Sexualité et blessure médullaire : comment l’accompagnement sexuel peut-il influencer la satisfaction sexuelle et la qualité de vie de la personne ?

Sexuality and spinal cord injury: how sexual rehabilitation can impact sexual satisfaction and the person’s quality of life?

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Summary :

Context. A spinal cord injury can have negative repercussions on sexuality, which can lead to suffering. Sexual rehabilitation can allow an improvement of the sexual independence, sexual autonomy and sexual health. Beyond the psycho-social support of the professional team, the activity analysis, the recommendation of technical aids and adaptations of the environment are perceived as enriching sexual rehabilitation.
Method. Ex-ploratory surveys made it possible to take stock of the sexological training of French occupational therapy students and to identify the different dimensions of sexual health. Three semi-structured interviews were conducted with professionals in order to create a data collection of their representations and practices. A survey was distributed to people with spinal cord injuries. We obtained 75 answers, allowing us to understand the patient’s point of view.
Results. It is possible to identify the patients’ needs and link them with the occupational therapist’s skills. In this sample, it appears that sexual rehabilitation can help improving sexual satisfaction and patients’ quality of life. This improvement appears to be greater if the support is provided by an interprofessional team including an occupational therapist.
Conclusion. Sexual rehabilitation can include recommendations for technical aids, adaptations of the environment and rehabilitation to develop motor skills. Sexual support can improve sexual satisfaction and the quality of life for individuals with spinal cord injury. Moreover, sexual rehabilitation realized by an occupational therapist working with an interprofes-sional team can improve the sexual satisfaction, sexual health and quality of life of individuals with spinal cord injury.

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Article rédigé par :
  • Charline Legendre-Lepinoy

    Ergothérapeute DE

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