Influence of Sexuality on the Health of the Elderly in Process of Dementia: Integrative Review

Edison Vitório de Souza Júnior, Cristiane dos Santos Silva, Poliana Souza Lapa, Laís Emily Souza Trindade, Benedito Fernandes da Silva Filho, Namie Okino Sawada

Resumen


Influencia de la sexualidad en la salud del anciano con demencia: revisión integradora

Influência da sexualidade na saúde dos idosos em processo demencial: revisão integrativa

Objetivo: averiguar la influencia de la sexualidad en la salud de los ancianos con demencia.

Materiales y métodos: se trata de una revisión integradora. Se realizó una búsqueda cuidadosa en nueve bases de datos; sin embargo, solo cinco bases de datos proporcionaron artículos que cumplían con el alcance del estudio: Medline, Lilacs, BDENF, Scopus y WoS. Se adoptaron los Descriptores en Ciencias de la Salud (DeCS): “sexualidad”, “demencia” y “ancianos”, y los descriptores catalogados en los Medical Subject Headings (MeSH): “sexuality”, “dementia” y “aged”. Luego de aplicar los criterios de inclusión, seleccionamos ocho artículos que comprendían la muestra del estudio.

Resultados: el ejercicio de la sexualidad influye en la salud de los ancianos con demencia con algunos efectos beneficiosos, ya que proporciona, especialmente, una mejor percepción de la calidad de vida y el bienestar. Sin embargo, no se puede generalizar en razón de la insuficiencia metodológica evidenciada en los estudios encontrados para la construcción de esta revisión.

Conclusiones: debido a la limitación de los estudios que abordan el tema y la insuficiencia metodológica de los incluidos en la presente revisión, es necesario desarrollar investigaciones que demuestren con profundidad la influencia de la sexualidad en esta población, ya que se puede constituir como otro enfoque para la promoción y protección de la salud de los ancianos con demencia.

Para citar este artículo / To reference this article / Para citar este artigo

Souza Júnior EVSilva CSLapa PSTrindade LESSilva Filho BFSawada NO. Influence of Sexuality on the Health of the Elderly in Process of Dementia: Integrative Review. Aquichan. 2020;20(1):e2016. DOI: https://doi.org/10.5294/aqui.2020.20.1.6

Recibido: 29/10/2019

Aceptado: 23/01/2020

Publicado: 13/03/2020


Palabras clave


Salud pública; salud del anciano; demencia; calidad de vida; promoción de la salud

Referencias


Bauer M, Fetherstonhaugh D, Tarzia L, Nay R, Beattie E. Supporting residents’ expression of sexuality: the initial construction of a sexuality assessment tool for residential aged care facilities. BMC Geriatr. 2014;14:82. DOI: https://doi.org/10.1186/1471-2318-14-82

Maataoui SL, Hardwick JS, Lundquist TS. Creating space for relationships. Psychol Serv. 2017;14(3):347-51. DOI: https://psycnet.apa.org/doi/10.1037/ser0000179

Nóbrega TMA, Vasconcelos SC, Beserra PJF, Bittencourt GKGD, Nóbrega MML. Impact of sexuality in the life of the elderly person: integrative review. IJDR [internet]. 2017 [cited 2019 Oct 1];7(10):16124-32. Available from: https://www.journalijdr.com/sites/default/files/issue-pdf/10340.pdf

Lobaína EC, Cortés JTA, Hechavarría GAP, González PF, Verdecia RR. Salud sexual en ancianos de un consultorio médico de la familia. MEDISAN [Internet]. 2017 [cited 09 Aug. 2019];21(7):857-65. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192017000700012&lng=es

Queiroz MAC, Lourenço RME, Coelho MMF, Miranda KCL, Barbosa RGB, Bezerra STF. Social representations of sexuality for the elderly. Rev Bras Enferm. 2015;68(4):662-7. DOI: https://doi.org/10.1590/0034-7167.2015680413i

Saddi, L. Erotismo: e onde fica o amor? Ide [internet]. 2011 [cited 10 Jan. 2020]; 34(52); 206‑10. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S0101-31062011000100020&lng=pt&nrm=iso

Carvalho RA. A estetização do erotismo em Caio Fernando Abreu [dissertation] [internet]. São Paulo: Universidade Presbiteriana Mackenzie; 2008 [cited 10 Jan. 2020]. Available from: http://tede.mackenzie.br/jspui/bitstream/tede/2275/1/Renata Augusto de Carvalho.pdf

Rico J. Sensualidade e Erotismo para Leigos. Rio de Janeiro: Alta Books; 2016.

