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Sexual Life in Pregnancy
JURIGOVÁ, Gabriela
Abstract The public, often also medical professionals, live under the influence of widespread sexual myths and half-truths which substantially affect their attitudes towards sexuality. Sexuality in pregnancy is all the more encompassed with a lot of superstitions, myths, prejudices and fear. There is a lack of quality information and even professionals, physicians and midwives, often give partners inadequate recommendations. Essentially, pregnancy is a natural fulfillment of biological sense of sexual life. It affects a mental condition not only of a woman but both partners, and consequently influences their sexual life. The objective of this thesis was to determine the level of pregnant women´s knowledge about sexuality in pregnancy and to analyze sexual life in pregnancy. To meet the objective of the research, the quantitative research technique using anonymous questionnaires was applied. Three kinds of anonymous questionnaires were used: one was my own questionnaire focused on finding the level of pregnant women´s knowledge on sexuality in pregnancy. The second and third questionnaires were standardized questionnaires SFŽ ( Sexual Function of a Woman) and Erotic Stimuli Inventory (Hoon - Winoze) (Annex 1). Women were asked to fill in questionnaires both from the perspective of their current situation and from the perspective matching their experience prior to pregnancy. The research set were comprised of women in the third trimester of pregnancy attending the antenatal clinic of the obstetrics-gynaecological department of 1. LF UK (Medical Faculty of the Charles University) and VFN ( the General Faculty Hospital) in Prague. The data stated in the standardized questionnaires were assessed and thereby sexual life of women in the period before pregnancy and during pregnancy was analyzed, the research goal was met. In this thesis the following hypotheses were tested. Hypothesis 1 assuming that pregnant women do not have sufficient information about changes in sexual life during pregnancy and research has been confirmed. Although most women considered the level of their knowledge as sufficient, a proportion of women who want to be informed about the changes in sexual life during pregnancy is prominent. Most women want to be informed about changes in sexual life during pregnancy in an anonymous form. This finding confirms the hypothesis 2 assuming that pregnant women want to be informed about the possibilities of sexual satisfaction during pregnancy. Hypothesis 3 assuming that pregnant women are not satisfied with the level of information about sexuality in pregnancy provided in prenatal counseling has been confirmed. Low percentage of women receives information from a physician or a midwife and they themselves do not ask questions mostly because of shame. Communication about sexuality in our society is still taboo for both professionals and the general public. Hypothesis 4 assuming that the need for sexual intercourse is decreased in pregnancy has been confirmed by the survey. In pregnancy libido, the frequency of sexual intercourse, the need for contact and the ability to achieve orgasm are reduced. Responses to erotic stimuli are shifted to a lower degree of erotic excitement according to the results of the research. The results of the research carried out in the obstetric-gynaecological hospital have revealed the need to improve communication and the information supply provided by the medical staff members to pregnant women and their partners. It is necessary to consider the possibility of anonymous forms of providing information that is not affected by prejudices, attitudes, myths. An information booklet seems to be an appropriate resource. Women in pregnancy want more information and have the right to get it. This is where a midwife can play a significant role by giving professional advice and having open communication with a pregnant woman and her partner.
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Anthropological perspective of female circumcision
RYBOVÁ, Nela
The work deals with topic of female circumcision from aspect of cultures using it. The first chapter is concerned with general information such as definition of the term, typology, health consequences, sexual sensibility of women after the operation and prevalence of this practics in the world. The second chapter describes various reasons for performing of female genital cutting that come from setting of social life, myths and conceptions. The first part of the second chapter introduces different speculative vari-ants of origin of female circumcision, the last part is about connection between FGC and religion. The third section foreshadows current debates and question of interference with practising of female circumcision, thus effort to eradicate it.
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Quality of sexual life of university students
BROŽOVÁ, Hana
The thesis consists of theoretical and practical part. In theoretical part I deal with women sexuality in general, what creates it and how it is futher influenced. The practical part contains research and is focused on how the university female students feel about the quality of women sex life, also describes how they are satisfied with their own sex lifes and what factors are important for them in order to have quality sex life.
