Claudia Feio da Maia Lima

Cuidado terapêutico de enfermagem: transições da sexualidade do cônjuge-cuidador do idoso

To understand the transitions experienced, and the conditions and expected response patterns to changes in sexuality of the spouse-caregiver of the elderly,...Objective To understand the transitions experienced, and the conditions and expected response patterns to changes in sexuality of the spouse-caregiver of the elderly, during progression of the dementia process. Method A qualitative research study, conducted at the neurogeriatric clinic between May of 2014 and May of 2015. An intensive, individual interview was administered to 12 elderly caregivers. Thematic content analysis was applied, using the theoretical model of Transition Theory. Results Seven categories emerged, involving relationship and conjugal sexuality; disease repercussions; care and professional approach; attitudes, beliefs and social imagery of sexuality and care; family relationship and redefining of sexuality. Final considerations Family development and marital life, the aspects of formation and development of sexuality, the specifics that involved living and caring for the other were understood, with successive events and changes influenced by old age, dementia, beliefs and social imagery.

Cuidados terapéuticos de enfermería: transiciones de la sexualidad del cónyuge cuidadores de ancianos

To understand the transitions experienced, and the conditions and expected response patterns to changes in sexuality of the spouse-caregiver of the elderly,...Objective To understand the transitions experienced, and the conditions and expected response patterns to changes in sexuality of the spouse-caregiver of the elderly, during progression of the dementia process. Method A qualitative research study, conducted at the neurogeriatric clinic between May of 2014 and May of 2015. An intensive, individual interview was administered to 12 elderly caregivers. Thematic content analysis was applied, using the theoretical model of Transition Theory. Results Seven categories emerged, involving relationship and conjugal sexuality; disease repercussions; care and professional approach; attitudes, beliefs and social imagery of sexuality and care; family relationship and redefining of sexuality. Final considerations Family development and marital life, the aspects of formation and development of sexuality, the specifics that involved living and caring for the other were understood, with successive events and changes influenced by old age, dementia, beliefs and social imagery.

Therapeutic nursing care: transition in sexuality of the elderly caregiving spouse

To understand the transitions experienced, and the conditions and expected response patterns to changes in sexuality of the spouse-caregiver of the elderly,...Objective To understand the transitions experienced, and the conditions and expected response patterns to changes in sexuality of the spouse-caregiver of the elderly, during progression of the dementia process. Method A qualitative research study, conducted at the neurogeriatric clinic between May of 2014 and May of 2015. An intensive, individual interview was administered to 12 elderly caregivers. Thematic content analysis was applied, using the theoretical model of Transition Theory. Results Seven categories emerged, involving relationship and conjugal sexuality; disease repercussions; care and professional approach; attitudes, beliefs and social imagery of sexuality and care; family relationship and redefining of sexuality. Final considerations Family development and marital life, the aspects of formation and development of sexuality, the specifics that involved living and caring for the other were understood, with successive events and changes influenced by old age, dementia, beliefs and social imagery.

Sexualidade do cônjuge que cuida do idoso demenciado: revisão integrativa da literatura

O presente estudo teve o objetivo de identificar e analisar a produção científica da sexualidade do cônjuge que cuida do idoso em processo demencial. Realizou-se revisão integrativa de artigos científicos indexados nas bases Lilacs, Medline, CINAHL e Web of Science. Dos 208 artigos, 13 foram selecionados. Os dados foram analisados de acordo com a análise de conteúdo. Os resultados demonstraram que fatores relacionados às alterações provocadas pela demência intervêm de maneira significativa na frequência da atividade sexual do casal, levando ao declínio na intimidade. Por outro lado, um importante aspecto da sexualidade na demência está relacionado à substituição da atividade sexual por outros modos de demonstração de afetividade e intimidade física entre os cônjuges. Percebese que o campo de estudo acerca da atividade sexual na demência é promissor e indica a necessidade de novas pesquisas, que contribuam para abordagens mais cientificamente adequadas, incluindo aqui o cuidado terapêutico de Enfermagem.This study aimed to identify and analyze the scientific literature addressing the sexuality of spouse-caregivers of older adults with dementia. We searched the Lilacs, Medline, CINAHL and Web of Science databases and identified 208 articles, of which 13 were selected for inclusion in the study. The data were analyzed using content analysis. The results demonstrate that factors related to changes caused by dementia significantly affect couples’ frequency of sexual activity, leading to a decline in intimacy. Conversely, an important aspect of sexuality in dementia concerns the substitution of sexual activity for other ways of demonstrating affection and having physical intimacy. We propose that further studies are required to identify more scientifically appropriate approaches, including therapeutic nursing care.