Introduction to the issue: This paper examines the impact of burnout syndrome, which is common among caring professionals, on the sexuality of male paramedics. The term "burnout" was coined in the US 25 years ago. Burnout is defined as a mental state resulting from constant and long-term exposure to stress, especially in relation to psychosocial work factors (Melamed and Shirom, 2006). The effect of burnout syndrome on sexuality is a topic that has received very little attention. That is why I decided to cooperate with PhDr. Šárka Dynáková, Ph.D. and doc. PhDr. Jan Kožnar, CSc, who are working on an international study in the Czech Republic on the effects of burnout syndrome on human health. Methodology: For the theoretical part of this diploma thesis, use was made of monographs and databases. For the practical part, quantitative data was collected using standardized questionnaires distributed among male paramedics. The first questionnaire focused on burnout syndrome using a validated questionnaire for the Czech Republic, one that applies the Shirom-Melamed scale from 2006 (Ptáček, 2013). An extended Kroměříž version of the Sexual Functions of Men questionnaire was used for collecting the data on sexuality (Kratochvíl, 1999). After establishing five working hypotheses (H), the relationship between...

Bakgrund: Sexuell hälsa utgörs av fysiskt, känslomässigt, psykiskt och socialt välbefinnande. Sjuksköterskan har som uppdrag att främja sexuell hälsa. Depression och ångest är faktorer som kan påverka kvinnors sexuella hälsa. Syftet: Syftet var att beskriva hur sexuell hälsa påverkas hos kvinnor med depression och ångestsyndrom. Metod: Litteraturöversikt med mixad metod användes. Eftersom syftet var förutsättningslöst utfördes studien med induktiv ansats. Till resultatet användes 14 artiklar som granskades, analyserades och presenterades med huvudkategorier och underkategorier. Artiklarna hämtades från tre databaser; Pubmed, Cinahl och psycINFO och genom manuell sökning. Resultat: Huvudfynd i litteraturöversikten utgjordes av fysiska förändringar i form av lägre sexuell tillfredställelse, lust, orgasm och upphetsning. Huvudfynd bestod även av ett påverkat känsloliv och påverkad relationen med partnern. Slutsats: Resultatet visar att kvinnor kan ha lägre sexuell funktion vid depression och ångest. Både fysiska och psykosociala faktorer påverkas hos kvinnorna där några av faktorerna är tillfredsställelse och lust. En viktig del i personcentrerad omvårdnad är ömsesidig respekt för varandras kunskap. / Background: Sexual health consists of physical, emotional, mental and social well-being. The nurse has the task of promoting sexual health. Depression and anxiety are factors that can affect women’s sexual health. Aim: The aim was to describe how sexual health affects in women with depression and anxiety syndrome. Method: Mixed literature review was used. Since the purpose was unconditional, the study was performed with an inductive approach. Where 14 articles were used that have been reviewed, analyzed and presented with main categories and subcategories. The articles were retrieved from three databases: Pubmed, Cinahl and psycINFO and by manual search. Results: The main findings in the literature review consisted of physical changes in form of lower sexual satisfaction, desire, orgasm and arousal. The main findings also consisted of an affected emotional life and an affected relationship with the partner. Conclusion: The results show that woman have lower sexual function in depression and anxiety. Both physical and psychosocial factors are affected in women, where some of the factors are satisfaction and desire. An important part in person-centered care is mutual respect for each other´s knowledge.

