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医护人员与患有2型糖尿病的中老年妇女之间的性健康讨论:解释性现象学研究
Author(s) -
EjegiMemeh Stephanie,
Hinchliff Sharron,
Johnson Maxine
Publication year - 2021
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14688
Subject(s) - embarrassment , interpretative phenomenological analysis , health care , reproductive health , qualitative research , gerontology , psychology , medicine , nursing , population , social psychology , sociology , social science , environmental health , economics , economic growth
Aim To explore the barriers and facilitators to sexual discussions in primary care according to a sample of women aged 50 and older living with Type 2 diabetes. Design A qualitative, interpretative phenomenological analysis study. Methods Ten women aged 50–83 years living with Type 2 diabetes were interviewed between August 2016 ‐March 2017. Data were analysed using interpretative phenomenological analysis. Results The participants reported changes to their sexual health and well‐being, which they attributed to diabetes, menopause, ageing and changes in intimate relationships. Not all changes were considered problematic, but those that were, tended not to be discussed with healthcare professionals. The women assumed that the topic of sex was not broached by professionals due to embarrassment (both their own and that of the healthcare professional), ageism and social taboos around older women's sexual pleasure. The place that sexual health and well‐being held in the women's lives also influenced primary care discussions. Conclusion These findings demonstrate that social taboos around gender, ageing and sex influenced the barriers to sexual health and well‐being discussions in primary care. Facilitators to overcoming these barriers were professional–patient rapport, consulting with a female healthcare professional and instigation of the conversation by healthcare professionals. Impact Type 2 diabetes can have a negative impact on women's sexual health and well‐being. Prior to this study, little evidence existed of the barriers that older women with Type 2 diabetes faced with regard to sexual health care. This study shows that midlife‐older women with Type 2 diabetes can experience sexual health and well‐being problems which are neglected in primary care. It also shows that women want their healthcare professionals to explore these problems. Raising awareness and giving training for healthcare professionals may lead to better provision of sexual health support for midlife‐older women with Type 2 diabetes.