Miranda CES. Abordagem do discurso amoroso na perspectiva da Análise do Discurso e da Psicanálise [thesis] [internet]. Belo Horizonte: Universidade Federal de Minas Gerais; 2008 [cited 10 Jan. 2020]. Available from: https://repositorio.ufmg.br/handle/1843/DAJR-88TGGX

Rodríguez IB, Vega EAA. Apuntes sobre sexualidad, erotismo y amor. Inter Sedes [internet]. 2002 [cited 10 Jan. 2020];3(4):73-82. Available from: https://www.redalyc.org/pdf/666/66630408.pdf

Waite LJ, Iveniuk J, Laumann EO, McClintock MK. Sexuality in Older Couples: Individual and Dyadic Characteristics. Arch Sex Behav. 2017;46(2)605-18. DOI: https://doi.org/10.1007/s10508-015-0651-9

Chirinda W, Zungu N. Health status and years of sexually active life among older men and women in South Africa. Reprod health matters. 2016;24(48):14-24. DOI: https://doi.org/10.1016/j.rhm.2016.11.004

Stoffelen JMT, Herps MA, Buntinx WHE, Schaafsma D, Kok G, Curfs LMG. Sexuality and individual support plans for people with intellectual disabilities. J Intellect Disabil Res. 2017;61(12):1117-29. DOI: https://doi.org/10.1111/jir.12428

Even-Zohar A, Werner S. Older Adults and Sexuality in Israel: Knowledge, Attitudes, Sexual Activity and Quality of Life. J Aging Sci [internet]. 2019 [cited 2019 Oct. 10];7(3):209. Available from: https://www.longdom.org/open-access/older-adults-and-sexuality-in-israel-knowledge-attitudes-sexual-activity-and-quality-of-life.pdf

Vera SO, Sousa GN, Araújo SNM, Alencar DC, Silva MGP, Dantas LRO. Sexuality and quality of life of the ostomy patient: reflections for nursing care. Reon Facema [internet]. 2017 [cited 2019 Oct. 10];3(4):788-93. Available from: https://www.facema.edu.br/ojs/index.php/ReOnFacema/article/view/278

Peña GM, Rodríguez YL, Lianes LL, Alzugaray MG, Carballo GO, Seijas EA et al. El deseo sexual en varones adultos mayores, su relación con la testosterona sérica y otros factores. Rev Cubana Endocrinol [internet]. 2016 [cited 10 Aug. 2019];27(1):29-44. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532016000100004

Cal JO, Vital MG, Naranjo MF. Sexualidad en el anciano: un elemento importante en su calidad de vida. Rev Cubana Med Gen Integr [internet]. 2001 [cited 10 Aug. 2019];17(6):545‑7. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252001000600006

Bauer M, Haesler E, Fetherstonhaugh D. Let’s talk about sex: older people’s views on the recognition of sexuality and sexual health in the health-care setting. Health Expect. 2016;19(6):1237-50. DOI: https://doi.org/10.1111/hex.12418

Eymann A, Baquero F, Bellomo MM, Busaniche J, Usandivaras I, Catsicaris C. Before and after assessment of a sexuality workshop in high-school students. Arch Argent Pediatr. 2019;117(5):e477-84. DOI: https://doi.org/10.5546/aap.2019.eng.e477

Araújo LF, Carlos KPT. Sexualidade na velhice: um estudo sobre o envelhecimento LGBT. Psicol Conoc Soc. 2018;8(1):188-205. DOI: https://doi.org/10.26864/pcs.v8.n1.10

Shirin H. Sexuality and older people: a neglected issue, Reprod Health Matters. 2016;24(48):1-5. DOI: https://doi.org/10.1016/j.rhm.2016.11.011

Zambrano-Plata GE, Bautista-Rodríguez LM, López VS. Imaginarios de sexualidad en estudiantes universitarios. Rev salud pública. 2018;20(4):408-14. DOI: https://doi.org/10.15446/rsap.v20n4.52320

Wilkins JM. More than Capacity: Alternatives for Sexual Decision Making for Individuals with Dementia. The Gerontologist. 2015;55(5):716-23. DOI: https://doi.org/10.1093/geront/gnv098

