Sexual Functioning and Patient-Reported Concerns After Stroke: An Integrated Mixed-Methods Study in Clinical Rehabilitation.
Background/Objectives: Sexual health is frequently under-addressed after stroke, despite its relevance to intimacy, identity, relationships, and rehabilitation. This convergent mixed-methods study integrated sex-specific screening with descriptive narrative material to examine sexual functioning and...
| Publicado en: | Nursing Reports Vol. 16; no. 7; pp. 243 - 264 |
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| Autores principales: | , , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
MDPI
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195804761&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195804761 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Jul2026 vid: 16 iid: 7 pid: 97109 pub: MDPI artinfo: ui: 195804761 195804761 195804761 10.3390/nursrep16070243 195804761 ppf: 243 ppct: 21 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Sexual Functioning and Patient-Reported Concerns After Stroke: An Integrated Mixed-Methods Study in Clinical Rehabilitation. aug: au: Manuli, Alfredo Maggio, Maria Grazia Calderone, Andrea Bonanno, Lilla Tomasello, Provvidenza Pucci, Caterina De Francesco, Morena Pucciarelli, Gianluca Calabrò, Rocco Salvatore affil: Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy sug: subj: Sexuality Evaluation Stroke Patients Stroke Rehabilitation Patient Attitudes Sexual Health Human Multimethod Studies Adult Scales Semi-Structured Interview Quantitative Studies Qualitative Studies Fear Embarrassment Communication Support, Psychosocial Quality of Life Hamilton Rating Scale for Depression Psychological Tests Questionnaires Dyadic Adjustment Scale Spearman's Rank Correlation Coefficient Wilcoxon Rank Sum Test Data Analysis Software Funding Source Patient Centered Care Adult: 19-44 years ab: Background/Objectives: Sexual health is frequently under-addressed after stroke, despite its relevance to intimacy, identity, relationships, and rehabilitation. This convergent mixed-methods study integrated sex-specific screening with descriptive narrative material to examine sexual functioning and patient-reported concerns in clinical rehabilitation. Methods: Twenty-six adults were assessed: ten with the Female Sexual Function Index (FSFI), sixteen with an International Index of Erectile Function six-item field (IIEF-6), and ten with analyzable semi-structured interview responses. The sex-specific measures were analyzed separately. Continuous variables were summarized by median and interquartile range; nonparametric correlations and group comparisons underwent Benjamini–Hochberg false discovery rate correction. Quantitative and qualitative findings were integrated in a participant-level joint display. This integration yielded case-level meta-inferences rather than inferential mixed-methods testing in this sample. Results: Nine of ten FSFI profiles and nine of sixteen IIEF-6 profiles met the respective exploratory threshold for possible dysfunction. No association or group comparison remained statistically significant after correction. Six of eighteen threshold-positive profiles had analyzable interviews, twelve represented narrative silence, and four interviewed participants were threshold-negative. Narratives documented fear, embarrassment, reduced desire or sexual frequency, relational or communication change, support needs, clinical sequelae, and positive or neutral adaptation. Screening and narratives showed convergence, complementarity, and divergence: low scores did not establish personal distress, whereas concerns could occur above a threshold. Conclusions: Responsive sexual rehabilitation should combine confidential, permission-based, patient-led screening and narrative inquiry with individualized information, optional support, appropriate referral, and reassessment according to readiness. These preliminary, hypothesis-generating findings do not validate an intervention or support confirmatory inference. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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