尿失禁術後對性生活的影響

The Effect of Surgical Operation for Incontinence on Sexual Life

性生活本該是美滿、甜蜜的，然而；當雙方的需求與認知不同時，內心的掙扎與傷害是無以倫比的，本篇以照護一位在青春期被賣做人婦的尿失禁婦女，於更年期面對尿失禁術後，性生活的恐懼與其因應行為之護理經驗呈現。護理期間自民國90年10月23日至91年01月10日，以田野研究法透過會談、觀察、傾聽等技巧、及Gorden十一項健康型態護理評估收集資料，將所得資料加以整理、分析及依據護理專業知能提供適當的護理措施，協助個案維持身、心之完整並建立正確的性觀念，引導其走出痛苦的生活模式。並協助個案以問題解決法取代情緒導向之因應行為，進而解除家庭危機並增進性生活之品質，對其身、心健康的恢復與配偶的關係有莫大的影響。

Sexual life is supposed to be happy and sweet, but when the desire and understanding of two partners differ, the mental conflict and damages can be miserable. This paper presented the nursing experience of a female incontinence patient, who was sold to a marriage in her adolescence, and faced fear for sexual life due to incontinence operation during her menopause, and her coping behaviors. The nursing period spanned from October 23, 2001 to January 10, 2002. The study employed field research method and interview, observation, listening techniques to collect data on Gorden’s eleven health nursing evaluation. The findings were compiled and analyzed to suggest appropriate nursing measures based on the professional nursing knowledge, for the purpose of maintaining the wholeness of the case’s mind and body and guiding the case out of a painful life style with correct sexual concepts. The study also helped the case to resolve family problems and improve the quality of life by replacing emotionoriented coping behaviors with problem-solving skills, and resulted in positive effect on the recovery of body, mind, and health, as well as the relationship with her partner.