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Ethical issues concerning pharmacological castration
REISKÝ, Daniel
This paper deals with a now very topical and much debated issue of sexual deviants, who have committed particularly serious sexual crimes and who have the opportunity to undergo treatment for their disorder using pharmacological castration (hormonal inhibition) from an ethical perspective, rid of media tint sensationalism. It also deals with people who demonstrably do not suffer from any form of sexual preference disorders (paraphilia), and yet they have committed a serious act, as those who are affected by this disorder. The objective of this paper is to highlight the issue of sexual deviants who need treatment, without being denied any human rights and, in particular, to distinguish, but not justify, the behaviour of people suffering from such disorders, which, although hardly excusable, can be understood from a certain perspective and the behaviour of healthy individuals whose actions cannot be understood even with the broadest and most benevolent view on the issue. The research was, in relation to the objectives set, carried out in the form of an anonymous quantitative questionnaire that was directed to verify defined hypotheses, in particular, whether the use of pharmacological castration is consistent with human rights, whether pharmacological castration is acceptable only with the reception of an informed consent from the patient {--} a convicted person - and the view of experts on the use of this form of treatment for sexual deviants. In order to achieve the most relevant results, the research sample consisted of physicians {--} psychiatrists and psychologists from various facilities, both outpatient and inpatient, where these deviants are treated. Only to supplement the paper and add authenticity, a qualitative research was carried out in the form of an unguided telephone interview with people {--} prisoners {--} who have committed particularly serious premeditated criminal acts and who have been treated with pharmaceuticals. The views of both the groups were then, where possible, jointly compared. The knowledge gained can be used to inform the general public better about these issues, which could prevent generalizations of individual cases and one-sided view of the nature of the issue. Also the convicted sexual deviants could benefit, knowing that they are not alone with their problem in the society.
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Sex education for the mentally disabled in the institutional care.
KOCIHOVÁ, Veronika
Paper summarizes the current knowledge on sexuality and sexual education of persons with mental disabilities. The work is to ascertain the views and attitudes of service providers CSS Empathy and parents of users of CSS Empathy to sexuality and sexual education of persons with mental disabilities. The main objective is the comparison of these views and attitudes toward sexuality and sex education for individuals with mental disabilities. The work is divided into theoretical and research component, where the theoretical part deals with aspects of mental retardation, sexuality, sexual education and services for social care for people with mental disabilities. In the research section describes identified attitudes and beliefs of parents of persons with intellectual disabilities and workers CSS Empathy and their comparison.
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Sexual Education in the Czech Republic: Development and Current Practice
SATTRAN, Jan
The thesis deals with the development of sexual education conception in Czech in goverment documents and in practice. 1st eeoretical part deals defines the basic terms and looks on sexual education. Also it deals with the development of school practice. The research compares literature data with data from statements of three proffesionals in sexual education engaged. The thesis shows the existence of positive trends, mainly in the frame work of educational conception, which are however partially inhibited in their implementation.
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Woman's sexuality in pregnancy, during delivery and in puerperium.
HONZÍKOVÁ, Eliška
This bachelor thesis deals with female sexuality in the period of pregnancy, delivery and puerperium. However, it does not only focus on sexual activities in these cardinal periods of every woman ´s life. Female sexuality is directly related to the woman ´s psychic condition which has a fundamental effect on her. The theoretical part includes chapters explaining the notion of female sexuality and its brief history. The thesis further includes basic information about female physiology and an outline of the periods of pregnancy, delivery and puerperium with a focus on female psyche and sexuality. The purpose of this thesis was to find out about women ´s knowledge of hormonal changes in the periods of pregnancy, delivery and puerperium in relation to sexuality. Another objective was to find out what changes are women subject to in these periods and whether any complications may appear in this area. Further focus of interest was comparison of sexuality of women without professional healthcare education and midwives who had already delivered babies themselves. This theme was processed with the help of a qualitative research. The needed information was obtained through non-standardised interviews with open questions. The interviews were processed in the form of case studies. The research subjects included two groups of female respondents. The first group included women without professional healthcare education and the second consisted of five midwives. The research was used for evaluation of the following hypotheses: ``Women possess information about hormonal changes in pregnancy, during and after delivery in relation to sexuality``; ``The frequency of female sexual activities decreases in pregnancy``; ``Women change view of their life roles in the sense of continuous prevalence of the parental role over the partner role``; ``Delivery need not necessarily result in changed sexual appetite of women``; ``Women experience complications in sexuality after delivery in the case of trouble with injury during childbirth{\crqq}; ``There are no differences between women without professional healthcare education and professional midwives in sexuality in the periods of pregnancy, delivery and post-delivery``. The thesis might be beneficial not only for midwives, pregnant women or women after child delivery, but also for the male part of the population.
