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Updated: Mar 15, 2026

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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.

Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses
|September 10, 2016
PubMed
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.

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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.