造口治疗师实施肠造口患者性教育时的困境与需求的质性研究

Dilemmas and demands of enterostomal therapists in sexual education for patients with enterostomy: a qualitative study

目的:了解造口治疗师对中青年肠造口患者实施性健康教育或指导时遇到的困境与需求。方法:采用目的抽样法,于2022年4—10月选取国际造口师学校接受培训的15名造口治疗师进行半结构式访谈。采用Colaizzi 7步分析法进行资料分析。结果:共提炼出3个主题,分别为造口治疗师的"消极行为"与"积极意愿"、实施中青年肠造口患者性教育现存的多重困境和实施中青年肠造口患者性教育的需求。结论:造口治疗师应积极关注中青年肠造口患者的性教育问题,克服影响中青年肠造口患者性教育缺失的多重障碍,并坚持在临床实践中推动中青年肠造口患者的性教育,以提升患者与配偶的夫妻关系及婚姻质量。

Objective To explore the dilemmas and demands encountered by enterostomal therapists in providing sexual education or guidance to young and middle-aged patients with enterostomy.Methods From April to October 2022,purposive sampling was used to select 15 enterostomal therapists who received training at the International School of Stomatologists for semi-structured interviews.Colaizzi 7-step analysis method was used for data analysis.Results Three themes were extracted,namely the"negative behavior"and"positive willingness"of enterostomal therapists,the multiple dilemmas in implementing sex education for young and middle-aged patients with enterostomy,and the demands for sexual education for young and middle-aged patients with enterostomy.Conclusions Enterostomal therapists should actively pay attention to the sexual education for young and middle-aged patients with enterostomy,overcome multiple obstacles that affect the lack of sexual education for young and middle-aged patients with enterostomy,and persist in promoting sexual education for young and middle-aged patients with enterostomy in clinical practice,in order to improve the marital relationship and quality of marriage between patients and their spouses.