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Sexuality and Body Image of Pacients with Cancer
WODECKÁ, Miroslava
Abstract The title of the presented bachelor paper is Sexuality and Body Image of Patients with Cancer. Care of patients with cancer is multidisciplinary not only from the medical and nursing point of view, but also from the social point of view. Only recently the expert community in health field has concentrated on sociopsychological needs of patients with cancer as well as their families. Sexuality and body image accompany person through his/her lifetime and serious illness may have an adverse effect on self-consciousness or our experiencing. Cancer and its treatment, its adverse effects and impact of treatment on patient´s organism and mental condition are specified in the theoretical part of this bachelor paper. This part comprises basic nursing interventions, strategies how to solve questions of sexuality of patients with cancer and also unsubstitutable educational role of a nurse. At the end of the theoretical part we pay attention to sociopsychological interventions which are applied on patients with cancer. The work itself aims to find out how nurses are prepared to educate patients in the field of sexuality and body image. To this end two working hypotheses were defined. In the first hypothesis we presumed that nurses were not sufficiently prepared to educate patients with cancer in the field of sexuality, and in the second one we presumed that the main difficulty as to why the education of patients in the given field was neglected was a communication barrier on the part of medical staff. Another goal of this bachelor paper was to determine the degree of influence of perception of one´s own body and sexuality in consequence of treatment and to find out whether patients with cancer had enough information on impact of illness and its treatment on their sexuality and body image. With this goal in view 3 survey questions were defined. The first one related to the development of sense of worse self-respect as a consequence of the illness. The second question focused on decrease of sex appeal of patients with cancer and the third one concentrated on awareness of illness consequences in the field of patient´s sexuality. On the basis of the survey made, Hypothesis 1 (H1) has been affirmed, namely that nurses are not prepared to educate patients with cancer in the sexuality field. Hypothesis 2 (H2) has been disconfirmed. Survey results have indicated that the main barrier as to why the education of patients in the field of sexuality is neglected is not communication but the fact that it is considered unethical to patients. Other hypotheses have been educed from the defined survey questions, namely Hypotheses 3, 4 and 5 (hereinafter referred to as H3, H4, and H5). H3: Consequences of cancer treatment lead to worse self-respect of patients. H4: Consequences of cancer treatment lead to sense of decreased sex appeal. H5: Patients with cancer lack information on consequences of treatment in the field of sexuality. Patients most lack information on how to communicate with their partners about complications. The survey was carried out with medical staff who work at oncology wards, gynaecology and surgery ward of FN Plzen and with patients with cancer. To draw necessary information from medical staff, we used the technique of data acquisition - questionnaire. Qualitative research was used at patients; data were collected by informal interview in home environment of respondents.
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Sexuality of the stomics
SLOVÁKOVÁ, Erika
The Abstract Sexuality is mostly neglected aspect rehabilitation after operation. Of late years question sexuality slowly opens. People with stomii are confident, do you stomie threaten their sexual life. Patients, but also medical personnel often shilly talk about this aspect quality of life. Sexual activity is one of the normal function daily life. Theoretic part bachelor work covers piece of knowledge about stomis and sexuality, about their complication and cure. In first parts are inclusion universal piece of knowledge about stomis, description separete type, their attendance, but also setout for stomiks and psycho-social incidence stomii and work stomanurse. Alternative part covers piece of knowledge about sexuality. / It is here included definition sexuality, but also sexual life individuals and sexual disturbances stomiks. It is here mentioned part nurse in satiation needs in the field sexuality. To qualitative research I used techniques questionnaire. The questionnaire was frame on basis gained information of literature. The aim of this work was to find out, what problems in the area sexuality have stomiks, whether they are able to gear fast to the intimate life and to what degrese their intimate life switched. Were fixed term three hypothese. Hypothesis one confirmed, do you most often problem stomiks in the area sexuality is shame. Hypothesis two, confirm, do you stomiks to the sexual life actively switch.Hypothesis three confirm, do you stomiks their sexual life switched. The results show, do you sexuality belong every one of us and is not reason, why should making stomii have her exercise decline.
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