一个回顾性审查的男人转介给一个专门的勃起功能障碍诊所在中等护理
Muhammad Iqbal1, Wail Mohamed1, Mostafa Shendy2
1Urology, Cwm Taf University Health Board, Royal Glamorgan Hospital Llantrisant, Cardiff, GBR.
Cureus
|July 18, 2024
概括
初级保健医生可以有效地管理大量勃起功能障碍 (ED) 病例. 许多被转移到二级护理的患者最初可以在初级护理中接受固酶抑制剂等药物治疗.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 主要护理医学 医疗保健
- 性健康 性的健康
背景情况:
- 勃起功能障碍 (ED) 是一种常见的多因素状况,通常与在初级保健机构中普遍存在的其他健康问题有关.
- 对于ED患者的评估,管理和转诊,已有确定的指导方针.
- 由于COVID-19大流行,导致服务暂停,增加专业ED护理等待列表.
研究的目的:
- 为了审查男性的管理,转介给专门的二级护理ED服务.
- 评估在初级保健中对ED评估和治疗的NICE和GP Notebook指南的遵守情况.
- 记录二级护理ED诊所治疗的男性的结果.
主要方法:
- 在2018年6月至2021年4月期间,对148名男性进行了回顾性审查,这些男性被转介到二级护理ED服务.
- 收集的数据包括遵守初级保健指南和二级保健治疗结果.
主要成果:
- 在二级保健中审查的37.2%的男性需要适合初级保健管理的干预措施.
- 固酶抑制剂成功治疗了这些病例的76.3%.
- 二级护理管理涉及到近60%的二线治疗 (真空装置,阿尔普拉斯塔迪尔) 和15%的阴茎假肢手术.
结论:
- 初级保健医生在初步查和治疗勃起功能障碍方面发挥着至关重要的作用.
- 相当一部分ED患者可以在初级保健机构成功治疗.
- 优化初级保健管理可以减少不必要的转诊,并改善患者的治疗结果.
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