Engelli kadınlarda üreme sağlığını etkileyen etmenler, üreme sağlığı sorunları ve hemşirenin rolü

Abstract

Factors affecting reproductive health in women with disabilities, reproductive health problems and the role of the nurse Approximately15% of the world’s population lives with a physical, sensory, intellectual or mental disability, and 80% of these disabled individuals are in low– and middle-income countries. Women with disabilities are the group with the greatest difficulty in accessing and using information and services related to their sexual and reproductive health rights, which are the right of everyone around the world. The vast majority of women with disabilities do not have a say in sexual and reproductive health, they are accepted as genderless, they are evaluated as if they do not have reproductive rights, and they face obstacles. Factors such as people’s perceptions of disability, inaccessible health care facilities and equipment, discrimination, transportation barriers to accessing facilities, economic inadequacy, negative treatment from staff, unequal allocation of time and money within the household for their care prevent women from seeking, using and accessing health care. The barriers faced by women with disabilities in accessing reproductive health services can be grouped as national barriers related to the health system and individual barriers related to psychological, behavioral, social, physical, economic and education. Attention is drawn to issues such as education and care in reproductive health problems of disabled women, menstrual cycle and hygiene behaviors, sexual life, gynecological examination, family planning, parenting and fertility, sexually contagious infections. Among the health personnel, nurses are at a key point in solving the reproductive health problems of women with disabilities. For this reason, while giving care to disabled women, they should provide ethical and holistic care within the needs of disabled people, away from prejudice. In this review, it is aimed to guide in which areas women with disabilities have problems, the factors affecting them, and the nursing approaches developed for these problems. Keywords: sexual health, disabilities, disabled woman, nurse, reproductive health