Attitudes toward sexuality among nursing home residents
Attitudes toward sexuality among nursing home residents
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DOI：
10.1023/a:1021445832294
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发表时间：
2002-09-01
影响因子：
1.5
通讯作者：
Barak, Y
中科院分区：
文献类型：
--
作者：
Aizenberg, D;Weizman, A;Barak, Y
有一个关于养老院居民的性行为的数据匮乏。本研究的目的是评估一组独立的居民在一个大型的城市养老院的性态度。十个项目，涵盖不同方面的性态度的评分由两个委员会认证的精神科医生后，半结构化的采访。这项研究是在一家拥有1,200张床位的大型养老院进行的，该养老院为健康的独立老年人和老年患者提供服务。受试者为31名志愿者：15名男性和16名女性（平均年龄：分别为82.4岁和74.1岁），他们同意参加。参与者认知完整，在疗养院独立生活。排除标准为：a）当前主要精神病发病率，B）药物或酒精滥用，c）老年抑郁量表（简版）评分大于或等于5，和d）临床痴呆分级>0。构建了基本功能的层次结构，其中每个功能在反映其认可的重要性的5分Likert量表上进行分级。大多数人（23/31）认为，保健专业人员应与老年人公开讨论性问题。31人中有21人表示愿意根据需要接受性功能障碍的医疗咨询和治疗，20/31人表示如果他们的伴侣需要，他们的态度相似。参与者（分别为男性和女性）对需求层次的评分如下：情绪（4.4; 4.3），记忆（4.2; 4.2），睡眠（3.8; 3.9），性（3.5; 2.8）和食欲（2.8; 2.6）。在养老院的居民中，性别被评为“中等重要”，男性更是如此。大多数居民对公开讨论性问题表示积极态度，并愿意在需要时接受治疗干预。
There is a paucity of data regarding sexuality among nursing home residents. The aim of the present study was to evaluate sexual attitudes in a group of independent residents in a large urban nursing home. Ten items covering different aspects of sexual attitude were scored by two board certified psychiatrists following a semistructured interview. The study was undertaken at a large 1,200-bed nursing home providing services to both healthy independent elderly as well as geriatric patients. Subjects were 31 volunteers: 15 men and 16 women (mean age: 82.4 and 74.1 years, respectively), who consented to participate. Participants were cognitively intact and living independently at the nursing home. Exclusion criteria were: a) current major psychiatric morbidity, b) drug or alcohol abuse, c) Geriatric Depression Scale (short version) score greater than or equal to5, and d) Clinical Dementia Rating >0. A hierarchy of basic functions was constructed wherein each function was graded on a 5-point Likert-like scale reflecting its endorsed importance. The majority (23/31) felt that sexuality should be openly discussed with the elderly by health professionals. Twenty-one of 31 expressed willingness to receive medical consultation and treatment for sexual dysfunction as needed and 20/31 expressed a similar attitude if their partner so needed. The hierarchy of needs was rated by the participants (men and women, respectively) as follows: Mood (4.4; 4.3), Memory (4.2; 4.2), Sleep (3.8; 3.9), Sex (3.5; 2.8), and Appetite (2.8; 2.6). Sex is graded as "moderately important" among nursing home residents, more so in males. The majority of residents expressed positive attitudes towards open discussion of sexual matters and willingness to accept therapeutic interventions when needed.