This study aims to explore and compare the reaction of long-term care staff towards situations of sexual intercourse in which one or both partners have dementia. Participants were 538 staff members at 28 Portuguese long-term care facilities. Data were collected using a printed questionnaire with seven vignettes with situations related to the sexuality of LTCF residents. In this study, three of these vignettes were analysed with situations in which residents were having relationships in their bedrooms: (1) one male resident and one female resident; (2) two residents with dementia; (3) two residents, one of them with dementia. For each of the vignettes, participants are asked what they think their ‘colleagues’ would do in each vignette, i.e. ‘What do you think most of your colleagues would do?’ The results revealed that when sexual relationships involved both partners living with dementia, the most selected reaction was ‘Comment on what happened with supervision or direction’, which may suggest that the situation was perceived as difficult or problematic. The most restrictive reactions were most often chosen when only one partner had dementia. This study suggests the need to improve and provide training, so that staff have knowledge and strategies that allow people living with dementia to preserve their sexual rights in long-term care facilities.

中文翻译：

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长期护理机构中痴呆症患者的性表达：工作人员的反应

本研究旨在探讨和比较长期护理人员对一方或双方患有痴呆症的性交情况的反应。参与者是 28 个葡萄牙长期护理机构的 538 名工作人员。数据是使用打印的问卷收集的，其中包含七个与 LTCF 居民的性行为相关的情况的小插曲。在这项研究中，对其中三个小插曲进行了分析，其中居民在他们的卧室里发生了关系：（1）一名男性居民和一名女性居民；(2) 两名患有痴呆症的居民；(3) 两名居民，其中一名患有痴呆症。对于每个小插曲，参与者被问及他们认为他们的“同事”在每个小插曲中会做什么，即 “你认为你的大多数同事会做什么？” 结果显示，当性关系涉及双方都患有痴呆症时，选择最多的反应是“在监督或指导下评论发生的事情”，这可能表明这种情况被认为是困难的或有问题的。当只有一名伴侣患有痴呆症时，最常选择限制性最强的反应。这项研究表明需要改进和提供培训，以便工作人员具备知识和策略，使痴呆症患者能够在长期护理机构中维护他们的性权利。当只有一名伴侣患有痴呆症时，最常选择限制性最强的反应。这项研究表明需要改进和提供培训，以便工作人员具备知识和策略，使痴呆症患者能够在长期护理机构中维护他们的性权利。当只有一名伴侣患有痴呆症时，最常选择限制性最强的反应。这项研究表明需要改进和提供培训，以便工作人员具备知识和策略，使痴呆症患者能够在长期护理机构中维护他们的性权利。