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Kvinnors upplevelse av sexualitet efter ryggmärgsskada: en litteraturöversikt
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Women’s experience of sexuality after spinal cord injury : a literature review (English)
Abstract [sv]

Bakgrund: En femtedel av de som drabbas av ryggmärgsskada är kvinnor. Det finns lite forskning som belyser kvinnors upplevelse av sexualitet efter ryggmärgsskada som orsakat tetraplegi eller paraplegi.

Syfte: Att beskriva kvinnors upplevelse av sexualitet efter förvärvad ryggmärgsskada.

Metod: En litteraturöversikt enligt Friberg (2012) har genomförts. Tio vetenskapliga artiklar valdes ut varav sex artiklar med kvalitativ design, två med kvantitativ design och två artiklar med mixad metod. Databaserna Cinahl Complete, Pubmed och Nursing & Allied Health database användes för att söka artiklarna. Artiklarna lästes och analyserades avseende likheter och skillnader i resultat, teori, perspektiv och metod (Friberg, 2012). Likheter färgkodades och delades in i teman.

Resultat: Litteraturöversikten resulterade i fem teman. I temat självbild framkom att ryggmärgsskadan förändrade den sexuella identiteten, kroppsuppfattningen och självförtroendet. I temat information framkom hur kvinnorna upplevde information och hur den var bristfällig. I temat sex och intimitet framkom det hur kvinnorna reviderade sina förväntningar på sex. I temat relationer och den sociala miljön beskriver kvinnorna hur de upplevde att de uppfattades av samhället samt svårigheter att etablera och bibehålla intima relationer. I temat fysiska barriärer och praktiska hinder framkom olika kroppsliga aspekter som påverkade sexualiteten.

Diskussion: Resultatet diskuterades utifrån Roy’s adaptionsmodell (Roy, 2009). Sjuksköterskans pedagogiska funktion, kvinnornas upplevelse av information, peer learning och hur internet kan användas för att tillmötesgå kvinnornas behov av information diskuterades. Ryggmärgsskadans påverkan på relationer samt singelskapets betydelse för den ryggmärgsskadade kvinnans sexualitet lyftes. Samhällets normer och hur dessa påverkar kvinnans självbild har beskrivits.

Abstract [en]

Background: One-fifth of those who suffer from spinal cord injury are women. There is little research that illustrates women's experience of sexuality after spinal cord injury that caused paraplegia or tetraplegia.

Aim: To describe the women's experience of sexuality after acquired spinal cord injury.

Method: A literature review according to Friberg (2012) has been conducted. Ten scientific articles were selected, six of which were of qualitative design, two with quantitative design and two articles with mixed method. The databases Cinahl Complete, Pubmed and Nursing & Allied Health database were used to search the articles. The articles were read and analyzed regarding similarities and differences in results, theory, perspective and methodology (Friberg, 2012). Similarities were color-coded and divided into themes.

Results: The literature review resulted in five themes. In the theme self-esteem it was found that spinal cord injury changed the sexual identity, body perception and self-esteem. The theme information revealed how the women experienced information and how the information was perceived as inadequate. The theme sex and intimacy revealed how women revised their expectations for the intercourse. The theme relations and the social environment describe how the women experienced that they were perceived by society as well as difficulties in establishing and maintaining intimate relationships. In the theme of physical barriers and practical barriers, various bodily aspects that influenced sexuality emerged.

Discussion: The result was discussed based on Roy’s adaptation model (Roy, 2009). Nurse’s educational function, the women’s experience of information, peer learning and how the internet could be used to meet the women’s need for information was discussed. The effect a spinal cord injury had on relationships, as well as being a single woman with a spinal cord injury and its effect on sexuality was also discussed. Norms of the society and how these affect the woman’s self-image are described.

Place, publisher, year, edition, pages
2017. , 35 p.
Keyword [en]
Spinal cord injury, Sexuality, Experience, Women
Keyword [sv]
Ryggmärgsskada, Sexualitet, Upplevelse, Kvinnor
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-6231OAI: oai:DiVA.org:esh-6231DiVA: diva2:1134366
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2017-08-21 Created: 2017-08-18 Last updated: 2017-08-21Bibliographically approved

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