Sexual health policies in stroke rehabilitation: A multi national study

Authors

  • Jannike K. Vikan
  • Marie I. Nilsson
  • Tamara Bushnik
  • Wanying Deng
  • Khamis Elessi
  • Yael Frost-Bareket
  • Elena Kovrigina
  • Jeries Shahwan
  • Hildegun Snekkevik
  • Elisabet Åkesson
  • Johan Kvalvik Stanghelle
  • Kerstin S. Fugl-Meyer

DOI:

https://doi.org/10.2340/16501977-2552

Keywords:

stroke rehabilitation, sexual health, healthcare personnel, stroke policy.

Abstract

Objective: To identify and explore sexual health policies at specialized stroke rehabilitation centres in relation to the perspectives of healthcare personnel concerning sexual health. Design: Cross-sectional study. Subjects: Nine specialized rehabilitation centres representing 7 countries, and healthcare personnel (n = 323) working with stroke rehabilitation at the 9 centres were included in the study. Methods: Two structured questionnaires were used: (i) an organizational-audit on sexual health policies; (ii) an anonymous web-questionnaire assessing the perspectives of healthcare personnel concerning sexual health. Results: Of the 9 centres, 5 scored high on having sexual health policy in stroke rehabilitation and 4 scored low. Healthcare personnel working at centres with high scores reported higher levels of knowledge and comfort in working with sexual health, and looked more positively on the workplace sexual health policies, than personnel working at centres scoring low on these factors. Most personnel expressed a need for knowledge on the topic. Being comfortable about addressing sexuality was significantly associated with higher levels of knowledge about sexuality and working at centres having sexual health policies. Conclusion: A lack of sexual health policy represents a barrier to evidence-based practice in stroke rehabilitation. Such protocols need to be implemented in standard care in order to meet the sexual rehabilitation needs of stroke patients and partners.

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Published

2019-04-17

How to Cite

Vikan, J. K., Nilsson, M. I., Bushnik, T., Deng, W., Elessi, K., Frost-Bareket, Y., Kovrigina, E., Shahwan, J., Snekkevik, H., Åkesson, E., Stanghelle, J. K., & Fugl-Meyer, K. S. (2019). Sexual health policies in stroke rehabilitation: A multi national study. Journal of Rehabilitation Medicine, 51(5), 361–368. https://doi.org/10.2340/16501977-2552

Issue

Section

Original Report