妇科临床医生类型与常规女性性功能障碍查之间的关联
William C E Berry1,2, Emily V Capbarat1, Taniya V Walker1
1The Department of Obstetrics and Gynecology, The George Washington University, Washington, DC, 20037, United States.
The journal of sexual medicine
|August 8, 2023
概括
女性性功能障碍 (FSD) 查率较低,但居民比其他临床医生更频繁地进行查. 改善FSD查需要了解临床医生差异和患者因素.
科学领域:
- 妇女健康 妇女健康
- 性健康 性的健康
- 临床实践 临床实践
背景情况:
- 女性性功能障碍 (FSD) 很普遍,但医疗保健提供者的查率仍然很低 (14%-40%).
- 关于不同类型的临床医生如何影响FSD查率的数据有限.
研究的目的:
- 为了在不同类型的妇科临床医生中比较FSD查率.
- 为了确定与FSD查相关的因素.
- 将FSD查与其他疾病的既定查协议进行基准比较.
主要方法:
- 追溯图表回顾城市三级护理中心每年访问的情况.
- 计算和比较FSD,抑郁症,宫癌和乳腺癌的查率.
- 多变量逻辑回归以确定与FSD查相关的患者特征.
主要成果:
- 与非居民临床医生 (31%) 相比,FSD查在住院临床医生中显著高 (59%).
- 在非居民中,认证护士助产士的查率最高 (OR,0.41),其次是执业护士 (OR,0.29) 和主治医生 (OR,0.22).
- 增加FSD查可能性的因素包括被住院看病,患者FSD病史,年龄≥40,报告的性活动,以及宫手术史.
结论:
- 住院临床医生表现出比主治医生,NP和CNM更高的FSD查率.
- 了解临床医生类型对查的差异对于开发有针对性的干预措施至关重要.
- 需要加强FSD查的策略,以改善妇女的性健康结果.
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