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Stroke survivors report loss of sexual desire, blurred gender roles, anger and fatigue
Date:6/18/2009

old male, while a 66 year-old wife said that her husband didn't do the washing right "but he is only trying to help so I let it pass".

  • Survivors said they felt safe and comfortable at home but were reluctant to resume social activities with their spouse because of swallowing problems, anxiety and fatigue. Some came to agreements whereby their spouse would go out alone. "I would be asked enough times but won't go" said a 46 year-old male.

  • Fatigue was a real issue for survivors and this was often associated with reduced independence and guilt. It made it difficult to plan ahead because they didn't know how they would feel from day to day. Younger survivors also said it made it difficult for them to return to work. "You plan nothing" said a 46 year-old male survivor.

    "There is no doubt that strokes have a profound effect on relationships and our research showed many of the physical, psychological, social and emotional issues a stroke can raise" says co-author Dr Ryan. "It is important to point out that stroke can happen at any age and many of the survivors who took part in our study were relatively young."

    Four were aged between 33 and 43, two between 44 and 54, six between 55 and 65 and four between 66 and 78. The time since their stroke ranged from two months to four years, with an average of 18 months.

    As a result of the study the researchers have come up with four key recommendations for clinical practice.

    These recommendations are:

    • Nurse education should focus on both the physical and psychosocial effects of stroke so that nurses can provide holistic care to stroke survivors and their spouses.
    • Health care professionals and service providers must recognise and be sensitive to the profound impact of stroke on sexuality and sexual function.
    • Statutory counselling services should be available to people with stroke and their spouses on both an acute and long-term basis to help them
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    Contact: Annette Whibley
    wizard.media@virgin.net
    Wiley-Blackwell
    Source:Eurekalert

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