Abstract：
OBJECTIVE: To describe and interpret the sexual health experiences of men with IBD.
METHODS: Interpretive qualitative study.
METHODS: In-depth, semi-structured interviews were conducted with 22 men with a diagnosis of Inflammatory Bowel Disease. Interviews were digitally audio-recorded and transcribed verbatim. Data were analysed using constant comparative, thematic analysis.
RESULTS: Three themes were identified from interview data: (1) the disease shapes intimate connections, (2) the disease thwarts sexual experiences and (3) the disease disrupts male gender norms. Men reported that active disease lowered libido and could change pre-, inter- and post-coital sexual practices. All participants noted that health professionals did not initiate the discussion of sexual health and well-being needs in the outpatient hospital setting. Men who engaged in receptive anal sex reported a lack of disease-specific guidance and understanding from professionals.
CONCLUSIONS: Inflammatory bowel disease can negatively impact the sexual well-being, gender identity and activities of men. Further research is required to identify the care preferences of men with IBD and clarify the barriers and facilitators to sexual health assessment so that nurses may better support the health needs of this population.
UNASSIGNED: This study highlights the need for sexual health and well-being support that is specific to disease and gender in IBD. There is a paucity of information and guidance for men with peri-anal disease and proctitis who engage in receptive anal sex, which requires urgent attention.
UNASSIGNED: Reporting follows the COREQ checklist.
UNASSIGNED: A patient and public involvement group informed the development of the study design. The group reviewed public facing documents and interview guides. One member of the group provided comments on the identified themes.
METHODS: Interpretive qualitative study.
METHODS: In-depth, semi-structured interviews were conducted with 22 men with a diagnosis of Inflammatory Bowel Disease. Interviews were digitally audio-recorded and transcribed verbatim. Data were analysed using constant comparative, thematic analysis.
RESULTS: Three themes were identified from interview data: (1) the disease shapes intimate connections, (2) the disease thwarts sexual experiences and (3) the disease disrupts male gender norms. Men reported that active disease lowered libido and could change pre-, inter- and post-coital sexual practices. All participants noted that health professionals did not initiate the discussion of sexual health and well-being needs in the outpatient hospital setting. Men who engaged in receptive anal sex reported a lack of disease-specific guidance and understanding from professionals.
CONCLUSIONS: Inflammatory bowel disease can negatively impact the sexual well-being, gender identity and activities of men. Further research is required to identify the care preferences of men with IBD and clarify the barriers and facilitators to sexual health assessment so that nurses may better support the health needs of this population.
UNASSIGNED: This study highlights the need for sexual health and well-being support that is specific to disease and gender in IBD. There is a paucity of information and guidance for men with peri-anal disease and proctitis who engage in receptive anal sex, which requires urgent attention.
UNASSIGNED: Reporting follows the COREQ checklist.
UNASSIGNED: A patient and public involvement group informed the development of the study design. The group reviewed public facing documents and interview guides. One member of the group provided comments on the identified themes.
摘要：
目的：描述和解释男性IBD患者的性健康经历。
方法：解释性定性研究。
方法：深入，我们对22名诊断为炎症性肠病的男性进行了半结构化访谈.访谈是数字录音和逐字转录的。使用恒定的比较分析数据，专题分析。
结果：从访谈数据中确定了三个主题：（1）疾病形成了紧密的联系，（2）疾病阻碍性经历，（3）疾病破坏男性性别规范。男性报告说，活动性疾病降低了性欲，并且可能会改变，性交前后的性行为。所有参与者都指出，卫生专业人员没有在门诊医院环境中发起关于性健康和福祉需求的讨论。从事接受性肛交的男性报告缺乏专业人员针对疾病的指导和理解。
结论：炎症性肠病可对性生活产生负面影响，男性的性别认同和活动。需要进一步的研究来确定IBD男性的护理偏好，并澄清性健康评估的障碍和促进者，以便护士可以更好地支持该人群的健康需求。
这项研究强调了对IBD中特定疾病和性别的性健康和福祉支持的需求。对于肛周疾病和直肠炎的男性进行接受性肛交的信息和指导很少，这需要紧急关注。
■报告遵循COREQ清单。
■患者和公众参与小组告知了研究设计的发展。该小组审查了面向公众的文件和采访指南。该小组的一名成员就确定的主题发表了评论。
方法：解释性定性研究。
方法：深入，我们对22名诊断为炎症性肠病的男性进行了半结构化访谈.访谈是数字录音和逐字转录的。使用恒定的比较分析数据，专题分析。
结果：从访谈数据中确定了三个主题：（1）疾病形成了紧密的联系，（2）疾病阻碍性经历，（3）疾病破坏男性性别规范。男性报告说，活动性疾病降低了性欲，并且可能会改变，性交前后的性行为。所有参与者都指出，卫生专业人员没有在门诊医院环境中发起关于性健康和福祉需求的讨论。从事接受性肛交的男性报告缺乏专业人员针对疾病的指导和理解。
结论：炎症性肠病可对性生活产生负面影响，男性的性别认同和活动。需要进一步的研究来确定IBD男性的护理偏好，并澄清性健康评估的障碍和促进者，以便护士可以更好地支持该人群的健康需求。
这项研究强调了对IBD中特定疾病和性别的性健康和福祉支持的需求。对于肛周疾病和直肠炎的男性进行接受性肛交的信息和指导很少，这需要紧急关注。
■报告遵循COREQ清单。
■患者和公众参与小组告知了研究设计的发展。该小组审查了面向公众的文件和采访指南。该小组的一名成员就确定的主题发表了评论。
