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Titre : | Development of a Sexual Needs Rehabilitation Framework in Women PostSpinal Cord Injury: A Study From Iran (2018) |
Auteurs : | Raziyeh Maasoumi ; Fatemeh Zarei ; Effat Merghati-Khoei |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 3, 2018) |
Article en page(s) : | p. 548-554 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Iran ; Rééducation et réadaptation ; Sexualité ; Traumatismes de la moelle épinière |
Mots-clés: | Sexuality ; Spinal cord injuries ; Women ; Femmes |
Résumé : |
Objective To develop a sexual needs rehabilitation framework in women after spinal cord injury (SCI). Design Mixed-methods study. The study consisted of 3 steps: (1) a primary needs assessment with quantitative and qualitative methods; (2) prioritization of identified needs by expert panels; and (3) development of a framework. Setting Multi-dimensional clinical referral center. Participants Married women (N=31) with an SCI that occurred at least 1 year ago. Interventions Not applicable. Main Outcome Measures Development of sexual needs rehabilitation framework. Results The quantitative phase in the first phase showed that the total mean + SD score of the Sexual Quality of LifeFemale questionnaire was 60.47+1.53, and the total mean + SD score of the Female Sexual Function Index was 50.54+11.35. Moreover, women's sexual understanding post-SCI in the qualitative assessment revealed the following 3 main themes: (1) dilemma leading to limited sexual activity; (2) seeking positive sexual adjustment; and (3) lack of client-based sexual and reproductive education/counseling in the rehabilitation process. Results from prioritizing identified needs in the second step indicated that the most important needs related to sexual aspects of life. In the final step, the framework for Iranian woman with post-SCI sexual rehabilitative needs developed with focus on sexual behavior complication post-SCI as a main need. Conclusions It is important to assess probable unmet needs before designing, planning, and implementing an interventional rehabilitative health care program, especially when focusing on issues of sexuality. A developed framework can be applied by the rehabilitation team during initial caregiving and can be continued as long as needed. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317310869 |