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Published on: May 22, 2019
10.9K
Sex and Intimacy after Stroke.
Donald D Kautz1, Elizabeth R Van Horn
1School of Nursing, The University of North Carolina at Greensboro, Greensboro, NC, USA.
Summary
Stroke survivors and partners often face sexual challenges. Nurses can use the PLISSIT model to provide evidence-based guidance, improving intimacy and quality of life for affected couples.
Area of Science:
- Neurology
- Sexuality Studies
- Rehabilitation Nursing
Background:
- Stroke sequelae significantly impact sexual function and intimacy for survivors and their partners.
- Sexual health concerns are frequently overlooked by rehabilitation teams, despite patient desire for information.
- Maintaining sexual relationships is crucial for overall quality of life post-stroke.
Purpose of the Study:
- To provide nurses with practical, evidence-based recommendations for addressing sexual problems in stroke survivors and their partners.
- To equip nurses with strategies to manage a range of sexual dysfunctions and psychological barriers.
- To empower nurses to facilitate open communication about intimacy and sexual health.
Main Methods:
- Review of recent research and clinical articles on post-stroke sexual dysfunction.
- Application of the PLISSIT (Permission, Limited Information, Specific Suggestions, Intensive Therapy) model.
- Development of practical, evidence-based recommendations for nursing practice.
Main Results:
- Nurses can effectively address sexual concerns using the PLISSIT model.
- Interventions can help couples navigate issues such as decreased desire, erectile dysfunction, and psychological distress.
- Addressing sexual health improves patient and partner quality of life.
Conclusions:
- Nurses play a vital role in supporting sexual health for stroke survivors and their partners.
- The PLISSIT model provides a structured framework for discussing and managing sexual concerns.
- Proactive nursing interventions can significantly enhance intimacy and well-being after stroke.
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