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Narrative Literature Review: Sexual Dysfunction in the Patient on Hemodialysis Download article and take CE posttest
Merry Stewart

Sexual dysfunction  is common in patients on hemodialysis. This narrative literature review utilized Roy’s Adaptation Model to identify sexual dysfunction and its effect on adaptive modes in patients on hemodialysis. The majority of studies reviewed indicated a physiologic effect in men (78%). Fewer studies reported an effect on self- concept (66%), intimate relationship (21%), or family/social roles (less than 1%). Findings also revealed minimal patient expression of sexual dysfunction to health care providers.

Goal: To relay information found in a review of the literature on sexual dysfunction in patients on hemodialysis.

Objectives:

1. Describe the 4 adaptive modes used as a framework in Roy's Adaptation Model.
   
2. Contrast the literature reports focusing on sexual dysfunction to those on physiologic, self-concept, role, or interdependence modes of patients on hemodialysis.
   
3. Contrast patients’ stated needs for discussion about concerns with sexual dysfunction with their perceptions of caregivers’ willingness to engage in that discussion.
4. Suggest nursing research needed in the area of sexual dysfuction in patients on hemodialysis.