La percezione degli infermieri riguardo la sessualità della persona mielolesa. Protocollo di uno studio qualitativo.

Jesus Francisco Javier Leon Garcia; Marcella Ghiani; Federica Maugeri; Alessia Sorrenti

doi:10.54103/dn/27091

Authors

Jesus Francisco Javier Leon Garcia Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico https://orcid.org/0009-0004-0276-6859
Marcella Ghiani Università degli Studi di Milano
Federica Maugeri Fondazione Don Gnocchi https://orcid.org/0009-0005-7753-7855
Alessia Sorrenti Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico https://orcid.org/0009-0008-6899-1572

DOI:

https://doi.org/10.54103/dn/27091

Keywords:

nursing, sexuality, spinal cord injury, myelolesion

Abstract

BACKGROUND: The nurse, part of the care team, plays a key role in the different stages of care and rehabilitation process of the person with spinal cord injury. Its role is carried out in the promotion, care and maintenance of the sexual health and well-being of the person with spinal cord injury.

AIM: To explore nurses' experiences regarding the sexual sphere of adult persons with spinal cord injury, especially by identifying facilitating or obstructive factors in addressing the dialogue with caregivers and the strategies used to promote their satisfaction.

MATERIALS AND METHODS: It is intended to conduct a qualitative phenomenological descriptive study with convenience sampling. Individual face-to-face, semistructured, open-ended question interviews will be conducted with nurses on wards that receive people with myelopathic conditions. The content of the interviews will undergo coding and categorization according to the themes that emerged during the analysis using the Colaizzi method.

EXPECTED RESULTS: The application of this research protocol will provide further information on the knowledge, approach, and disposition of a cohort of Italian nurses have regarding the sexual sphere of people with myelopathy. Lastly, it will be possible to identify the specific skills that are used for the fulfillment of this need if it is compromised.

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References

1. Aikman K, Oliffe JL, Kelly MT, McCuaig F. Sexual Health in Men With Traumatic Spinal Cord Injuries: A Review and Recommendations for Primary Health-Care Providers. Am J Mens Health. novembre 2018;12(6):2044–54.

2. Federazione delle Associazioni Italiane di Persone con lesione al midollo spinale. La lesione al midollo spinale [Internet]. 2023 [citato 25 ottobre 2024]. Disponibile su: https://www.faiponline.it/drupal/node/13

3. Fondazione Giorgio Brunelli. Ricerca sulle lesioni del midollo spinale. 2023 [citato 25 ottobre 2024]. SCI Introduzione. Disponibile su: http://www.midollospinale.com/site/it/spinal-cord-injuries

4. Earle S, O’Dell L, Davies A, Rixon A. Views and Experiences of Sex, Sexuality and Relationships Following Spinal Cord Injury: A Systematic Review and Narrative Synthesis of the Qualitative Literature. Sex Disabil. dicembre 2020;38(4):567–95.

5. World Health Organization. Sexual health [Internet]. 2023 [citato 25 ottobre 2024]. Disponibile su: https://www.who.int/health-topics/sexual-health

6. Ricciardi R, Szabo CM, Poullos AY. Sexuality and Spinal Cord Injury. Nursing Clinics of North America. dicembre 2007;42(4):675–84.

7. Sipski Alexander M, Alexander CJ. Recommendations for Discussing Sexuality After Spinal Cord Injury/Dysfunction in Children, Adolescents, and Adults. The Journal of Spinal Cord Medicine. gennaio 2007;30(sup1):S65–70.

8. Kreuter M, Taft C, Siösteen A, Biering-Sørensen F. Women’s sexual functioning and sex life after spinal cord injury. Spinal Cord. gennaio 2011;49(1):154–60.

9. Nepomuceno E, de Souza Melo A, da Silva SS. Alterações relacionadas aos aspectos da sexualidade no lesado medular: revisão integrativa. Revista de Enfermagem UFPE on line. 2014;8(2):396–406.

10. Sunilkumar M, Boston P, Rajagopal M. Sexual functioning in men living with a spinal cord injury–A narrative literature review. Indian J Palliat Care. 2015;21(3):274.

11. Morrison BF, White-Gittens I, Smith S, St John S, Bent R, Dixon R. Evaluation of sexual and fertility dysfunction in spinal cord-injured men in Jamaica. Spinal Cord Ser Cases. 25 maggio 2017;3(1):17026.