Marques ADB, Silva RP, Sousa SS, Santana RS, Deus SRM, Amorim RF. A vivência da sexualidade de idosos em um centro de convivência. R Enferm Cent O Min [internet]. 2015 [cited 10 Aug. 2019];5(3):1768-83. Available from: http://www.seer.ufsj.edu.br/index.php/recom/article/view/913

Miranda GMD, Mendes ACG, Silva ALA. O envelhecimento populacional brasileiro: desafios e consequências sociais atuais e futuras. Rev bras geriatra gerontol. 2016;19(3):507-19. DOI: https://doi.org/10.1590/1809-98232016019.150140

Pereira D, Ponte F, Costa E. Preditores das atitudes negativas face ao envelhecimento e face à sexualidade na terceira idade. Análise Psicológica. 2018;36(1):31-46. DOI: https://doi.org/10.14417/ap.1341

Coelho DNP, Danter DV, Santana RF, Santo FHE. Percepção de mulheres idosas sobre sexualidade: implicações de gênero e no cuidado de enfermagem. Rev Rene [internet]. 2010 [cited 10 Jan. 2020];11(4):163-73. Available from: http://www.periodicos.ufc.br/rene/article/view/4641

DeLamater J. Sexual expression in later life: a review and synthesis. J Sex Res. 2012;49(2-3):125-41. DOI: https://doi.org/10.1080/00224499.2011.603168

Alencar DL, Marques APO, Leal MCC, Vieira JCM. Fatores que interferem na sexualidade de idosos: uma integrative review. Ciênc saúde coletiva. 2014; 19(8):3533-42. DOI: https://doi.org/10.1590/1413-81232014198.12092013

Benbow SM, Beeston D. Sexuality, aging, and dementia. Int Psychogeriatr. 2012;24(7):1026-33. DOI: https://doi.org/10.1017/S1041610212000257

Fabà J, Villar F. Demencia y comportamientos sexualmente inapropiados (CSI): Qué sabemos y qué necesitamos saber. Rev Kairós [internet]. 2011[cited 23 Sept. 2019];14(5):25-47. Available from: https://revistas.pucsp.br/kairos/article/view/9898/7351

Taylor A, Gosney MA. Sexuality in older age: essential considerations for healthcare professionals. Age Ageing. 2011;40(5):538-43. DOI: https://doi.org/10.1093/ageing/afr049

Tupy S, Schumann M, Xu X. Sexual Activity and Older Adults: Stigma, Overall Health, and Research. Journal of Positive Sexuality [internet]. 2015 [cited 2019 Oct. 01];1:50-55. Available from: https://www.researchgate.net/publication/283491992_Sexual_activity_and_older_adults_Stigma_overall_health_and_research

Vieira KFL, Coutinho MPL, Saraiva ERD. A Sexualidade na velhice: representações sociais de idosos frequentadores de um Grupo de Convivência. Psicol Ciênc Prof. 2016;36(1):196-209. DOI: https://doi.org/10.1590/1982-3703002392013

Gewirtz-Meydan A, Hafford-Letchfield T, Benyamini Y, Phelan A, Jackson J, Ayalon L. Ageism and Sexuality. In: Ayalon L, Tesch-Römer C, eds. Contemporary Perspectives on Ageism. International Perspectives on Aging, 2018;19:149-162. Switzerland: Springer, Cham Ageism and Sexuality. Contemporary Perspectives on Ageism. DOI: https://doi.org/10.1007/978-3-319-73820-8_10

Traeen B, Carvalheira AA, Hald GM, Lange T, Kvalem IL. Attitudes Towards Sexuality in Older Men and Women Across Europe: Similarities, Differences, and Associations with their Sex Lives. Sexuality & Culture. 2019;23(1):1-25. DOI: https://doi.org/10.1007/s12119-018-9564-9

Cipriani G, Ulivi M, Danti S, Lucetti C, Nuti A. Sexual disinhibition and dementia. Psychogeriatrics. 2016;16(2):145-53. DOI: https://doi.org/10.1111/psyg.12143

Dhingra I, Sousa A, Sonavane S. Sexuality in older adults: Clinical and psychosocial dilemmas. J Geriatr Ment Health. 2016;3:131-9. DOI: https://doi.org/10.4103/2348-9995.195629