Bakgrund Könsstympning är en flera tusen år gammal tradition som än idag utförs i stora delar av världen. Vid könsstympning skadas eller avlägsnas delar av könsorganet och i vissa fall sys de yttre blygdläpparna ihop. I Sverige är kvinnlig könsstympning en olaglig handling som strider mot mänskliga rättigheter. Syfte Syftet var att undersöka könsstympade kvinnors upplevelse kring sin egen sexualitet. Metod En allmän litteraturöversikt utfördes genom databassökning i CINAHL och PubMed. Artiklarna kvalitetsgranskades via Caldwells kvalitetsgranskningsmall och dataanalysen utfördes genom en tematisk analys baserad på 16 kvalitativa artiklar som svarade på studiens syfte. Resultat Studien visar att majoriteten av kvinnorna upplever samlagssmärta, nedsatt känsel i underlivet samt avsaknad av sexlust. Vissa av kvinnorna beskriver dock att de kan uppleva njutning samt uppnå orgasm, men att det oftast kräver mer tid och stimulering. Flera av kvinnorna kan även känna njutning vid beröring av andra erogena delar på kroppen. Kvinnorna ser sex ur ett reproduktivt syfte och det anses vara deras plikt att tillfredsställa mannen sexuellt. Det är vanligt att skillnaderna i sexualdrift mellan parterna orsakar problem i relationen. Slutsats Kvinnlig könsstympning orsakar smärta vid samlag och begränsar kvinnans sexualitet. Den nedsatta sexualfunktionen påverkar partnerrelationen negativt och många kvinnor vill undvika sexuellt umgänge. Yttre faktorer påverkar inställningen till sex och upplevelsen av den egna sexualiteten, vilket visas hos kvinnor som migrerat till västländer. / Background Genital mutilation is a thousand-year-old tradition that is still carried out in large parts of the world today. In genital mutilation, parts of the genitals are damaged or removed, and in some cases the labia are sewn together. In Sweden, female genital mutilation is an illegal act that violates human rights. Aim The aim was to investigate the experience of female genital mutilation regarding their ownsexuality.  Method A general literature review was carried out by database search in CINAHL and PubMed. The articles were reviewed using Caldwell's quality framework and the data analysis was performed through a thematic analysis based on 16 qualitative articles that answered the aim of the study. Results The findings clarified that the majority of women experience intercourse pain, reduced sensation in the abdomen and a lack of sexual function. However, some of the women describe that they can experience pleasure and achieve orgasm, but that it usually requires more time and stimulation. Several of the women can also feel pleasure when touching other erogenous parts of the body. The women see sex from a reproductive purpose, and it is considered their duty to satisfy the man sexually. It is common that the differences in sexual drive between the parties to cause problems in the relationship. Conclusion Female genital mutilation causes pain during intercourse and limits the woman's sexuality. The reduced sexual function affects the partner relationship negatively and many women want to avoid sexual intercourse. External factors influence the attitude to sex and the experience of one's own sexuality, which shows in women who have migrated to Western countries.

L’étude de l’intimité a été négligée chez les couples dont la femme présente une vulvodynie, un problème de santé sexuelle qui affecte négativement les femmes et leurs partenaires. Or, l’intimité a été associée à des indicateurs d’adaptation psychologique et conjugale auprès d’autres populations cliniques. L’objectif de la thèse était d’examiner les liens entre l’intimité et le bien-être sexuel chez les femmes présentant de la vulvodynie et leurs partenaires. Le but du premier article était d’examiner l’intimité conjugale et l’intimité sexuelle en lien avec la satisfaction sexuelle, la fonction sexuelle, le sentiment d’auto-efficacité face à la douleur et l’intensité de la douleur vulvo-vaginale de la femme. Quatre-vingt-onze femmes présentant de la vulvodynie et leurs partenaires ont complété des mesures auto-rapportées. Chez les femmes, une plus grande intimité sexuelle a été associée à une satisfaction sexuelle et à un sentiment d’auto-efficacité plus élevés. Des degrés plus élevés d’intimité conjugale et sexuelle ont été associés à une fonction sexuelle plus élevée. L’intimité sexuelle et conjugale n’ont pas été associées à l’intensité de la douleur. Le deuxième article visait, par une méthodologie observationnelle et des mesures auto-rapportées, à examiner les associations entre deux composantes centrales de l’intimité – le dévoilement