Pauls Rachel N, Kleeman Steven D, Segal Jeffrey L, Silva W Andre, Goldenhar Linda M, Karram Mickey M
Division of Urogynecology and Reconstructive Pelvic Surgery, Good Samaritan Hospital, University of Cincinnati College of Medicine, 375 Dixmyth Avenue, Cincinnati, OH 45220, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2005 Nov-Dec;16(6):460-7. doi: 10.1007/s00192-005-1286-5. Epub 2005 Apr 19.
The purpose of the study was to evaluate practice patterns of members of the American Urogynecologic Society (AUGS) with respect to female sexual dysfunction (FSD). A brief self-administered survey of 20 questions was mailed to 966 physician members of the AUGS in the United States of America and Canada; 471 surveys were returned (49% response rate). The majority of responders see urogynecology (19%) or urogynecology and general gynecology patients (43%). Sixty-eight percent of physicians were familiar with questionnaires to assess FSD; however, only 13% said they use these for screening purposes. Most said they believed screening for FSD was somewhat (47%) or very important (42%). Despite having these beliefs, only 22% of the responding physicians stated they always screen for FSD, while 55% do so most of the time and 23% admitted they never or rarely screen. Similar results were obtained regarding screening following urogynecologic surgery. Several barriers to screening for FSD existed, the most common being lack of time. The majority of respondents (69%) underestimated the prevalence of FSD in their patient population. Finally, although more than half of responders had received post-residency training in urogynecology (59%), 50% of them stated the training with respect to FSD was unsatisfactory, while only 10% were satisfied. Overall, many urogynecologists do not consistently screen for FSD, underestimate its prevalence, and feel they received unsatisfactory training.
该研究的目的是评估美国妇科学会（AUGS）成员在女性性功能障碍（FSD）方面的临床实践模式。一份包含20个问题的简短自填式调查问卷被邮寄给了美国和加拿大的966名AUGS医生成员；共收到471份回复（回复率为49%）。大多数回复者诊治泌尿妇科患者（19%）或泌尿妇科和普通妇科患者（43%）。68%的医生熟悉评估FSD的问卷；然而，只有13%的医生表示他们将这些问卷用于筛查目的。大多数医生表示，他们认为FSD筛查有些重要（47%）或非常重要（42%）。尽管有这些看法，但只有22%的回复医生表示他们总是对FSD进行筛查，55%的医生大部分时间会进行筛查，23%的医生承认他们从不或很少进行筛查。在泌尿妇科手术后的筛查方面也得到了类似结果。FSD筛查存在几个障碍，最常见的是时间不足。大多数受访者（69%）低估了其患者群体中FSD的患病率。最后，虽然超过一半的回复者在住院医师培训后接受过泌尿妇科培训（59%），但其中50%的人表示关于FSD的培训并不令人满意，只有10%的人感到满意。总体而言，许多泌尿妇科医生并未始终如一地对FSD进行筛查，低估其患病率，并且觉得他们接受的培训并不令人满意。