Nogueira MML, Brasil D, Sousa MFB, Santos RL, Dourado MCN. Satisfação sexual na demência. Rev Psiquiatr clín. 2013;40(2):77-80. DOI: https://doi.org/10.1590/S0101-60832013000200005

Abdo CH. Sexuality and couple intimacy in dementia. Curr Opin Psychiatry. 2013;26(6):593-8. DOI: https://doi.org/10.1097/YCO.0b013e328365a262

Souza MT, Silva MD, Carvalho R. Revisão integrativa: o que é e como fazer. Einstein. 2010;8(1 Pt 1):102-6. DOI: https://doi.org/10.1590/s1679-45082010rw1134

Garcia AKA, Fonseca LF, Aroni P, Galvão CM. Strategies for thirst relief: integrative literature review. Rev Bras Enferm. 2016;69(6):1148-55. DOI: https://doi.org/10.1590/0034-7167-2016-0317

Santos CMC, Pimenta CAM, Nobre MRC. A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Rev Latino-Am Enfermagem. 2007;15(3):508-11. DOI: https://doi.org/10.1590/S0104-11692007000300023

Prisma. Transparent reporting of systematic reviews and meta-analyses [internet] [cited 2019 Oct. 14]. Available from: http://www.prisma-statement.org/

Caixeta L. Demência frontotemporal subdiagnosticada. Arq Neuro-Psiquiatr. 2005;63(1):186-6. DOI: https://doi.org/10.1590/S0004-282X2005000100036

Ercole FF, Melo LS, Alcoforado CLGC. Integrative review versus systematic review. Rev Min Enferm. 2014;18(1):9-12. DOI: https://doi.org/10.5935/1415-2762.20140001

Lima CFM, Trotte LAC, Souza TA, Ferreira AMO, Caldas GP. Sexualidade do cônjuge que cuida do idoso demenciado: revisão integrativa da literatura. Rev Min Enferm. 2015;19(2):211-7. DOI: https://doi.org/10.5935/1415-2762.20150036

Grigorovich A, Kontos P. Advancing an Ethic of Embodied Relational Sexuality to Guide Decision-Making in Dementia Care. Gerontologist;2018;58(2):219-25. DOI: https://doi.org/10.1093/geront/gnw137

Roelofs TS, Luijkx KG, Embregts PJ. Intimacy and sexuality of nursing home residents with dementia: a systematic review. Int Psychogeriatr. 2015;27(3):367-84. DOI: https://doi.org/10.1017/S1041610214002373

Iacub R, Rodríguez R. El erotismo de las personas con demencias en las residencias para adultos mayores. Vertex Rev Arg de Psiquiat [internet]. 2015 [cited 29 Sept. 2019];26(120):120-4. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26650411

Roelofs TS, Luijkx KG, Embregts PJ. Love, Intimacy and Sexuality in Residential Dementia Care: A Spousal Perspective. Dementia. 2019;18(3):936-50. DOI: https://doi.org/10.1177/1471301217697467

Lindau ST, Dale W, Feldmeth G, Gavrilova N, Langa KM, Makelarski JA et al. Sexuality and Cognitive Status: A U.S. Nationally Representative Study of Home-Dwelling Older Adults. J Am Geriatr Soc. 2018;66(10):1902-10. DOI: https://doi.org/10.1111/jgs.15511

Cindy LAJ, Wendy M. Sexuality & dementia: An eLearning resource to improve knowledge and attitudes of aged-care staff. Educational Gerontology. 2016;42(8):563-71. DOI: https://doi.org/10.1080/03601277.2016.1205373

Barbosa JAG, Giami A, Freitas MIF. Gender and sexuality of people with mental disorders in Brazil. Sex, Salud Soc. 2015;(19):67-83. DOI: https://doi.org/10.1590/1984-6487.sess.2015.19.06.a

Vieira KFL, Nóbrega RPM, Arruda MVS, Veiga PMM. Representação Social das Relações Sexuais: um Estudo Transgeracional entre Mulheres. Psicol Ciênc Prof. 2016;36(2):329-40. DOI: https://doi.org/10.1590/1982-3703001752013

Wright H, Jenks RA. Sex on the brain! Associations between sexual activity and cognitive function in older age. Age Ageing. 2016;45(2):313-7. DOI: https://doi.org/10.1093/ageing/afv197

