title: Sexuality in burn victims: an integrative literature review.
abstract: OBJECTIVE
  To analyze and synthesize knowledge concerning sexuality in adult burn victims through an integrative literature review.
  
  
  METHODS
  Two researchers independently searched six electronic databases (PUBMED, LILACS, ISI Web of Science, PSYCINFO, CINAHL and EMBASE) and also performed a hand search using the following descriptors, in different combinations: burn, sexuality, gender identity, sexual behavior and sexual factors, in order to identify the articles published in English, Portuguese or Spanish, in the last 20 years. A total of 1781 articles were found and 22 were selected based on the inclusion and exclusion criteria.
  
  
  RESULTS
  The findings were organized into two categories that influence sexuality: (1) studies where the main purpose was to assess sexuality in burn victims; (2) studies that indirectly assess sexuality.
  
  
  CONCLUSIONS
  The synthesis of the knowledge concerning sexuality in burn victims showed that sexual dysfunction can be related to the younger ages, TBSA > 20%, burns on the genitalia and on exposed areas, prolonged length of hospital stay, avoidance coping, and mental disorders. The multidisciplinary team should be prepared to integrate sexuality as an important variable in the continuing treatment of burn patients.
authors: Interunit Nursing Doctoral program, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, SP, Brazil. Electronic address: nataliasjbv@gmail.com.
authors: Natália
authors: N
authors: Gonçalves
authors: Associação de Ensino de Ribeirão Preto, Ribeirão Preto, SP, Brazil. Electronic address: amelo@unaerp.br.
authors: Alexandra de Souza
authors: Ade S
authors: Melo
authors: University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, SP, Brazil. Electronic address: marina.caltran@usp.br.
authors: Marina Paes
authors: MP
authors: Caltran
authors: Graduate Program in Public Health Nursing, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, SP, Brazil. Electronic address: iara_eerp@yahoo.com.br.
authors: Iara Cristina da Silva
authors: IC
authors: Pedro
authors: Interunit Nursing Doctoral program, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, SP, Brazil. Electronic address: raquelpan@bol.com.br.
authors: Raquel
authors: R
authors: Pan
authors: Maternal-Infant and Public Health Nursing Department, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, SP, Brazil. Electronic address: lucila@eerp.usp.br.
authors: Lucila Castanheira
authors: LC
authors: Nascimento
authors: General and Specialized Nursing Department, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, SP, Brazil. Electronic address: rizzardo@eerp.usp.br.
authors: Lídia Aparecida
authors: LA
authors: Rossi
mesh_terms: D000328:Adult; D002056:Burns / Q000523:psychology*; D005260:Female; D005783:Gender Identity; D006801:Humans; D008297:Male; D019529:Sexuality / Q000523:psychology*; D017741:Survivors / Q000523:psychology*
keywords: Burns; Nursing; Rehabilitation; Sexuality