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参与患者的性问题:一项针对全科医生和妇产科医生进行的比较研究

Anna Aromaa^1,2, Katja Kero^2,3, Sanna-Mari Manninen^2,4

¹Department of Obstetrics and Gynecology, Satasairaala Central Hospital, the Wellbeing Services County of Satakunta, Pori.

Menopause (New York, N.Y.)

|May 7, 2025

概括

一般医生 (GPs) 与妇产科医生 (OB / GYN) 相比,由于时间限制和知识差距,不太可能与患者讨论性健康问题. 这影响了患者的护理,需要对医生的态度和实践模式进行进一步的调查.

科学领域:

医疗实践和患者的福祉
医生参与性健康问题

背景情况:

性健康是整体福祉不可或缺的一部分,但在医疗实践中,其评估并不总是常规的.
医生的态度,感知障碍和实践模式显著影响了将性健康讨论纳入患者护理的整合.

研究的目的:

为了比较全科医生 (GPs) 和妇产科医生 (OB/GYNs) 对患者性问题的参与.
识别一般医生和妇产科医生之间在处理性健康方面的态度,障碍和实践模式的差异.
分析医生性别和年龄对患者性健康问题的参与的影响.

主要方法:

一个基于网络的调查问卷收集了402名全科医生和299名妇产科医生的数据.
统计分析涉及多变量二进制后勤回归,比较全科医生和妇产科医生,根据医生的性别和年龄进行调整.
根据医生的性别和年龄组进行了子组和相互作用分析.

主要成果:

一般医生和妇产科医生都承认治疗性问题的重要性.
总医生比产科医生/妇科医生更不太可能在病史记录期间询问性问题 (aOR:0.23).
一般医生报告说,更难诊断女性性问题 (aOR:2.44),并引用了诸如约会时间有限,个人态度和缺乏知识等障碍.

结论:

虽然这两组医生都重视解决性问题,但与妇产科医生相比,全科医生表现出较少的结构化参与.
包括时间限制和知识缺陷在内的障碍阻碍了全科医生积极对待患者性健康的方法.
调查结果强调需要有针对性的干预措施,以改善全科医生的性健康护理服务.

关键词:

态度态度是一种态度.一般的医生一般的医生.产科医生-妇科医生产科医生-妇科医生练习模式练习模式练习模式问卷问卷问卷问卷性问题性问题性问题

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