et la réponse empathique – et la satisfaction et la détresse sexuelle chez cinquante femmes et leurs partenaires. Le dévoilement et la réponse empathique ont été évalués selon la perspective d’une observatrice formée et auto-rapportés par les couples après une tâche de discussion. Les femmes et les partenaires ayant une plus grande réponse empathique rapportaient eux-mêmes une satisfaction sexuelle plus élevée. Pendant la discussion, une plus grande réponse empathique chez les femmes a été associée à une plus grande satisfaction sexuelle chez leurs partenaires. Un plus grand dévoilement chez le couple, tel que perçu par les femmes et leurs partenaires, a été associé à une plus grande satisfaction sexuelle chez les partenaires. Une plus grande réponse empathique chez les femmes a été associée à une plus faible détresse sexuelle chez les partenaires. Un plus grand dévoilement chez le couple, tel que perçu par les partenaires, a été associé à une plus faible détresse sexuelle chez ces derniers. Les implications cliniques, théoriques et méthodologiques de la thèse sont discutées. / Intimacy has been a neglected area of research among couples coping with vulvodynia, a sexual health problem which has a negative impact on the sexual well-being of both the woman and her partner. Yet, intimacy has been associated with indicators of psychological and marital adjustment in other clinical populations. The main goal of this thesis was to investigate associations between intimacy and sexual well-being in women with vulvodynia and their partners. The first article aimed to examine relationship intimacy and sexual intimacy in relation to sexual satisfaction, sexual function, pain self-efficacy and pain during intercourse in women. Ninety-one women with vulvodynia and their partners completed self-report questionnaires. Women’s higher sexual intimacy was associated with their higher sexual satisfaction and pain self-efficacy. Women’s higher relationship intimacy and sexual intimacy were also associated with their higher sexual function. Relationship intimacy and sexual intimacy were not associated with pain intensity. Using a combination of observational and self-report methodologies, the second article aimed to investigate the associations between two central components of intimacy – empathic response and disclosure – and sexual satisfaction and distress among fifty women and their partners. Disclosure and empathic response were measured from the perspective of a trained observer and self-reported by women and their partners immediately following a discussion task. During the discussion, greater empathic response in women and partners were associated with their own higher sexual satisfaction. Greater women’s empathic response was associated with their partners’ higher sexual satisfaction. Greater disclosure in couples, as perceived by women and partners, was associated with higher partners’ sexual satisfaction. Greater empathic response in women was associated with partners’ lower sexual distress. Greater disclosure in couples, as perceived by partners, was associated with partners’ lower sexual distress. Clinical, theoretical, methodological implications of the thesis are discussed.

Introdução: A Síndrome dos Ovários Policísticos (SOP) é uma doença que acomete de 5 a 10% das mulheres. A SOP tem sido relacionada em alguns estudos à disfunção sexual, ao aumento da ansiedade e depressão e à redução da qualidade de vida. Essas alterações podem estar relacionadas às alterações fenotípicas da SOP como o aumento do peso e das circunferências de quadril e cintura resultantes do hiperandrogenismo. A alteração no estilo de vida, principalmente envolvendo a prática de exercícios físicos, tem sido relevante na melhora das condições de saúde. Até o momento, há poucos estudos avaliando os efeitos do treinamento físico aeróbio sobre a função sexual em mulheres com SOP. Objetivo: Avaliar o efeito do treinamento físico aeróbico na função sexual de mulheres com a Síndrome dos Ovários Policísticos. Métodos: Trata-se de um ensaio clínico controlado com alocação aleatória e randomização estratificada pelo índice de massa corporal (IMC) em 3 grupos paralelos: grupo treinamento aeróbio contínuo (GAC), grupo treinamento aeróbio intermitente (GAI) e grupo controle sem treinamento (GC), sendo GAC com 23 voluntárias, o GAI com 22 voluntárias e o GC com 24 voluntárias. As avaliações ocorreram antes e após o período de 16 semanas de intervenção do treinamento físico aeróbio ou de observação no grupo controle. Foi realizada dosagem plasmática de testosterona, antes e após a intervenção. A função