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Introduction: Chronic kidney disease affects multiple areas of individuals’ lives, with sexuality being one of them. Few studies analyze the approach taken by dialysis units on these aspects.
Objetives: To analyze the perception of patients and professionals in dialysis units regarding the approach to sexuality in individuals undergoing dialysis.
Material and Method: Cross-sectional descriptive observational study conducted between April and May 2022 in the Integrated Health Organization of Araba. Participants included patients undergoing dialysis (peritoneal dialysis and hemodialysis, both in-center and at home) and professionals (nurses, nursing care technicians, and physicians) from these units. They completed an ad-hoc questionnaire collecting sociodemographic data and aspects related to the approach to sexuality in individuals undergoing dialysis.
Results: 20.2% of patients and 50.0% of the team participated. 67.7% of patients reported that the treatment had affected their sexual needs “much” or “to some extent.” 66.7% of the team felt “not at all” or “not very” confident in addressing sexuality in this population.
Conclusions: Sexuality is impacted in individuals undergoing renal replacement therapy with dialysis, and a significant portion of professionals do not feel confident in addressing this issue with them. Addressing this need remains an important area for improvement. It is necessary to provide professionals with the necessary tools to address this need.
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Derechos de autor 2023 Andrea Canillas-Sáez, Marta Natalia Gutiérrez-González, Maite González-Manjón, Virginia Fernández-Íñiguez de Heredia
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
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© Los autores ceden de forma no exclusiva los derechos de explotación de los trabajos publicados y consiente en que su uso y distribución se realice con la Licencia Creative Commons Atribución - No comercial 4.0 Internacional (CC BY-NC 4.0). Puede consultar desde aquí la versión informativa y el texto legal de la licencia. Esta circunstancia ha de hacerse constar expresamente de esta forma cuando sea necesario.
Referencias
- Lorenzo Sellarés V, Luis Rodríguez D. Enfermedad Renal Crónica. Rev Nefrología al día. [Internet] 2023 [Consultado 05 May 2022]. Disponible en: https://www.nefrologiaaldia.org/136.
- Ramírez-Pereira M, Ferrada MM, Silva AG, Villalobos AC, Soto PM. Explorando la sexualidad en mujeres en diálisis: una aproximación cualitativa. Rev Nefrol Dial Traspl 2018; 38(1):35-42.
- Fonseca DR, Schwartz E, Santana MDG, Vestena JGZ, Viegas ADC, Pozza Dos Santos B, et al. Experiencias de los hombres sometidos a hemodiálisis acerca de su sexualidad. Rev Avances de enfermería. 2011;29(2):255-62.
- Costa TB, Donaduzzi DSS, Rosanelli CLSP, Fossa CP, Schutz TC, Fettermann FA. Strategies and actions used by nurses against chronic renal patient sexuality: integrative review of the literature. R. pesq.: cuid. fundam. online 2021;13:944-51 DOI: https://doi.org/10.9789/2175-5361.rpcfo.v13.9686
- Henderson V. Basic Principles of Nursing. International Council of Nurses; 1971.
- Guvel S, Zumrutdal A. Sexual dysfunction in women with chronic renal failure: assessment with the female sexual function index. Rev Journal Clinical and Analytical Medicine. 2014;5(5):363-5.
- Santos PR, Frota Gomes JR, Uchoa JC, Brito CV, Mesquita ARR, Mineiro NAA, et al. Quality of life among women with sexual dysfunction undergoing hemodialysis: a cross-sectional observational study. Rev Health and Quality of life Outcomes [Internet]. 2012 [consultado 12 May 2023];10:103. Disponible en: http://www.hqlo.com/content/10/1/103. DOI: https://doi.org/10.1186/1477-7525-10-103
- Ahís Tomás P, Renau EM, Meneu Oset M, Cerrillo Garcia V, Panizo Gonzalez N. Disfunción sexual y calidad de vida según el tipo de tratamiento renal sustitutivo. Rev Enferm Nefrol 2016;19(4):342-8. DOI: https://doi.org/10.4321/S2254-28842016000400005
- Mor M, Sevick MA, Shields AM, Green J, Palevsky, Arnold R, et al. Sexual function, activity and satisfaction among women receiving maintenance hemodialysis. Rev American society of Nefrology 2014;9(1):128-34. DOI: https://doi.org/10.2215/CJN.05470513
- Saglimbene V, Natale P, Palmer S, Scardapane M, Craig J, Ruospo M. The prevalence and correlates of low sexual functioning in women on hemodialysis: a multinational, cross-sectional study. PLoS One 2017 [consultado 10 May 2023];12(6):e0179511. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478101/. DOI: https://doi.org/10.1371/journal.pone.0179511
- Finkelstein F, Finkelstein S. Sexual inactivity among hemodialysis patients: the patients perspective. Clin J Am Soc Nephrol 2014;9(1):6-7. DOI: https://doi.org/10.2215/CJN.11831113
- Beal-Lloyd D, Groh CJ. Dialysis and Sexuality. Nephrol Nurs J 2012;39(4):281-4.
