Perspectives of Chinese nephrology nurses on discussing sexual dysfunction with patients receiving haemodialysis: A qualitative study

• Published in: Journal of renal care 2024-12, Vol.50 (4), p.497-504
• Main Authors: An, Lei, Yodchai, Kantaporn, Kongsuwan, Waraporn
• Format: Article
• Language: English
• Subjects: Adult; Attitude of Health Personnel; China; chronic kidney disease; East Asian People; Female; haemodialysis; Hemodialysis; Humans; Interviews as Topic - methods; Male; Middle Aged; Nephrology; Nephrology Nursing; Nurse-Patient Relations; Nurses; Nurses - psychology; Nurses - statistics & numerical data; nursing; Qualitative Research; Renal Dialysis - adverse effects; Sexual disorders; Sexual Dysfunction, Physiological - etiology; Sexual Dysfunction, Physiological - psychology
• ISSN: 1755-6678; 1755-6686; 1755-6686
• DOI: 10.1111/jorc.12511

Background The study underscores the crucial yet often neglected issue of sexual dysfunction in haemodialysis patients. Despite nephrology nurses'close relationships with patients, there is a significant communication gap on this topic. In China, limited research highlights the need for further study. Objective To describe the perspectives of Chinese nephrology nurses on discussing sexual dysfunction with patients receiving haemodialysis. Design A qualitative descriptive study. Participants Ten Chinese nephrology nurses from a tertiary public hospital in Guizhou province, China. Approach Semistructured interviews were conducted using an interview guide. Qualitative content analysis approach was utilised in analysis. Results There were five themes described: (1) lack of training in sexual education, as nephrology nurses described never being trained to manage patients' sexual health issues; (2) discomfort when discussing sexual topics, Chinese nephrology nurses found the topic of sexual dysfunction embarrassing and avoided discussing it; (3) sexual dysfunction viewed as a nonurgent topic, nephrology nurses prioritise physical health to aid patient survival; (4) belief in physicians as ultimate care advisors, nephrology nurses believed that doctors should handle discussions on sexually related topics; and (5) lack of a suitable environment for discussing sexual dysfunction, nephrology nurses viewed sex as a private matter, inappropriate for discussion in a public unit. Conclusion The study identifies barriers to discussing sexual dysfunction in healthcare, including provider knowledge deficits, discomfort and lack of supportive environments. It recommends specialised training and conducive settings to improve communication in renal care. Future research should evaluate the effectiveness of these interventions.