护士在发展智障儿童保健和护理服务方面负有重要责任。这是因为通常是护士在各种护理和治疗服务中首先遇到孩子。护士提供性保健的障碍尚未明确发现。这项研究旨在确定护士在智障儿童性健康教育交流方面遇到的障碍。这项研究是通过深入访谈对19名护士进行的。采用专题分析法进行数据分析。出现了四个主题,与护士对智障儿童进行性健康教育的沟通障碍有关:(1)护士与患者的沟通,(2)个人层面的沟通,(3)家庭层面的沟通,(4)制度因素。这些障碍包括缺乏儿童知识,家庭,和护士,机构支持不足,对家庭的性行为和污名化的态度,以及通过儿童的攻击行为预防性健康教育服务。建议对护士和家庭进行性健康教育,以最大程度地减少智障儿童的性健康问题。还应培训护士性健康政策以及如何将其付诸实施。
Nurses have important responsibilities in the development of health and care services for children with intellectual disabilities. This is because it is usually the nurse who first encounters the child in all kinds of care and treatment services. Barriers to the provision of sexual healthcare by nurses have not yet been clearly discovered. This
study aimed to identify the barriers experienced by nurses regarding communication for sexual health education for children with intellectual disabilities. This
study was carried out with 19 nurses through in-depth interviews. The thematic analysis method was used for data analysis. Four themes emerged related to barriers in communication for sexual health education for children with intellectual disabilities by nurses as (1) communication of nurses with their patients, (2) communication on an individual level, (3) communication on the family level, and (4) institutional factors. These barriers included the lack of knowledge of children, families, and nurses, insufficient institutional support, attitudes towards sexuality and stigmatization of the family, and the prevention of sexual health education services by the aggressive behaviors of children. It is recommended to provide sexual health education to nurses and families to minimize problems in the sexual health of children with intellectual disabilities. Nurses should also be trained on sexual health policy and how to put it into practice.