title: [Sexuality of patients with neurological disability: Perception of healthcare professionals of a neurologic rehabilitation hospital unit].
abstract: Sexual disorders are common after neurological diseases. The reconstruction of sexuality is a major issue after neurologic disability. Why is this topic not covered in rehabilitation medicine except specialized service? The aim of this pilot study was to assess the perception of the healthcare professionals (HCPs) and to understand why this topic was not addressed. We conducted a pilot, observational, monocentric study from February to March 2016 in HCPs from a neurologic rehabilitation hospital unit.
  
  
  RESULTS
  The sexuality was essential for 14/28 (50%) HCPs in general and for 7/28 (25%) in neurologic disability. The hospital inhibits sexuality rebuilding in 21/28 (75%). The question of exercise of sexuality in hospital was considered as legitimate question for 13/28 (46%). Twenty-third (82%) have talked about sexuality with patients or colleagues, 5/19 (27%) thought that their response was satisfactory when patient asked about it. The question of sexuality had been managed for 10/28 (36%) during their training; 22/28 (79%) considered it was a prime importance for their job.
  
  
  CONCLUSIONS
  In this monocentric study, sexuality was often poorly managed in rehab center. The professionals did not dare talking about it with patients and answered with difficulties when they are asked about sexual disorders. They were not trained for this topic. A specialized medical education in hospital and during studies would be of great value to improve neurologic rehabilitation of these patients.
  
  
  METHODS
  4.
authors.affiliation: Service de médecine physique et réadaptation, centre hospitalier Sainte-Anne, 1, rue Cabanis, 75014 Paris, France. Electronic address: florence.babany@gmail.com.
authors.forename: F
authors.initials: F
authors.lastname: Babany
authors.affiliation: Service de médecine physique et réadaptation, centre hospitalier Sainte-Anne, 1, rue Cabanis, 75014 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Hamdoun
authors.affiliation: Service de médecine physique et réadaptation, hôpital Raymond-Poincaré, 92380 Garches, France.
authors.forename: P
authors.initials: P
authors.lastname: Denys
authors.affiliation: Service de neuro-urologie, hôpital Tenon, 75020 Paris, France.
authors.forename: G
authors.initials: G
authors.lastname: Amarenco
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006757:Hospital Units; D006801:Humans; D008297:Male; D008875:Middle Aged; D000066530:Neurological Rehabilitation; D010348:Patient Care Team; D010865:Pilot Projects; D057566:Self Report; D012735:Sexual Dysfunction, Physiological / Q000534:rehabilitation*; D019529:Sexuality; D055815:Young Adult
keywords: Handicap neurologique; Healthcare professionals; Neurological disability; Professionnels de santé; Sexual disorders; Troubles sexuels