Sexuality after burn in Brazil: survey of burn health-care workers

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Piccolo, Monica Sarto [UNIFESP]
Daher, Ricardo Piccolo [UNIFESP]
Gragnani, Alfredo [UNIFESP]
Ferreira, Lydia Masako [UNIFESP]
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Patients who survive a major burn must live with emotional and physical sequela. in a literature review, we found that sexuality concerns of burn victims are rarely a focus of therapy. After suggestions from Rimmer et al. [12], using their questionnaire translated into Portuguese, we held a survey of burn-care professionals at the VII Brazilian Burn Congress.More than 120 practitioners from 41 centres, aged in average 41.2 years (1 standard deviation 10.96), completed the survey. A proportion of 63.7% were female, and 58.1% were Caucasians; 37.1% were physicians, 20.9% nurse practitioners and 16.9 were occupational therapists/physical therapists (OTs/PT)s. Psychologists made up 3.2%. Only 28% of the respondents felt comfortable in initiating a conversation about sexual intimacy with their patients. the vast majority believed it should be done by the psychologist. Only 38% felt their burn centre did an adequate job in that area. When compared with a study of our country's general population, we find similar results indicating that intimacy, sexuality and sexual intercourse are considered most important in a relationship.There is a significant lack of literature in sexuality after burn; most likely meaning it is ignored by most centres. There is a need for other similar surveys to be performed, as well as a collective consciousness of the need for discussions about sexuality with patients and their partners, providing counselling and treatment, when need. (C) 2011 Elsevier Ltd and ISBI. All rights reserved.
Burns. Oxford: Elsevier B.V., v. 37, n. 8, p. 1411-1418, 2011.