Palacios-Ceña D, Carrasco-Garrido P, Hernández-Barrera V, Alonso-Blanco C, Jiménez-García R, Fernández-de-las-Peñas C. Sexual behaviors among older adults in Spain: Results from a population-based national sexual health survey. J Sex Med. 2012;9(1):121-9. DOI: https://doi.org/10.1111/j.1743-6109.2011.02511.x

Kasif T, Band-Winterstein T. Older widows’ perspectives on sexuality: A life course perspective. J Aging Stud. 2017;41:1-9. DOI: https://doi.org/10.1016/j.jaging.2017.01.002

Freak-Poli R, Kirkman M, De Castro Lima G, Direk N, Franco OH, Tiemeier H. Sexual Activity and Physical Tenderness in Older Adults: Cross-Sectional Prevalence and Associated Characteristics. J Sex Med. 2017;14(7):918-27. DOI: https://doi.org/10.1016/j.jsxm.2017.05.010

Lichtenberg PA. Sexuality and Physical Intimacy in Long-Term Care. Occup Ther Health Care. 2014;28(1):42-50. DOI: https://doi.org/10.3109/07380577.2013.865858

Bauer M, Fetherstonhaugh D, Tarzia L, Nay R, Wellman D, Beattie E. I always look under the bed for a man. Needs and barriers to the expression of sexuality in residential aged care: The views of residents with and without dementia. Psychol Sex. 2012;4(3):296-309. DOI: https://doi.org/10.1080/19419899.2012.713869

Mencía ST, Rodríguez-Martín B. Perceptions of sexuality in older people: a systematic review of qualitative studies. Rev Esp Salud Publica [internet]. 2019 [cited 2019 Oct. 10]4;93:e201909059. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31482865

Makimoto K, Kang HS, Yamakawa M, Konno R. An integrated literature review on sexuality of elderly nursing home residents with dementia. Int J Nurs Pract. 2015;21(Suppl 2):80-90. DOI: https://doi.org/10.1111/ijn.12317

Giorgi R, Series H. Treatment of Inappropriate Sexual Behavior in Dementia. Curr Treat Options Neurol. 2016;18:41. DOI: https://doi.org/10.1007/s11940-016-0425-2

Tsatali MS, Tsolaki MN, Christodoulou TP, Papaliagkas VT. The Complex Nature of Inappropriate Sexual Behaviors in Patients with Dementia: Can We Put it into a Frame? Sex Disabil. 2011;29(2):143-56. DOI: https://doi.org/10.1007/s11195-010-9187-z

Mahieu L, Anckaert L, Gastmans C. Intimacy and Sexuality in Institutionalized Dementia Care: Clinical-Ethical Considerations. Health Care Anal. 2017;25(1):52-71. DOI: https://doi.org/10.1007/s10728-014-0287-2

Syme ML, Yelland E, Cornelison L, Poey JL, Krajicek R, Doll G. Content analysis of public opinion on sexual expression and dementia: Implications for nursing home policy development. Health Expect. 2017;20(4):705-13. DOI: https://doi.org/10.1111/hex.12509

Bouman WP, Arcelus J, Benbow SM. Nottingham study of sexuality and ageing (NoSSA II). Attitudes of care staff regarding sexuality and residents: A study in residential and nursing homes. Sex Relation Ther. 2017;22(1):45-61. DOI: https://doi.org/10.1080/14681990600637630

Gewirtz-Meydan A, Hafford-Letchfield T, Ayalon L, Benyamini Y, Biermann V, Coffey A et al. Cult Health Sex. 2019;21(3):293-308. DOI: https://doi.org/10.1080/13691058.2018.1465203

Sousa JL. Sexualidade na terceira na terceira idade: uma discussão da aids, envelhecimento e medicamentos para disfunção erétil. J bras doenças sex transm [internet]. 2008 [cited 10 Oct. 2019];20(1):59-64. Available from: http://www.dst.uff.br/revista20-1-2008/9.pdf




DOI: https://doi.org/10.5294/aqui.2020.20.1.6

Enlaces refback

  • No hay ningún enlace refback.


Copyright (c) 2020 Aquichan

URL de la licencia: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es

Indexada en: Scopus (Q4)SciELO Citation IndexRedalycPublindex (C), Lilacs, EBSCO-Fuente Académica, DOAJDialnetCuidenLatindex (catálogo)PERIÓDICA, Ulrich's, Google AcadémicoProQuest - Social Science Journals

Correo electrónico: aquichan@unisabana.edu.co
Canje: canje.biblioteca@unisabana.edu.co