Background: A lot of women who goes through a vaginal delivery will contract injuries due to the delivery. These injuries are termed as tears, prolapse, dyspareunia, incontinence and the symptoms can affect the women in their daily life. The nurse will get in contact with these women in different contexts when the women seek help for her problems. There is an estimated number of unknown cases that are caused by injuries from the delivery due partly to the normalization in the society. It can also be linked to the ignorance and absence from the health care. Aim: The purpose of the literary survey was to describe how life is affected due to the experiences of injuries from delivery. Method: The literature survey has been based on ten scientific articles of both qualitative and quantitative methods. The authors obtained the articles by searches in the databases Pubmed and Cinahl Complete. Results: From the result three main themes was extracted that was the main findings of how the women experiences their life quality due to the injuries from the delivery. A non-working body, physical, psychological, sexual and social limitations and moving on with life. Summary: Suffering a birth injury can be associated with loss of vital functions, pain, discomfort, worry, anxiety and depression. These can lead to the body being perceived as dysfunctional and entail limitations physically, psychologically, sexually and socially. A good treatment from healthcare is important to get the right diagnosis, treatment and support to be able to move on in life. / Background: A lot of women who goes through a vaginal delivery will contract injuries due to the delivery. These injuries are termed as tears, prolapse, dyspareunia, incontinence and the symptoms can affect the women in their daily life. The nurse will get in contact with these women in different contexts when the women seek help for her problems. There is an estimated number of unknown cases that are caused by injuries from the delivery due partly to the normalization in the society. It can also belinked to ignorance and absence from the health care. Aim: The purpose of the literary survey was to describe how life is affected due to the experiences of injuries from delivery. Method: The literature survey has been based on ten scientific articles of both qualitative and quantitative methods. The authors obtained the articles by searches in the databases Pubmed and Cinahl Complete. Results: From the result three main themes was extracted that was the main findings of how the women experiences their life quality due to the injuries from the delivery. A non-working body, physical, psychological, sexual and social limitations and moving on with life. Summary: Suffering a birth injury can be associated with loss of vital functions, pain, discomfort, worry, anxiety and depression. These can lead to the body being perceived as dysfunctional and entail limitations physically, psychologically, sexually and socially. A good treatment from healthcare is important to get the right diagnosis, treatment and support to be able to move on in life.

Hintergrund: Prävalenzdaten weisen auf einen hohen therapeutischen Versorgungsbedarf für sexuelle Dysfunktionen hin. Unser Ziel war es zu untersuchen, inwieweit ein solcher Bedarf bei Patienten einer psychotherapeutischen Hochschulambulanz besteht und inwieweit die sexuellen Probleme von vorwiegend in Ausbildung befindlichen Verhaltenstherapeuten erkannt und therapeutisch aufgegriffen werden. Patienten und Methoden: In einer Patientenstudie (Studie 1) wurden 173 Psychotherapiepatienten (16–64 Jahre, 71,7% Frauen) mittels des Kurzfragebogens Sexualität und Partnerschaft (KFSP) zu ihrem sexuellen Interesse, ihrer sexuellen Erregungsfähigkeit, ihrer Orgasmusfähigkeit, ihrer Erektionsbzw. Lubrikationsfähigkeit sowie ihrer sexuellen Zufriedenheit im letzten Monat befragt. In der Therapeutenstudie (Studie 2) wurde untersucht, ob 16 vorwiegend in Ausbildung befindliche Therapeuten Patienten mit bzw. ohne sexuelle Dysfunktion als solche erkennen und die Probleme thematisieren und behandeln. Ergebnisse: Je nach Problembereich äußert jede zweite bis dritte Frau bzw. jeder dritte bis fünfte Mann sexuelle Probleme. Therapeuten erkennen sexuelle Schwierigkeiten bei jedem zweiten Betroffenen. Sexualität wird bei jedem zweiten Patienten thematisiert. Jede dritte richtig erkannte Dysfunktion wird auch behandelt. Schlussfolgerung: Erkennen und Behandeln sexueller Dysfunktionen sollten im Rahmen der Ausbildung stärker berücksichtigt werden. / Prevalence data on sexual dysfunctions indicate a high need for therapy and health care for sexual problems. One of the study’s aims was to investigate the extent of that need in patients of a psychotherapeutic university outpatient clinic. Besides, we examined to what extent sexual problems are recognised and treated by behaviour therapists in training. Patients and Methods: In a patient study, we tested 173 outpatients (aged 16-64 years, 71.7% female) who were seeking psychotherapy. By completing the German version of the Massachusetts General Hospital Sexual Functioning Questionnaire, participants rated their sexual interest, their ability to sexual arousal, to experience orgasm, to attain erection/lubrication and their general sexual satisfaction in the past month. In a therapist study, we examined whether 16 therapists in training were able to differentiate between patients with and without sexual dysfunction, whether they brought up the topic during therapy and whether they treated the sexual dysfunction. Results: Depending on the type of problem, one out of two to three women and one out of three to five men report sexual problems. Therapists recognise sexual problems in half of the patients, and bring up the issue of sexuality in every second patient. In fact, every third case of sexual dysfunction is treated. Conclusion: Behaviour therapy training should put a stronger emphasis on the topic of ‘sexual dysfunctions’. / Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.

