Arthritis and Sexuality

Newman, Ann Mabe

doi:10.1016/j.cnur.2007.08.006

Cited by 17 publications

(16 citation statements)

References 8 publications

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“…Furthermore, agreement on 13 main themes, translated into research questions (see online supplementary table S2) was achieved and subsequently formed the basis of the SLR (see separate manuscript). In total, 79 papers were included; 20 addressed the competences HPRs of multiple professions have in common,1 3 4 9 12–27 43 the competences of nurses,28–70 12 of PTs71–82 and four of OTs 83–86. From the 20 papers addressing the competences HPRs of multiple professions have in common, 75% (n=15) had a qualitative design 1 3 4 9 12 13 15 16 18–20 23 25–27.…”

Section: Resultsmentioning

confidence: 99%

“…In general, the generic competences as described in the literature addressing HPRs of multiple professions were confirmed in the literature on competences of either nurses, PTs or OTs. Some details were stressed more in the literature on one profession than another, such as, for example, the importance of the assessment of sexual health,36 48 65 75 cardiovascular risk53 or nutritional and dietary status66 in the nurses’ literature. It should be noted in this respect that for some competences it is clear that they are applicable to HPRs of multiple professions, whereas for others the assignment to one profession or the other is ambiguous.…”

Section: Discussionmentioning

confidence: 99%

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2019 EULAR recommendations for the generic core competences of health professionals in rheumatology

et al. 2019

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background/objectives To maintain and optimise the quality of care provided by health professionals in rheumatology (HPRs), adequate educational offerings are needed. This task force (TF) aimed to develop evidence-based recommendations for the generic core competences of HPRs, with specific reference to nurses, physical therapists (PTs) and occupational therapists (OTs) to serve as a basis for their postgraduate education. Methods The EULAR standardised operating procedures for the development of recommendations were followed. A TF including rheumatologists, nurses, PTs, OTs, patient-representatives, an educationalist, methodologists and researchers from 12 countries met twice. In the first TF meeting, 13 research questions were defined to support a systematic literature review (SLR). In the second meeting, the SLR evidence was discussed and recommendations formulated. Subsequently, level of evidence and strength of recommendation were assigned and level of agreement (LoA) determined (0-10 rating scale). Results Three overarching principles were identified and 10 recommendations were developed for the generic core competences of HPRs. The SLR included 79 full-text papers, 20 of which addressed the competences, knowledge, skills, attitudes and/or educational needs of HPRs from multiple professions. The average LoA for each recommendation ranged from 9.42 to 9.79. Consensus was reached both on a research and educational agenda. Conclusion Evidence and expert opinion informed a set of recommendations providing guidance on the generic core competences of HPRs. Implementation of these recommendations in the postgraduate education of HPRs at the international and national level is advised, considering variation in healthcare systems and professional roles. MeTHodsThe updated EULAR standardised operating procedures (SOPs) for the development of the recommendations were followed 5 after approval of the TF by the EULAR Executive Committee. The multidisciplinary TF comprised of a selection of nine experts in HPRs' education (three nurses, two PTs, three on July 4, 2020 by guest. Protected by copyright.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

2019 EULAR recommendations for the generic core competences of health professionals in rheumatology

et al. 2019

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“…Fatigue, pain, motor restriction, depression, and loss of self-esteem will have negative impact on sexual life and the person's ability to enjoy sex. [65]…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, 85% of female and 69% of male patients call developing inflammation in joints as the major obstacles for initiating sex. [65]…”