sexual, o risco de ansiedade e depressão e a qualidade de vida foram avaliados respectivamente, por meio dos questionários validados para o Português: Índice de Função Sexual Feminina (IFSF), Escala de Ansiedade e Depressão Hospitalar (HAD), e Questionário de Qualidade de Vida - SF-36. Resultados: Houve diferença significante na RCQ no grupo GAI (p = 0.047) e redução nos níveis de testosterona nos grupos GAC (p < 0.01) e GAI (p = 0.04). Na avaliação do IFSF no GC não houve qualquer alteração antes e após as 16 semanas. Contudo no GAC ocorreu aumento nos escores IFSF total (p = 0.048), satisfação (p = 0.049) e dor (p = 0.03). No GAI foram observados aumentos nos escores: IFSF total (p < 0.01), desejo (p < 0.01), excitação (p < 0.01), lubrificação (p < 0.01), orgasmo (p < 0.01) e satisfação (p = 0.02). Já na avaliação do questionário HAD observou- se diminuição tanto na ansiedade (p = 0.01) e (p < 0.01), quanto na depressão (p < 0.01) e (p = 0.02) nos grupos GAC e GAI respectivamente. Com relação ao SF-36 no GAC foram identificados aumento do escores: aspectos físicos (p = 0.01); estado geral de saúde (p = 0.02); vitalidade (p < 0.01); aspectos sociais (p < 0.01); aspectos emocionais (p = 0.03) e saúde mental (p < 0.01). No GAI houve elevação dos escores: capacidade funcional (p < 0.01); estado geral de saúde (p < 0.01); vitalidade (p < 0.01); aspectos sociais (p < 0.01); aspectos emocionais (p = 0.03) e saúde mental (p < 0.01). Conclusão: Ambos os protocolos de treinamento físico aeróbio foram eficazes na melhora da função sexual, ansiedade e depressão e qualidade de vida, observando maior efetividade no treinamento físico aeróbio intermitente. / Introduction: Polycystic Ovarian Syndrome (PCOS) is a disease that affects 5 to 10% of women. PCOS has been linked in some studies to sexual dysfunction, increased anxiety and depression, and reduced quality of life. These changes may be related to phenotypic changes in PCOS such as increased weight and hip and waist circumferences resulting from hyperandrogenism. The change in lifestyle, mainly involving the practice of physical exercises, has been relevant in improving health conditions. To date, there are few studies evaluating the effects of aerobic exercise training on sexual function in women with PCOS. Objective: To evaluate the effect of aerobic physical training on the sexual function of women with Polycystic Ovarian Syndrome. Methods: This is a controlled clinical trial with random allocation and randomization stratified by body mass index (BMI) in 3 parallel groups: continuous aerobic training group (GAC), intermittent aerobic training group (GAI) and control group without training (GC), GAC with 23 volunteers, GAI with 22 volunteers and GC with 24 volunteers. Evaluations occurred before and after the 16-week intervention period of aerobic or observational physical training in the control group. Testosterone plasma levels were measured before and after the intervention. Sexual function, risk of anxiety and depression, and quality of life were evaluated, respectively, using validated questionnaires for Portuguese: Female Sexual Function Index (IFSF), Hospital Anxiety and Depression Scale (HAD), and Questionnaire Quality of Life - SF-36. Results: There was a significant difference in WHR in the GAI group (p = 0.047) and reduction in testosterone levels in the groups GAC (p <0.01) and GAI (p = 0.04). In the evaluation of IFSF in the CG there was no change before and after 16 weeks. However, in GAC, there was an increase in total IFSF (p = 0.048), satisfaction (p = 0.049) and pain (p = 0.03). GAI showed increases in scores: total IFSF (p <0.01), desire (p <0.01), excitation (p <0.01), lubrication (p <0.01), orgasm (p <0.01) and satisfaction (p = 0.02). In the evaluation of the HAD questionnaire, both anxiety (p = 0.01) and (p <0.01) and depression (p <0.01) and (p = 0.02) in the GAC and GAI groups respectively. Regarding the SF-36 in the GAC was identified increase of the scores: physical aspects (p = 0.01); general health status (p = 0.02); vitality (p <0.01); social aspects (p <0.01); emotional aspects (p = 0.03) and mental health (p <0.01). In GAI there was elevation of the scores: functional capacity (p <0.01); general health status (p <0.01); vitality (p <0.01); social aspects (p <0.01); emotional aspects (p = 0.03) and mental health (p <0.01). Conclusion: Both aerobic physical training protocols were effective in improving sexual function, anxiety and depression and quality of life, observing greater effectiveness in intermittent aerobic physical training.

No description available.

No description available.