Sexual dysfunctions are serious mental health issues that impact an estimated one in three Americans. Due to the complex, relational nature of most sexual dysfunctions, mental health professionals trained to work with couples and their relationship interactions are likely to have better outcomes when treating clients with sexual dysfunction. Data from CIGNA Health Solutions was analyzed to explore differences in therapy outcome for various types of mental health professions when treating clients with sexual dysfunctions. The current research is a retrospective analysis of administrative data that explores whether or not type of profession (i.e. psychologists, Masters of social work, marriage and family therapist, or professional counselor) influences the outcome of mental health treatment. This study also explores whether therapy modality (i.e. individual, conjoint, or mixed mode, a combination of individual and conjoint therapy) influences therapy outcome. Treatment outcome was measured by recidivism rates, client drop out from therapy, the total number of sessions, and cost of treatment. Participants included 230 males and 189 females ages 18 to 101 (M =38.9, SD = 11.4) who received treatment for sexual disorders from 2001 to 2006. Participants were from all regions of the United States. Results indicate that overall, psychotherapeutic treatment for sexual dysfunctions is relatively brief, averaging about seven sessions across all professions. Results suggest that marriage and family therapists treat sexual dysfunctions using a conjoint and mixed mode approach more frequently than therapists with other licenses. Results also suggest that mixed mode therapy has drastically lower dropout rates and longer retention than individual or conjoint therapy. These results suggest that utilizing a combination of relational and individual sessions is beneficial to the treatment of sexual dysfunctions.

The aim of the study was to provide a platform for the male paraplegic to explore the implications of the disability on his sexuality. A qualitative research method was utilised. In-depth interviews were conducted during October 1995 and February 1996 using a sample often black male in-patients at the beginning of their rehabilitation program and during their initial hospitalisation at Kalafong Hospital in Pretoria. The results of the study indicated that the newly injured person has a great need to talk about the impact of the injury on his life. Three major areas of concern emerged: physical appearance, loss of control and independence and relationships. All three areas were perceived to have an impact on sexuality. Rejection of the redefined intimacy by the able-bodied spouse, was perceived as a threat to sexual adjustment. / Social Work

Made available in DSpace on 2016-07-27T14:20:53Z (GMT). No. of bitstreams: 1 Tayssa Andrade Batista Novato Machado.pdf: 1002749 bytes, checksum: fcfda75cce20c8e392a6858cdf2c5c06 (MD5) Previous issue date: 2015-08-31 / The present study aimed at modifying difficult (awkward) actions related to sexual behavior, such as comments related to dissatisfaction with the partner and the use of artificial lubricants, through general and specific behavioral interventions. With respect to general behavioral interventions we applied several techniques, like instruct through information, provide feedback, prioritize tasks, and provide models and instructions as positive reinforcement, while with specific behaviors we included teaching discriminative training of bodily responses before and during sexual intercourse. In addition, as a case study, it aimed to evaluate the antecedents and consequences of sexual dysfunction reported by a participant female of 26 years with a stable partner. The functional evaluation included procedures through an interview and a questionnaire. Further, we also used behavioral logging activity (self-monitoring). To demonstrate that interventions (independent variable) had effect on the dependent variable we used the design of alternating-type treatments (ABC) succeed by follow-up. The results showed decrease in behaviors-problem and increase of skilled actions related to sexual behavior, such as reports of satisfaction with the partner and vaginal lubrication response. / O presente estudo objetivou a modificação de ações inábeis relacionadas ao comportamento sexual, bem como dos relatos de insatisfação com o parceiro e do uso de lubrificantes artificiais, por meio de intervenções comportamentais gerais (instruir por meio de informações, fornecer feedbacks, hierarquizar tarefas, fornecer modelos e instruções e instruir o uso do reforçamento positivo) e específicas (ensinar o treino discriminativo das respostas corporais antes do coito e ensinar o treino discriminativo das respostas corporais durante o coito). Ainda objetivou avaliar os antecedentes e consequentes da disfunção sexual relatada por uma participante do sexo feminino, de 26 anos e com parceiro fixo. A avaliação funcional incluiu procedimentos indiretos por meio de uma entrevista e de um questionário. Também utilizou-se de uma atividade de registro comportamental (auto-observação). Para demonstração de que as intervenções (variável independente) é que produziram efeito sobre a variável dependente, foi empregado o delineamento de tratamentos alternados do tipo (ABC) seguido por follow-up. Os resultados demonstraram diminuição dos comportamentosproblema e aumento de ações hábeis relacionadas ao comportamento sexual, de relatos de satisfação com o parceiro e da resposta de lubrificação vaginal.

