Sexualidade na lesão medular / Sexuality in spinal cord injury

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

This study aimed to assess the influence of spinal cord injury in the Sexual Practice, Sexual Orientation, Sexual Satisfaction and Sexual Response of men and women (Study 1). It also aimed to assess the level of knowledge, attitude, approximation and comfort of health professionals concerning sexual rehabilitation within the spinal cord injury (Study 2). Study 1 involved 144 subjects (110 men and 34 women) with traumatic spinal cord injury. Study 2 involved 132 subjects (34 men and 98 women): 33 physiotherapists, 36 psychologists, 32 physicians and 31 nurses. Two instruments were used: the Questionnaire of Human Sexuality in Spinal Cord Injury (QSH-LM) to Study 1, and the Knowledge, Comfort, Approach and Attitudes towards Sexuality Scale (KCAASS) for the Study 2. To meet Study 1 and Study 2 objectives, the following statistical tests were used: t test for independent samples; Mann-Whitney U test; Spearmans Rank Correlation test and Kruskal-Wallis test. In our findings there was a decrease in sexual satisfaction in men and women after the spinal cord injury, but in men this decrease was statistically significant. Mens sexual desire was affected negatively, because between them there was a decrease after the injury. Among women there was an increase of desire. Vaginal lubrication, lubrication timing, penile erection, erection timing and ejaculation also decreased after injury. We saw that in men the orgasm, the orgasm intensity and the sexual arousal decreased significantly after the injury. Physical exercise generated no difference in the variables of sexuality. Sexual counseling at an appropriate level reached few people. Finally, we saw that health professionals, although dealing frequently with issues of sexuality, are not properly prepared for that. Whether in relation to comfort, approach, knowledge or attitude, need to increase.

ASSUNTO(S)

sexual rehabilitation spinal cord injury human sexuality reabilitação sexual sexualidade humana lesão medular educacao fisica

ACESSO AO ARTIGO

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