Introdução: A Síndrome dos Ovários Policísticos (SOP) é uma doença que acomete de 5 a 10% das mulheres. A SOP tem sido relacionada em alguns estudos à disfunção sexual, ao aumento da ansiedade e depressão e à redução da qualidade de vida. Essas alterações podem estar relacionadas às alterações fenotípicas da SOP como o aumento do peso e das circunferências de quadril e cintura resultantes do hiperandrogenismo. A alteração no estilo de vida, principalmente envolvendo a prática de exercícios físicos, tem sido relevante na melhora das condições de saúde. Até o momento, há poucos estudos avaliando os efeitos do treinamento físico aeróbio sobre a função sexual em mulheres com SOP. Objetivo: Avaliar o efeito do treinamento físico aeróbico na função sexual de mulheres com a Síndrome dos Ovários Policísticos. Métodos: Trata-se de um ensaio clínico controlado com alocação aleatória e randomização estratificada pelo índice de massa corporal (IMC) em 3 grupos paralelos: grupo treinamento aeróbio contínuo (GAC), grupo treinamento aeróbio intermitente (GAI) e grupo controle sem treinamento (GC), sendo GAC com 23 voluntárias, o GAI com 22 voluntárias e o GC com 24 voluntárias. As avaliações ocorreram antes e após o período de 16 semanas de intervenção do treinamento físico aeróbio ou de observação no grupo controle. Foi realizada dosagem plasmática de testosterona, antes e após a intervenção. A função sexual, o risco de ansiedade e depressão e a qualidade de vida foram avaliados respectivamente, por meio dos questionários validados para o Português: Índice de Função Sexual Feminina (IFSF), Escala de Ansiedade e Depressão Hospitalar (HAD), e Questionário de Qualidade de Vida - SF-36. Resultados: Houve diferença significante na RCQ no grupo GAI (p = 0.047) e redução nos níveis de testosterona nos grupos GAC (p < 0.01) e GAI (p = 0.04). Na avaliação do IFSF no GC não houve qualquer alteração antes e após as 16 semanas. Contudo no GAC ocorreu aumento nos escores IFSF total (p = 0.048), satisfação (p = 0.049) e dor (p = 0.03). No GAI foram observados aumentos nos escores: IFSF total (p < 0.01), desejo (p < 0.01), excitação (p < 0.01), lubrificação (p < 0.01), orgasmo (p < 0.01) e satisfação (p = 0.02). Já na avaliação do questionário HAD observou- se diminuição tanto na ansiedade (p = 0.01) e (p < 0.01), quanto na depressão (p < 0.01) e (p = 0.02) nos grupos GAC e GAI respectivamente. Com relação ao SF-36 no GAC foram identificados aumento do escores: aspectos físicos (p = 0.01); estado geral de saúde (p = 0.02); vitalidade (p < 0.01); aspectos sociais (p < 0.01); aspectos emocionais (p = 0.03) e saúde mental (p < 0.01). No GAI houve elevação dos escores: capacidade funcional (p < 0.01); estado geral de saúde (p < 0.01); vitalidade (p < 0.01); aspectos sociais (p < 0.01); aspectos emocionais (p = 0.03) e saúde mental (p < 0.01). Conclusão: Ambos os protocolos de treinamento físico aeróbio foram eficazes na melhora da função sexual, ansiedade e depressão e qualidade de vida, observando maior efetividade no treinamento físico aeróbio intermitente. / Introduction: Polycystic Ovarian Syndrome (PCOS) is a disease that affects 5 to 10% of women. PCOS has been linked in some studies to sexual dysfunction, increased anxiety and depression, and reduced quality of life. These changes may be related to phenotypic changes in PCOS such as increased weight and hip and waist circumferences resulting from hyperandrogenism. The change in lifestyle, mainly involving the practice of physical exercises, has been relevant in improving health conditions. To date, there are few studies evaluating the effects of aerobic exercise training on sexual function in women with PCOS. Objective: To evaluate the effect of aerobic physical training on the sexual function of women with Polycystic Ovarian Syndrome. Methods: This is a controlled clinical trial with random allocation and randomization stratified by body mass index (BMI) in 3 parallel groups: continuous aerobic training group (GAC), intermittent aerobic training group (GAI) and control group without training (GC), GAC with 23 volunteers, GAI with 22 volunteers and GC with 24 volunteers. Evaluations occurred before and after the 16-week intervention period of aerobic or observational physical training in the control group. Testosterone plasma