Purpose To evaluate the pelvic floor health knowledge base and presence of pelvic floor dysfunction (PFD) in women working in an office environment, and whether this knowledge significantly increases following a pelvic floor health education session and a re-education session. To assess whether this knowledge-acquisition leads to significant decrease in PFD. Participants Female volunteers (N=161), ages 18-69 years, were randomly allocated to Groups A, B or C. Methods Online surveys were completed by all groups on three occasions and included validated tools (Prolapse and Incontinence Knowledge Quiz, Pelvic Floor Distress Inventory-20, Pelvic Floor Impact Questionnaire-7) plus sexual function and pelvic floor muscle (PFM) exercise items. On completion of the baseline survey, an education session was given to Groups A and B only (Group C represented the controls). Following this, all participants completed the second survey. Two months later, to allow time for efficacy for the PFM exercises, a re-education presentation was given to Group A only, followed by the final survey administered to all. Analysis Of the 161 volunteers, 16 failed to complete all study requirements, leaving 145 questionnaires (Groups A and B n=48, Group C n=49) available for analysis using ANOVA and Descriptive Analysis. Results The knowledge base of the participants receiving the education showed highly significant improvement compared to the control group, and again for those receiving the re-education session. Although only 14% stated that they had PFD, the surveys revealed that 96% of the participants had PFD. The groups receiving the PFM exercise education and strategies to encourage healthier bladder and bowel habits showed significant decrease in PFD symptoms and increase in QoL. Education was successful in producing highly significant increases in knowledge, importance and commitment toward PFM exercise. Conclusion This study is unique as it evaluated pelvic floor health knowledge and presence of PFD of presumably healthy women within an office setting in contrast to patients seeking PFD medical attention. While further research is required, it is clear that low pelvic floor health knowledge was associated with high prevalence of PFD. Further, as knowledge/awareness significantly increased following education, so did QoL, while PFD significantly decreased.

Purpose To evaluate the pelvic floor health knowledge base and presence of pelvic floor dysfunction (PFD) in women working in an office environment, and whether this knowledge significantly increases following a pelvic floor health education session and a re-education session. To assess whether this knowledge-acquisition leads to significant decrease in PFD. Participants Female volunteers (N=161), ages 18-69 years, were randomly allocated to Groups A, B or C. Methods Online surveys were completed by all groups on three occasions and included validated tools (Prolapse and Incontinence Knowledge Quiz, Pelvic Floor Distress Inventory-20, Pelvic Floor Impact Questionnaire-7) plus sexual function and pelvic floor muscle (PFM) exercise items. On completion of the baseline survey, an education session was given to Groups A and B only (Group C represented the controls). Following this, all participants completed the second survey. Two months later, to allow time for efficacy for the PFM exercises, a re-education presentation was given to Group A only, followed by the final survey administered to all. Analysis Of the 161 volunteers, 16 failed to complete all study requirements, leaving 145 questionnaires (Groups A and B n=48, Group C n=49) available for analysis using ANOVA and Descriptive Analysis. Results The knowledge base of the participants receiving the education showed highly significant improvement compared to the control group, and again for those receiving the re-education session. Although only 14% stated that they had PFD, the surveys revealed that 96% of the participants had PFD. The groups receiving the PFM exercise education and strategies to encourage healthier bladder and bowel habits showed significant decrease in PFD symptoms and increase in QoL. Education was successful in producing highly significant increases in knowledge, importance and commitment toward PFM exercise. Conclusion This study is unique as it evaluated pelvic floor health knowledge and presence of PFD of presumably healthy women within an office setting in contrast to patients seeking PFD medical attention. While further research is required, it is clear that low pelvic floor health knowledge was associated with high prevalence of PFD. Further, as knowledge/awareness significantly increased following education, so did QoL, while PFD significantly decreased.

