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Saúde sexual em contexto de reabilitação
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Dissertação_de_mestrado_2022103938 | 1.86 MB | Adobe PDF |
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Abstract(s)
A saúde sexual espelha a experiência subjetiva do doente tendo em conta o episódio agudo de doença, distinto entre indivíduos, sofrendo influências comportamentais, cognitivas, emocionais e sociodemográficas. A necessidade de compreender as limitações e o sofrimento dos indivíduos com alterações da saúde física com impacto na saúde sexual cria, só por si, uma robusta motivação para avaliar a Satisfação Sexual. O presente estudo de natureza exploratória transversal teve como objetivos principais avaliar a satisfação sexual e apurar o interesse de avaliação e intervenção em saúde sexual em indivíduos de uma população clínica em contexto de reabilitação. Foi estudada uma amostra de conveniência constituída por 110 indivíduos, que se distribuem entre quatro condições (Acidente Vascular Cerebral – AVC = 31,8% (n = 35); Lesão Medular – LM = 26,4% (n = 29); Traumatismo Cranioencefálico – TCE = 20,9% (n = 23) e “Outras” = 20,9% (n = 23)), com idades entre 21 e 91 anos (M=53,41; DP=13,60). Os participantes responderam a uma bateria de avaliação constituída por questões sociodemográficas, Satisfação Sexual (Nova Escala de Satisfação Sexual - NSSS; Pechorro et al., 2015) e uma questão referente ao interesse num protocolo de avaliação e posterior intervenção psicológica. As análises iniciais demonstram diferenças significativas entre os grupos avaliados. Indivíduos com lesão medular (LM) apresentaram os maiores défices na satisfação sexual, especialmente nos itens relacionados com a excitação e o orgasmo. Em contraste, indivíduos com traumatismo cranioencefálico (TCE) relataram dificuldades mais evidentes nos aspetos emocionais da função sexual, enquanto os indivíduos com AVC mantiveram níveis mais preservados de satisfação sexual. Esses resultados permitem concluir e reforçam a importância de considerar o tipo de condição médica e a idade ao abordar questões de satisfação sexual em doentes com condições graves.
Sexual health reflects the patient's subjective experience in relation to an acute disease episode, which differs among individuals and is influenced by behavioral, cognitive, emotional, and sociodemographic factors. The need to understand the limitations and suffering of individuals with physical health conditions that impact sexual health strongly motivates the evaluation of sexual satisfaction. This exploratory cross-sectional study aimed to evaluate sexual satisfaction and assess the interest in sexual health evaluation and intervention in a clinical population undergoing rehabilitation. A convenience sample of 110 individuals was studied, divided among four conditions (Stroke – 31.8% (n = 35); Spinal Cord Injury – 26.4% (n = 29); Traumatic Brain Injury – 20.9% (n = 23); and "Other" – 20.9% (n = 23)), with ages ranging from 21 to 91 years (M = 53.41; SD = 13.60). Participants responded to an assessment battery that included sociodemographic questions, sexual satisfaction (New Sexual Satisfaction Scale - NSSS; Pechorro et al., 2015), and a question about interest in a psychological assessment and intervention protocol. Initial analyses revealed significant differences between the evaluated groups. Individuals with spinal cord injury (SCI) showed the greatest deficits in sexual satisfaction, particularly in items related to excitement and orgasm. In contrast, individuals with traumatic brain injury (TBI) reported more evident difficulties in the emotional aspects of sexual function, while stroke patients maintained more preserved levels of sexual satisfaction. These findings highlight the importance of considering the type of medical condition and age when addressing sexual satisfaction issues in patients with severe conditions.
Sexual health reflects the patient's subjective experience in relation to an acute disease episode, which differs among individuals and is influenced by behavioral, cognitive, emotional, and sociodemographic factors. The need to understand the limitations and suffering of individuals with physical health conditions that impact sexual health strongly motivates the evaluation of sexual satisfaction. This exploratory cross-sectional study aimed to evaluate sexual satisfaction and assess the interest in sexual health evaluation and intervention in a clinical population undergoing rehabilitation. A convenience sample of 110 individuals was studied, divided among four conditions (Stroke – 31.8% (n = 35); Spinal Cord Injury – 26.4% (n = 29); Traumatic Brain Injury – 20.9% (n = 23); and "Other" – 20.9% (n = 23)), with ages ranging from 21 to 91 years (M = 53.41; SD = 13.60). Participants responded to an assessment battery that included sociodemographic questions, sexual satisfaction (New Sexual Satisfaction Scale - NSSS; Pechorro et al., 2015), and a question about interest in a psychological assessment and intervention protocol. Initial analyses revealed significant differences between the evaluated groups. Individuals with spinal cord injury (SCI) showed the greatest deficits in sexual satisfaction, particularly in items related to excitement and orgasm. In contrast, individuals with traumatic brain injury (TBI) reported more evident difficulties in the emotional aspects of sexual function, while stroke patients maintained more preserved levels of sexual satisfaction. These findings highlight the importance of considering the type of medical condition and age when addressing sexual satisfaction issues in patients with severe conditions.
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Keywords
Saúde sexual Sexualidade Reabilitação Lesão medular LM Acidentes Vasculares Cerebrais AVC Traumatismos cranioencefálicos TCE Sexual health Sexuality Rehabilitation Spinal cord injury SCI Cerebral Vascular Accidents Stroke Cranioencephalic injuries TBI