levels were measured before and after the intervention. Sexual function, risk of anxiety and depression, and quality of life were evaluated, respectively, using validated questionnaires for Portuguese: Female Sexual Function Index (IFSF), Hospital Anxiety and Depression Scale (HAD), and Questionnaire Quality of Life - SF-36. Results: There was a significant difference in WHR in the GAI group (p = 0.047) and reduction in testosterone levels in the groups GAC (p <0.01) and GAI (p = 0.04). In the evaluation of IFSF in the CG there was no change before and after 16 weeks. However, in GAC, there was an increase in total IFSF (p = 0.048), satisfaction (p = 0.049) and pain (p = 0.03). GAI showed increases in scores: total IFSF (p <0.01), desire (p <0.01), excitation (p <0.01), lubrication (p <0.01), orgasm (p <0.01) and satisfaction (p = 0.02). In the evaluation of the HAD questionnaire, both anxiety (p = 0.01) and (p <0.01) and depression (p <0.01) and (p = 0.02) in the GAC and GAI groups respectively. Regarding the SF-36 in the GAC was identified increase of the scores: physical aspects (p = 0.01); general health status (p = 0.02); vitality (p <0.01); social aspects (p <0.01); emotional aspects (p = 0.03) and mental health (p <0.01). In GAI there was elevation of the scores: functional capacity (p <0.01); general health status (p <0.01); vitality (p <0.01); social aspects (p <0.01); emotional aspects (p = 0.03) and mental health (p <0.01). Conclusion: Both aerobic physical training protocols were effective in improving sexual function, anxiety and depression and quality of life, observing greater effectiveness in intermittent aerobic physical training.

ÚVOD: Syndrom vyhoření relativně závažný problém projevující psychosomatickým onemocněním, emocionální vyčerpaností jedince. Vzniká především pomáhajících profesí, jako důsledek chronického stresu, ztráty motivace svém povolání CÍLE Cílem diplomové práce bylo zjistit syndrom vyhoření ovlivňuje sexualitu všeobecných sester pracovištích neodkladné péče v kultních nemocnicích. Výzkumné šetření probíhalo pomocí dvou dotazníků. První standardizovaný dotazník zjišťuje míru syndromu vyhoření, jde o českou verzi Shironomovy škály (Shirom, Melamed, 2006 in Ptáček 2013) Druhý dotazník je zaměřen na xuální funkce ženy (Mellan in Kratochvíl, 1999 . Výzkumný vzorek tvořily všeobecné sestry ženy, pracující na odděleních neodkladné péče v nefakultní nemocnici. VÝSLEDKY vyhodnocení dat bylo použito 62 dotazníků. Byly stanoveny čtyři pracovní hypotézy H1: Předpokládáme, že rozvojem syndromu vyhoření bude klesat žen pracujících jako všeobecná sestra odděleních neodkladné péče v nefakultních nemocnicích pohlavní touha. H2: Předpokládáme, že rozvojem syndromu vyhoření bude klesat acujících jako všeobecná sestra odděleních neodkladné péče nefakultních nemocnicích hodnocení sebe jako sexuální partnerky.H3: Předpokládáme, že nižším dosaženým vzděláním pracující odděleních neodkladné péče nefakultních nemocnicích budou dosahovat...

Introduction: The topic of burnout syndrome is a considerably up-to date topic worldwide and not completely thoroughly researched. The aim of the diploma thesis is to learn whether a higher rate of burnout syndrome has an effect on sexuality in non-medical male health workers in urgent care workplaces in teaching facilities. The topic of the syndrome has fascinated me as a healthcare worker in urgent care. The information obtained from the research work will be a partof an international study investigating the impact of the burnout syndrome on human health. In the Czech Republic, this research is conducted under the authority of PhDr. Šárka Dynáková, Ph.D. and doc. PhDr. Jana Kožnara, CSc. Methodology: The research was carried out using a quantitative method using two anonymous questionnaires. The research sample consisted of non-medical male health workers at urgent care facilities in teaching hospitals. The first standardized questionnaire is focused on the burnout syndrome according to the Czech version of the Shirom-Melamed scale (Shirom, Melamed, 2006 In Ptáček, 2013), the second questionnaire is focused on the sexual functions of men according to Mellan in Kratochvíl, S. (1999). A total of 100 questionnaires were distributed. 58 questionnaires were used for processing. Result: The influence...