Humphery S, Nazareth I
Department of Primary Care and Population Sciences, Royal Free and University College London Medical School, University College London, UK.
Fam Pract. 2001 Oct;18(5):516-8. doi: 10.1093/fampra/18.5.516.
Sexual dysfunction is an important aspect of sexual heath that is prevalent in the population but frequently goes undetected.
The aim of this study was to investigate the role of the GP in the management of problems of sexual dysfunction.
A postal questionnaire was sent to the 218 GPs on the Camden and Islington Health Authority List. The questionnaire collected demographic information on the GPs, their clinical interests, experience, postgraduate qualifications and their view of the clinical importance of sexual dysfunction. Their clinical management of the most recent patient encounter in the previous month was explored using a critical incident technique and they were asked to list their views on barriers to the management of sexual dysfunction and to provide a list of suggestions for tackling these barriers.
A total of 133 GPs responded to the questionnaire. Although only eight had a special interest in sexual health, 41 and 50 reported a special interest in mental and women's health, respectively. Forty-six had received postgraduate training in taking a sexual history, 45 in the diagnosis of a sexual problem, 49 in the management of sexual dysfunction, 39 in psychosexual counselling and 24 had training in all four areas. Most GPs (87) categorized sexual dysfunction as medium priority, 25 as high priority and 18 as low priority; three GPs did not respond to this query. Several barriers to the management of sexual dysfunction in general practice were identified. Most doctors identified more than one barrier.
The participating GPs offered specific suggestions that focused on the need for more professional and patient education, consultation time, psychosexual counsellors and relevant secondary care service.
性功能障碍是性健康的一个重要方面，在人群中普遍存在，但常常未被发现。
本研究旨在调查全科医生在性功能障碍问题管理中的作用。
向卡姆登和伊斯灵顿卫生局名单上的218名全科医生发送了邮寄问卷。问卷收集了全科医生的人口统计学信息、他们的临床兴趣、经验、研究生学历以及他们对性功能障碍临床重要性的看法。使用关键事件技术探讨了他们在前一个月最近一次患者诊疗中的临床管理情况，并要求他们列出对性功能障碍管理障碍的看法，并提供解决这些障碍的建议清单。
共有133名全科医生回复了问卷。虽然只有8人对性健康有特别兴趣，但分别有41人和50人报告对精神健康和妇女健康有特别兴趣。46人接受过关于获取性病史的研究生培训，45人接受过关于性问题诊断的培训，49人接受过性功能障碍管理的培训，39人接受过性心理咨询的培训，24人在所有四个领域都接受过培训。大多数全科医生（87人）将性功能障碍列为中等优先级，25人列为高优先级，18人列为低优先级；3名全科医生未回复此问题。确定了全科医疗中性功能障碍管理的几个障碍。大多数医生指出了不止一个障碍。
参与研究的全科医生提出了具体建议，重点是需要更多的专业和患者教育、咨询时间、性心理顾问和相关的二级医疗服务。
