男性脊髓損傷者的性健康狀態初探

A Preliminary Study of Sexuality Statue for Male Patients with Spinal Cord Injury

鄧慶華(Ching-Hwa Teng) ； 張淑玲(Sho-Ling Chang) ； 黃美玉(Mei-Yu Huang)

《童綜合醫學雜誌》 1卷1期 (2007/12) Pp. 29-32

https://doi.org/10.29838/TMJ.200712.0005

摘要

背景：性健康照護隨著社會的進步成為臨床重要的照護需求，本研究主要目的在探討男性脊髓損傷患者損傷後的性健康狀況。方法：本研究採訪談記錄回顧性描述性研究，期間從2001年9月1日至2005年9月30日止，樣本為18份男性脊髓損傷患者性諮商護理記錄。結果：研究結果顯示：1.受評者性的健康問題不分年齡層及損傷程度；2.受評者72%有勃起功能，其中近六成硬度不足，有一半無精液排出；3.損傷後的性慾、性滿意度及性關係皆受影響；4.受評者一半以上損傷前的性教育與性資訊來自學校公民課、影片及報章雜誌，損傷後有六成提出無性資訊來源；5.受評者50%的人損傷後三個月開始思考到性問題，而近一半的人在半年後才開始接受性諮詢。討論：臨床健康照護者應更加主動關注損傷者性健康問題，建議臨床人員宜在損傷後滿2個月即可提供男性脊髓損傷患者相關的性護理措施。

關鍵字

脊髓損傷 ； 性健康 ； 性評估

並列摘要

Background and purpose: Sexual-related health care is going to be a critical issue in clinical nursing services. This study aims to describe the male patients' sexual-related health condition after spinal cord injury.Methods: A retrospective design was adopted in this study, which started from Sep 1st, 2001 to Sep 30th, 2005. The data was collected from 18 reports of sexual consultation of male patients with spinal cord injury.Results: The results indicated that (1) participants' sexual-related health condition was not related to the ages and the severity of the illness; (2) 72% of the participants had the impotence problems; moreover, 60% of them encountered with hardness difficulty and half of them were absence of ejaculation; (3) the levels of sexual desire, sexual satisfaction and sexual relationships were all affected; (4) half of participants obtained sexual-related information from school, movie, and magazines before they were injured; nearly 60% of the victims voiced that resources of sexual-related information. (5) 50% participants concerned about sexual problems after three months of the injury; but 45% participants accessed to sexual consultation after 6 months of the injury.Discussion: The clinical health care professionals need to be more proactive about the sexual-related health condition of these patients with spinal cord injury, and are suggested to provide the relevant nursing care to the male patients with spinal cord injury after two months of injury.

並列關鍵字

spinal cord injury ； sexual-related health condition ； sexuality assessment