Sexuella dysfunktioner hos kvinnliga patienter med multipel skleros. En litteraturstudie om sjuksköterskors delaktighet i sexuell information och rådgivning till kvinnor med multipel skleros
Sexual dysfunctions concerning women with multiple sclerosis (MS) are common. Since the disease preferably affects young individuals when establishment of family occurs, the result of these problems have a great impact on the individual and her family. The purpose of this literature review is to throw light upon these problems and respond the questions if the nurse may be the right person to give sexual counselling and in which way this may be done. The theoretical framework was Antonovsky´s concept "sense of coherence". The result is presented in four themes: bodily aspects, social aspects, information/counselling, and practical implications for nurses. Women with MS seemed to find other ways of sexual experience than sexual intercourse if they did not give it up completely due to reduced libido. Good communication and positive problem focused coping strategies seemed to predict lower levels of sexual dysfunctions. Nurses should discuss sexual concerns with their patients and the PLISSIT-model of sexual health intervention could be a tool in this work.