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Abstract(s)
Introdução A velhice é uma etapa do ciclo vital em relação à qual existem estereótipos sobre
vårias dimensÔes, entre as quais a sexualidade, que é, frequentemente, desvalorizada, negada
e até ridicularizada, sendo, no entanto, além de um direito, fundamental para o bem-estar e
qualidade de vida. As pessoas idosas institucionalizadas, principalmente as que apresentam
demĂȘncia, constituem um grupo com dificuldades acrescidas na vivĂȘncia e expressĂŁo dos seus
interesses sexuais devido Ă redução da autonomia e privacidade e Ă s dificuldades inerentes Ă
patologia. Desta forma, os profissionais assumem um papel importante para evitar a
inadequação da conduta sexual e, ao mesmo tempo, promover pråticas que satisfaçam as
necessidades sexuais.
Objetivos Este estudo pretende caracterizar e comparar comportamentos dos profissionais
portugueses que trabalham com pessoas idosas institucionalizadas, perante situaçÔes de
relaçÔes sexuais em que um dos utentes tem demĂȘncia ou quando ambos tĂȘm ou nĂŁo essa
condição clĂnica. Outro propĂłsito da investigação consiste em avaliar a frequĂȘncia com que os
profissionais se deparam com a ocorrĂȘncia de relaçÔes sexuais entre os que cuidam e a
periodicidade com que acontecem no seu local de trabalho.
Materiais e MĂ©todos Participaram no estudo 538 profissionais de 29 Estruturas Residenciais para
Idosos portuguesas. A recolha de dados foi feita entre fevereiro e abril de 2019, com recurso a
um questionårio em papel, em forma de vinhetas técnicas, desenvolvido por Villar e
colaboradores (2017) em Espanha, com posterior tradução e retroversão para a população
portuguesa. Os dados foram analisados com o programa Software Package for Social Sciences
versĂŁo 25.0, recorrendo Ă estatĂstica descritiva e inferencial, considerando-se o nĂvel de
significĂąncia de 0.05.
Resultados Os resultados revelaram que as relaçÔes sexuais são entendidas pelos profissionais
como problemĂĄticas, principalmente os casos que envolvem utentes com demĂȘncia. Nas trĂȘs
situaçÔes apresentadas, a reação mais selecionada foi âComentar o sucedido com a supervisĂŁo
ou direçãoâ. As prĂĄticas restritivas foram mais frequentemente escolhidas quando apenas um
utente tem demĂȘncia.
ConclusĂŁo A existĂȘncia de dificuldades e de atitudes negativas perante a sexualidade de
utentes com demĂȘncia sugere a necessidade de se providenciar aos profissionais
formaçÔes/intervençÔes/protocolos claros para situaçÔes sexuais especĂficas, de forma a dotĂĄlos de conhecimentos e estratĂ©gias que permitam que os residentes possam desfrutar da sua
sexualidade.
Introduction The old age is a state of the life cycle where we usually find stereotypes concerning several dimensions. Among these the sexuality (despite being a right) is often undervalued, denied, and even ridiculed, despite it is an essential dimension of welfare and life quality. Institutionalized elderly people, especially those with dementia, have greater obstacles in the way of living and expressing their sexual interests due the reduced autonomy and privacy and the difficulties inherent to their pathology. Thus, professionals play an important role in preventing inappropriate sexual conduct as well as in promoting practices that meet sexual needs. Objectives This study aims to characterize and compare the behavior of Portuguese professionals who work with institutionalized elderly people in situations of sexual intercourse in which one of the users has dementia or when both have or not this clinical condition. Another purpose of the research consists of evaluating the frequency with which professionals encounter sexual intercourse and how often they occur in their workplace. Materials and Methods 538 professionals from 29 portuguese long-term care facilities participated in the study. Data were collected between February and April 2019 using a paper questionnaire in the form of technical vignettes, developed by Villar et al. (2017) in Spain, with subsequent translation and retroversion for the Portuguese population. Data were analyzed using Software Package for Social Sciences, version 25.0, and were subjected to descriptive and inferential statistics with a significance level of 0.05. Results The results revealed that sexual relations are perceived by professionals as problematic, especially in cases where users suffer from dementia. In the three situations presented the most selected reaction was âComment on what happened with supervision or directionâ. The most restrictive practices were most often chosen when only one user has dementia. Conclusion The existence of difficulties and negative attitudes towards the sexuality of patients with dementia suggests the need to provide professionals with clear training / interventions / protocols for specific sexual situations, in order to provide them with knowledge and strategies that allow residents to enjoy their sexuality.
Introduction The old age is a state of the life cycle where we usually find stereotypes concerning several dimensions. Among these the sexuality (despite being a right) is often undervalued, denied, and even ridiculed, despite it is an essential dimension of welfare and life quality. Institutionalized elderly people, especially those with dementia, have greater obstacles in the way of living and expressing their sexual interests due the reduced autonomy and privacy and the difficulties inherent to their pathology. Thus, professionals play an important role in preventing inappropriate sexual conduct as well as in promoting practices that meet sexual needs. Objectives This study aims to characterize and compare the behavior of Portuguese professionals who work with institutionalized elderly people in situations of sexual intercourse in which one of the users has dementia or when both have or not this clinical condition. Another purpose of the research consists of evaluating the frequency with which professionals encounter sexual intercourse and how often they occur in their workplace. Materials and Methods 538 professionals from 29 portuguese long-term care facilities participated in the study. Data were collected between February and April 2019 using a paper questionnaire in the form of technical vignettes, developed by Villar et al. (2017) in Spain, with subsequent translation and retroversion for the Portuguese population. Data were analyzed using Software Package for Social Sciences, version 25.0, and were subjected to descriptive and inferential statistics with a significance level of 0.05. Results The results revealed that sexual relations are perceived by professionals as problematic, especially in cases where users suffer from dementia. In the three situations presented the most selected reaction was âComment on what happened with supervision or directionâ. The most restrictive practices were most often chosen when only one user has dementia. Conclusion The existence of difficulties and negative attitudes towards the sexuality of patients with dementia suggests the need to provide professionals with clear training / interventions / protocols for specific sexual situations, in order to provide them with knowledge and strategies that allow residents to enjoy their sexuality.
Description
Keywords
Atitudes dos Profissionais DemĂȘncia Idosos Institucionalizados Sexualidade