The aim of the study was to provide a platform for the male paraplegic to explore the implications of the disability on his sexuality. A qualitative research method was utilised. In-depth interviews were conducted during October 1995 and February 1996 using a sample often black male in-patients at the beginning of their rehabilitation program and during their initial hospitalisation at Kalafong Hospital in Pretoria. The results of the study indicated that the newly injured person has a great need to talk about the impact of the injury on his life. Three major areas of concern emerged: physical appearance, loss of control and independence and relationships. All three areas were perceived to have an impact on sexuality. Rejection of the redefined intimacy by the able-bodied spouse, was perceived as a threat to sexual adjustment. / Social Work

Made available in DSpace on 2016-12-12T17:32:57Z (GMT). No. of bitstreams: 1 Resumo Raquel Wolpe.pdf: 99095 bytes, checksum: e356fb43164282fda32c6e3bb12de5e9 (MD5) Previous issue date: 2014-08-08 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Métodos de investigação com questionários validados são considerados facilitadores internacionais para o avanço das pesquisas. O Female Sexual Function Index (FSFI) é um instrumento de avaliação da resposta sexual feminina utilizado universalmente. Sua forma original de resposta é a Likert, caracterizada como categórica, com respostas pré-estabelecidas. Outro tipo de formato de resposta é a Visual Analog Scale (VAS), a qual é contínua, oferece maior liberdade de resposta e permite o uso de estatísticas paramétricas. Analisando as vantagens da VAS, este estudo teve como objetivo geral avaliar o comportamento de risco, a validade e a reprodutibilidade do FSFI em forma de VAS em universitárias. E como objetivos específicos: adaptar, validar e testar a reprodutibilidade do FSFI aplicado no modelo VAS em universitárias; verificar a prevalência e a associação de disfunção sexual (DSF) em universitárias segundo o comportamento de risco e os fatores sociodemográficos, clínicos e ginecológicos. Para tal, a amostra do estudo foi composta por 246 mulheres universitárias. Estas responderam um questionário com dados sociodemográficos, clínicos e ginecológicos, o FSFI em seu formato original (FSFI-Likert) e o FSFI em forma de VAS (FSFI-VAS), adaptado por dois pesquisadores independentes e avaliado por um comitê de seis especialistas. Após 15 dias, as mesmas responderam novamente o FSFI-VAS e o National College Health Risk Behavior Survey. A análise de dados foi realizada com estatística descritiva e testes de correlação entre o FSFI-Likert e o FSFI-VAS (Spearman Rank), assim como entre o FSFI-VAS teste e reteste (Intraclass Correlation Coefficient). Adicionalmente, análises de associação e comparação (Qui-quadrado e U de Mann Whitney) foram realizadas entre a presença de disfunção sexual, gerada pelo escore total do FSFI, os dados sociodemográficos, clínicos, ginecológicos e o comportamento de risco. Como resultados, o teste Spearman Rank mostrou alta correlação entre os escores totais do FSFI-Likert e o FSFI-VAS (0.87). Todos os domínios alcançaram índices maiores que 0.70. O menor valor do Intraclass Correlation Coefficient foi 0.81. A maioria das mulheres eram sexualmente ativas (80,5%), dentre essas houve a prevalência de 23,7% de DSF. Os fatores associados à DSF foram: presença de infecção urinária (p=0,037), a frequência de relação sexual mensal (p=0,005) e uso de método contraceptivo oral (p=0,040). Concluiu-se que o FSFI-VAS é um instrumento válido e reprodutível e que o valor de prevalência intermediária de DSF em universitárias justificam a necessidade de elaboração de medidas de prevenção e promoção de saúde feminina.

In the diploma thesis, objectives were set that were intended to find out medical, mental and social problems of women after complicated childbirth and to compare the problems with those of women after physiological childbirth. The other objective was to find out what kinds of complicated deliveries occur in Nemocnice Písek, a.s. /Písek Hospital/ the most. Hypotheses were set for the objectives. The first hypothesis was to confirm that birth injuries after complicated childbirth are healed per secundam. The second hypothesis was to confirm that women after complicated childbirth feel that they will not manage care for their family. The third hypothesis was to confirm problems with economic support of a family in the cases of single mothers after complicated childbirth. The fourth hypothesis was to confirm that women after complicated childbirth do not have enough information about social security. The fifth hypothesis was to confirm that in Písek Hospital, the most frequent complicated deliveries include Cesarean sections.