支持。这些描述性主题相互关联，并被纳入两个深入分析主题：(a) 重新定义性行为；(b) 确立性身份：本研究突出强调了促进后性健康的因素。为了保持对 SCI 患者性康复的积极态度，性促进者应始终站在性康复的最前沿。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。
Sex-positive sexuality post-spinal cord injury: A systematic review and qualitative metasynthesis.
Purpose/objective: Many qualitative studies have focused on sex and spinal cord injury (SCI), often taking a deficit lens to interpretation and reporting. However, it is important to understand what can facilitate positive sexuality for people with SCI; therefore this study examines facilitators of sexuality for people with SCI.
Research method/design: A systematic review and metasynthesis of 38 qualitative papers (published before February 2024) on sexuality for people with SCI was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Thematic synthesis was conducted in three stages: line-by-line coding; the identification of common descriptive themes across papers; and the generation of novel analytical themes.
Results: Thirty-eight eligible papers were analyzed. Thematic synthesis resulted in four common descriptive themes that were linked to positive sexuality: (a) being sexually active; (b) trying new and other ways of sexual expression; (c) having a positive relationship with a partner; and (d) peer support. These descriptive themes were interrelated and incorporated in two in-depth analytical themes: (a) redefining sexuality and (b) establishing a sexual identity.
Conclusions/implications: This study highlights facilitators to sexuality post-SCI. In order to maintain a sex-positive approach to sexuality rehabilitation for people with SCI, sexuality facilitators should remain at the forefront of sexual rehabilitation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
期刊介绍：
Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.
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