12. Papadakis JL, Zebracki K, Chlan KM, Vogel LC. Sexuality in Pediatric Spinal Cord Injury. Topics in Spinal Cord Injury Rehabilitation. gennaio 2017;23(1):42–8.

13. Thrussell H, Coggrave M, Graham A, Gall A, Donald M, Kulshrestha R, et al. Women’s experiences of sexuality after spinal cord injury: a UK perspective. Spinal Cord. novembre 2018;56(11):1084–94.

14. Zizzo J, Gater DR, Hough S, Ibrahim E. Sexuality, Intimacy, and Reproductive Health after Spinal Cord Injury. JPM. 1 dicembre 2022;12(12):1985.

15. Maasoumi R, Zarei F, Merghati-Khoei E, Lawson T, Emami-Razavi SH. Development of a Sexual Needs Rehabilitation Framework in Women Post–Spinal Cord Injury: A Study From Iran. Archives of Physical Medicine and Rehabilitation. marzo 2018;99(3):548–54.

16. Merghati Khoei E, Norouzi Javidan A, Abrishamkar M, Yekaninejad MS, Chaibakhsh S, Emami-Razavi SH, et al. Development, validity and reliability of sexual health measures for spinal cord injured patients in iran. Int J Fertil Steril. luglio 2013;7(2):82–7.

17. New PW, Seddon M, Redpath C, Currie KE, Warren N. Recommendations for spinal rehabilitation professionals regarding sexual education needs and preferences of people with spinal cord dysfunction: a mixed-methods study. Spinal Cord. dicembre 2016;54(12):1203–9.

18. Rodríguez Alonso A, Oltra Rodríguez E. Qué se registra en las historias clínicas sobre la sexualidad de las personas con lesión medular traumática: What data about sexuality are registered in medical records from patients with traumatic spinal cord injury. NURE Investigación [Internet]. 18 novembre 2020 [citato 25 ottobre 2024]; Disponibile su: https://www.nureinvestigacion.es/OJS/index.php/nure/article/view/1962

19. Agency for Clinical Innovation. Sexuality following spinal cord injury. Clinical Guidelines [Internet]. 2017. Disponibile su: https://aci.health.nsw.gov.au/__data/assets/pdf_file/0004/349051/ACI-Spinal-sexuality-guideline.pdf

20. Gill KM, Hough S. Sexuality Training, Education and Therapy in the Healthcare Environment: Taboo, Avoidance, Discomfort or Ignorance? Sex Disabil. 1 giugno 2007;25(2):73–6.

21. Nevin S, Melby V. Talking about post‐injury sexual functioning: The views of people with spinal cord injuries—A qualitative interview study. Int J of Nursing Practice. giugno 2022;28(3):e12977.

22. Bryant C, Aplin T, Setchell J. Sexuality Support After Spinal Cord Injury: What is Provided in Australian Practice Settings?: Sexuality Support After Spinal Cord Injury. Sex Disabil. settembre 2022;40(3):409–23.

23. Bryant C, Gustafsson L, Aplin T, Setchell J. Supporting sexuality after spinal cord injury: a scoping review of non-medical approaches. Disability and Rehabilitation. 11 settembre 2022;44(19):5669–82.

24. Eshete A, Shewasinad S. Adolescent-Parent Communication on Sexual and Reproductive Health issues in Ethiopia: A Systematic Review and Meta-analysis. Ethiop J Health Sci [Internet]. 1 settembre 2020 [citato 25 ottobre 2024];30(5). Disponibile su: https://www.ajol.info/index.php/ejhs/article/view/200234

25. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care. 16 settembre 2007;19(6):349–57.

26. Morrow R, Rodriguez A, King N. Colaizzi’s descriptive phenomenological method. The psychologist. 2015;28(8):643–4.

27. World Medical Association. WMA Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Participants [Internet]. 2024 [citato 25 ottobre 2024]. Disponibile su: https://www.wma.net/policies-post/wma-declaration-of-helsinki/

28. Parlamento Europeo e del Consiglio. Regolamento (UE) 2016/679 [Internet]. OJ L apr 27, 2016. Disponibile su: http://data.europa.eu/eli/reg/2016/679/oj/ita