Section: Resultsmentioning

confidence: 99%

Sexuality and elderly with chronic diseases: A review of the existing literature

Khoei

Pirak

Yazdkhasti³

et al. 2016

J Res Med Sci

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Background:Increased life expectancy and the growing phenomenon of aging can lead to increased burden of chronic diseases (CDs) which adversely affects the overall health of elderly, their sexuality in particular. Sexual life of an aged population is overlooked in many of the societies. In the present narrative review, we aim to assess the impact of CDs on sexual function of elderly people.Materials and Methods:We used internet databases including PubMed, EMBASE, ISI Web of Science, Google Scholar, SID, Iran Medex, Magiran, IPPF, and UNFPA without time limit. Ninety-eight out of 174 relevant articles were selected which met the inclusion criteria: those articles were research-based in English or Persian (original or review articles) and textbooks; specified one or more CDs and sexual function of the cases; elderly people over the age of sixty, men and women; and coordination between articles and research goals. We excluded qualitative and case studies. We reported the most related CDs with sexual function in literature review and used the biological and psychological impact of the CDs on sexual function of elderly population based on the conceptual model of Verschuren et al. (2010).Results:The results of the studies were classified into the themes including physical, psychological, and cultural and social. Diabetes, cardiovascular, cancerous, and chronic respiratory diseases and also some medications can reduce sexual capacity and desire in particular resulting in negative impact on the quality of elderly sexual life. CDs may influence sexual expressions and responses which adversely affect one's mood and energy so that can cause depression and grief, as well as loss of self-confidence, self-esteem, and self-concept in elderly adults. The factors affecting sexuality of an elderly with CDs include cultural and mythical beliefs about age and illnesses, fear, and embarrass of changed physical appearance. The research conducted among elderly population examining the adverse influence of CDs on aged people's sexual life in general, sexual function and performance, and intimate interaction.Conclusion:It is considered that programs on sexual health needs of aged population for the health-care workers can prove beneficial in improving sexual health.

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“…Recent studies suggest that a substantial portion of this decline is associated with accumulated comorbidities of ageing (e.g., diabetes; cardiovascular, kidney, and liver disease; increased medication usage; decreased physical activity; increased central adiposity; and sleep disorders). Incident erectile dysfunction (ED) has been associated with diabetes [1], cardiovascular [2] and musculoskeletal disease [3], depression and anxiety [4], poorer socioeconomic status [5], lifestyle factors [6], declining muscle mass and strength [7], lower testosterone [8], and medication usage [9]. Data from the Massachusetts Male Aging Study (MMAS) demonstrate that erectile function may improve over time and that some of the predictors of these changes are modifiable [10].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Sexual Dysfunction Incidence and Remission in Men

Martin

Atlantis²,

Lange

et al. 2014

The Journal of Sexual Medicine

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Introduction The progress and determinants of sexual dysfunction in middle-aged and elderly men remain unclear. Aim To describe the incidence or remission and biopsychosocial predictors of erectile dysfunction (ED) and low sexual desire (SD). Main Outcome Measures Erectile function (International Index of Erectile Function) and sexual desire (Sexual Desire Inventory 2) were assessed at follow-up. Sociodemographic, lifestyle, and health-related factors were examined in multivariate models of ED and low SD. Methods Data were collected from 810 randomly selected men residing in northern and western Adelaide, Australia, and aged 35–80 years at baseline, who made clinic visits 5 years apart. Results At baseline, 23.2% (n = 123) of men had ED. ED incidence and remission were observed in 31.7% (n = 179) and 29.0% (n = 71) of eligible men, respectively. At baseline, 19.2% (n = 165) had low solitary sexual desire, and 6.0% (n = 50) had low dyadic sexual desire; incidence of low sexual desire occurred in 17.6% (n = 83) (solitary) and 8.3% (n = 51) (dyadic), while remission occurred in 15.4% (n = 68) (solitary) and 22.6% (n = 40) (dyadic) of men. In the final regression models, predictors of incident ED were higher age, lower income, higher abdominal fat mass, low alcohol intake, higher risk of obstructive sleep apnea (OSA) risk, voiding lower urinary tract symptoms (LUTS), depression, and diabetes. Predictors of ED remission were lower age, current employment, and absence of voiding LUTS, angina, diabetes, and dyslipidemia. Predictors of low dyadic SD incidence included higher age, never having been married, widowhood, being unemployed, being retired, insufficient physical activity, and low alcohol intake. Predictors of low dyadic SD remission were being married, not being widowed, higher income, lower abdominal fat mass, lower OSA risk, and higher plasma testosterone. Predictors of low solitary SD included never having been married, being unemployed, low alcohol intake, lower testosterone, storage LUTS, and hypertension. Predictors of low solitary SD remission were being married, being employed, higher income, higher physical activity, moderate alcohol intake, and depression. Conclusions Sexual dysfunction in aging men is a dynamic disorder whose incidence and remission are predicted by a range of modifiable risk factors.

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Arthritis and Sexuality

Cited by 17 publications

References 8 publications

2019 EULAR recommendations for the generic core competences of health professionals in rheumatology

2019 EULAR recommendations for the generic core competences of health professionals in rheumatology

Sexuality and elderly with chronic diseases: A review of the existing literature

Predictors of Sexual Dysfunction Incidence and Remission in Men

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