Jones K E, Beeching B A, Roberts P, Devine M, Davies J, Bates C M, Jones C
Merseyside Brook Centre, 81 London Road, Liverpool L3 8JA.
Sex Transm Infect. 2006 Aug;82(4):318-20. doi: 10.1136/sti.2005.017947.
To assess the outcome and workload of a community based, nurse led comprehensive sexual health and contraceptive service for clients aged less than 25.
Review of appointment diaries and clinic records of clients who attended the Brook genitourinary medicine (GUM) clinic. The workload, case mix, and achievement of national targets in the first year of the service were compared with those for the same age group of clients attending the nearby hospital based GUM clinic. A limited client satisfaction questionnaire was carried out 8 months after the clinic opened.
1061/1700 (62.4%) clients (185, 17.4% male) attended booked appointments. Chlamydia trachomatis was detected in 16.1% of women and 20.5% of men at Brook (p<0.05), where 22.6% of women and 50% of men had at least one sexually transmitted infection (p<0.001). HIV testing was offered to 98.5% of clients. 60.7% of all identified contacts attended a clinic for testing and/or treatment. Client responses to a questionnaire about the service were very favourable. Only 2.3% of Brook GUM clients needed referral to a physician.
Nurse led community based GUM services, such as the one provided at the Merseyside Brook Centre, appeal to young people and our success should encourage others to consider similar ventures.
评估一项由护士主导的、针对25岁以下人群的社区综合性性健康与避孕服务的效果及工作量。
查阅布鲁克性传播疾病诊所就诊患者的预约日志和临床记录。将该服务第一年的工作量、病例组合及国家目标完成情况，与附近医院性传播疾病诊所同年龄组患者的情况进行比较。诊所开业8个月后进行了一份有限的患者满意度问卷调查。
1061/1700（62.4%）名患者（185名，17.4%为男性）前来赴约就诊。在布鲁克诊所，16.1%的女性和20.5%的男性检测出沙眼衣原体（p<0.05），其中22.6%的女性和50%的男性至少感染一种性传播感染（p<0.001）。98.5%的患者接受了艾滋病毒检测。所有确认的性伴中，60.7%前来诊所进行检测和/或治疗。患者对该服务问卷的反馈非常积极。布鲁克性传播疾病诊所只有2.3%的患者需要转诊给医生。
由护士主导的社区性传播疾病服务，如默西塞德郡布鲁克中心提供的服务，对年轻人具有吸引力，我们的成功应鼓励其他人考虑开展类似业务。