- Steinke, E. E., Mosack, V., Barnason, S., & Wright, D. W. Progress in sexual counseling by cardiac nurses, 1994 to 2009. Heart Lung 2011;40(3):e15-24. DOI: https://doi.org/10.1016/j.hrtlng.2010.10.001
Referencias
Lorenzo Sellarés V, Luis Rodríguez D. Enfermedad Renal Crónica. Rev Nefrología al día. [Internet] 2023 [Consultado 05 May 2022]. Disponible en: https://www.nefrologiaaldia.org/136.
Ramírez-Pereira M, Ferrada MM, Silva AG, Villalobos AC, Soto PM. Explorando la sexualidad en mujeres en diálisis: una aproximación cualitativa. Rev Nefrol Dial Traspl 2018; 38(1):35-42.
Fonseca DR, Schwartz E, Santana MDG, Vestena JGZ, Viegas ADC, Pozza Dos Santos B, et al. Experiencias de los hombres sometidos a hemodiálisis acerca de su sexualidad. Rev Avances de enfermería. 2011;29(2):255-62.
Costa TB, Donaduzzi DSS, Rosanelli CLSP, Fossa CP, Schutz TC, Fettermann FA. Strategies and actions used by nurses against chronic renal patient sexuality: integrative review of the literature. R. pesq.: cuid. fundam. online 2021;13:944-51 DOI: https://doi.org/10.9789/2175-5361.rpcfo.v13.9686
Henderson V. Basic Principles of Nursing. International Council of Nurses; 1971.
Guvel S, Zumrutdal A. Sexual dysfunction in women with chronic renal failure: assessment with the female sexual function index. Rev Journal Clinical and Analytical Medicine. 2014;5(5):363-5.
Santos PR, Frota Gomes JR, Uchoa JC, Brito CV, Mesquita ARR, Mineiro NAA, et al. Quality of life among women with sexual dysfunction undergoing hemodialysis: a cross-sectional observational study. Rev Health and Quality of life Outcomes [Internet]. 2012 [consultado 12 May 2023];10:103. Disponible en: http://www.hqlo.com/content/10/1/103. DOI: https://doi.org/10.1186/1477-7525-10-103
Ahís Tomás P, Renau EM, Meneu Oset M, Cerrillo Garcia V, Panizo Gonzalez N. Disfunción sexual y calidad de vida según el tipo de tratamiento renal sustitutivo. Rev Enferm Nefrol 2016;19(4):342-8. DOI: https://doi.org/10.4321/S2254-28842016000400005
Mor M, Sevick MA, Shields AM, Green J, Palevsky, Arnold R, et al. Sexual function, activity and satisfaction among women receiving maintenance hemodialysis. Rev American society of Nefrology 2014;9(1):128-34. DOI: https://doi.org/10.2215/CJN.05470513
Saglimbene V, Natale P, Palmer S, Scardapane M, Craig J, Ruospo M. The prevalence and correlates of low sexual functioning in women on hemodialysis: a multinational, cross-sectional study. PLoS One 2017 [consultado 10 May 2023];12(6):e0179511. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478101/. DOI: https://doi.org/10.1371/journal.pone.0179511
Finkelstein F, Finkelstein S. Sexual inactivity among hemodialysis patients: the patients perspective. Clin J Am Soc Nephrol 2014;9(1):6-7. DOI: https://doi.org/10.2215/CJN.11831113
Beal-Lloyd D, Groh CJ. Dialysis and Sexuality. Nephrol Nurs J 2012;39(4):281-4.
Steinke, E. E., Mosack, V., Barnason, S., & Wright, D. W. Progress in sexual counseling by cardiac nurses, 1994 to 2009. Heart Lung 2011;40(3):e15-24. DOI: https://doi.org/10.1016/j.hrtlng.2010.10.001