STOMALI BİREYLERİN CİNSEL SORUNLARININ DEĞERLENDİRİLMESİNDE PLISSIT MODELİNİN KULLANIMI

Bu çalışma, stomalı bireylerin cinsel sorunlarının değerlendirilmesinde PLISSIT modelinin kullanımını açıklamak amacıyla yapılmıştır. Stoma, ince veya kalın bağırsağın karın duvarına ağızlaştırıldığı yapay bir açıklıktır. Stomalı bireyler fizyolojik, psikolojik ve sosyal olmak üzere pek çok problemle karşılaşmakta olup, bu sorunlar bireyin cinsel yaşamını ve yaşam kalitesini olumsuz yönde etkileyebilmektedir. Stomalı bireyin yaşam kalitesini artırabilmek için fizyolojik, psiko-sosyal sorunlarının yanı sıra cinsel sorunlarının belirlenmesi ve çözümlenmesi gerekmektedir. Cinsellik hemşirelik bakımının önemli bir parçası olarak bilinmesine karşın, hemşireler uygulamada bu konuyu ele almada güçlük yaşayabilmektedirler. Cinsellikle ilgili sorunların ele alınmasında kullanılan yaklaşımlardan biri PLISSIT modelidir. Bu model, cinsel sorunu olan bireylerin ihtiyaçlarını belirlemede ve uygun girişimleri planlamada hemşirelere ve diğer sağlık profesyonellerine yol göstermektedir. Model, bireyin cinsel sorunlarına dört basamaklı (izin verme, sınırlı bilgi, özel öneriler, yoğun tedavi) bir yaklaşım sağlamaktadır. Literatür taraması, hemşirelerin stomalı bireylerin cinsel sorunlarını ele almalarında PLISSIT modelini rehber olarak kullanabileceklerini ve bu doğrultuda hemşirelik girişimlerini planlayabileceklerini ortaya koymaktadır.

The Use of PLISSIT Model for Evulation of Sexual Problems of Individuals with Stoma This study was conducted to explore use of PLISSIT model for evaluation of sexual problems of individuals with stoma. Stomas are formed surgically, by exteriorizing the bowel to the abdominal surface. Individuals with stoma may suffer from many physiologic, psychological and social problems and all of them negatively affect sexual life and quality of life. In order to improve the quality of life of the person with stoma, sexual problems must be solved in addition to physiological and psychosocial problems. Although sexuality is known to be an important part of nursing care, it is known that nurses may have difficulty in handling this issue in practice. One of the methods for addressing sexual problems is the PLISSIT model. The PLISSIT model provides nurses or other health professionals a conceptual implementation possibility to plan and evaluate comprehensive care about the sexual problems of the individuals. The model provides four levels ((Permission, Limited Information, Specific Suggestions, Intensive Therapy) to sexual problems of individuals. The literature review suggests that nurses can use PLISSIT model as a guide for addressing sexual problems of individuals with stoma and plan nursing interventions according this model.

Keywords:

Stoma; sexuality; nursing; PLISSIT model,

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