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性行为:医生们在解决这些问题吗?

Sexual practices: are physicians addressing the issues?

作者信息

Lewis C E

机构信息

UCLA Department of Medicine, UCLA School of Medicine 90024-1685.

出版信息

J Gen Intern Med. 1990 Sep-Oct;5(5 Suppl):S78-81. doi: 10.1007/BF02600848.

DOI:10.1007/BF02600848
PMID:2231071
Abstract

The literature suggests that prior to 1981, the only groups concerned with sexual history taking were urologists, psychiatrists, and gynecologists. The appearance of AIDS, however, has made competency in this area of interviewing essential for all primary care physicians. The teaching of sexual history taking presents a challenge to educators, since it involves all three educational domains--cognitive, affective, and skills. The authors have developed an approach to teaching sexual history taking to providers in small groups utilizing videotapes that model the content and sequence of questions and confront learners about the fears and the emotional concerns they may have in obtaining these data.

摘要

文献表明,在1981年之前,唯一关注性史采集的群体是泌尿科医生、精神科医生和妇科医生。然而,艾滋病的出现使得所有初级保健医生都必须具备这方面的问诊能力。性史采集的教学对教育工作者来说是一项挑战,因为它涉及认知、情感和技能这三个教育领域。作者开发了一种方法,通过使用录像带以小组形式向医疗服务提供者教授性史采集,录像带展示了问题的内容和顺序,并让学习者面对他们在获取这些数据时可能存在的恐惧和情感问题。

相似文献

1
Sexual practices: are physicians addressing the issues?性行为:医生们在解决这些问题吗?
J Gen Intern Med. 1990 Sep-Oct;5(5 Suppl):S78-81. doi: 10.1007/BF02600848.
2
The sexual history-taking and counseling practices of primary care physicians.基层医疗医生的性病史采集与咨询实践。
West J Med. 1987 Aug;147(2):165-7.
3
The effect of taking a sexual history on the notation of sexually related diagnoses.获取性病史对性相关诊断记录的影响。
Fam Med. 1986 Sep-Oct;18(5):293-5.
4
Teaching sexual history-taking: a systematic review of educational programs.性病史采集教学:教育项目的系统评价。
Acad Med. 2011 Dec;86(12):1590-5. doi: 10.1097/ACM.0b013e318234ea41.
5
Taking the sexual history.
Am Fam Physician. 1981 Mar;23(3):147-51.
6
Scripted role play: a technique for teaching sexual history taking.
J Am Osteopath Assoc. 1999 May;99(5):275-6. doi: 10.7556/jaoa.1999.99.5.275.
7
Impact of physician gender on sexual history taking in a multispecialty practice.医师性别对多专科医疗实践中性史采集的影响。
J Sex Med. 2006 Mar;3(2):194-200. doi: 10.1111/j.1743-6109.2005.00168.x.
8
Taking a sexual history from and counseling women on teratogenic drugs.采集有服用致畸药物情况的女性的性史并为其提供咨询。
J Reprod Med. 2001 Feb;46(2 Suppl):163-8.
9
Lifestyle clues in the recognition of HIV infection. How to take a sexual history.识别HIV感染中的生活方式线索。如何获取性史。
Med J Aust. 1993 Jan 4;158(1):40-1.
10
Predictors of physicians' involvement in addressing sexual health issues.医生参与解决性健康问题的预测因素。
J Sex Med. 2006 Jul;3(4):583-588. doi: 10.1111/j.1743-6109.2006.00271.x.

引用本文的文献

1
The Delivery of Sexuality-related Patient Education to Adolescent Patients: A Preliminary Study of Family Practice Resident Physicians.向青少年患者提供性健康相关患者教育:家庭医学住院医师的初步研究。
J Family Med Prim Care. 2012 Jan;1(1):34-8. doi: 10.4103/2249-4863.94449.
2
Sexual behaviour of men that consulted in medical outpatient clinics in Western Switzerland from 2005-2006: risk levels unknown to doctors?2005-2006 年瑞士西部医学门诊男性就诊者性行为:医生未知的风险水平?
BMC Public Health. 2010 Sep 2;10:528. doi: 10.1186/1471-2458-10-528.
3
Patient-provider communication about sexual health among unmarried middle-aged and older women.

本文引用的文献

1
Psychological aspects of male sexual dysfunction. Diagnosis and management.
Urol Clin North Am. 1981 Feb;8(1):135-42.
2
The sexual history in general medicine practice.
Arch Intern Med. 1984 Mar;144(3):558-61.
3
Do physicians preach what they practice? A study of physicians' health habits and counseling practices.医生们言行一致吗?一项关于医生健康习惯与咨询行为的研究。
JAMA. 1984;252(20):2846-8.
4
未婚中年及老年女性在性健康方面的医患沟通。
J Gen Intern Med. 2009 Apr;24(4):511-6. doi: 10.1007/s11606-009-0930-z. Epub 2009 Feb 14.
4
Talking about sexual matters with patients. Time to re-examine the CMPA's policy.与患者谈论性问题。是时候重新审视加拿大医学保护协会的政策了。
Can Fam Physician. 2000 Aug;46:1553-4, 1558-60.
5
Frequency and thoroughness of STD/HIV risk assessment by physicians in a high-risk metropolitan area.大城市高危地区医生进行性传播感染/艾滋病病毒风险评估的频率和彻底程度。
Am J Public Health. 1991 Dec;81(12):1645-8. doi: 10.2105/ajph.81.12.1645.
The gynecologic consideration of the sexual act. By Denslow Lewis. Originally presented in 1900, published in 1900.
性行为的妇科考量。作者:登斯洛·刘易斯。最初于1900年发表,1900年出版。
JAMA. 1983 Jul 8;250(2):222-7. doi: 10.1001/jama.250.2.222.
5
Continuing medical education--an epidemiologic evaluation.继续医学教育——一项流行病学评估。
N Engl J Med. 1970 Jan 29;282(5):254-9. doi: 10.1056/NEJM197001292820506.
6
The impact of a program to enhance the competencies of primary care physicians in caring for patients with AIDS.
J Gen Intern Med. 1986 Sep-Oct;1(5):287-94. doi: 10.1007/BF02596205.
7
The sexual history-taking and counseling practices of primary care physicians.基层医疗医生的性病史采集与咨询实践。
West J Med. 1987 Aug;147(2):165-7.
8
AIDS-related competence of California's primary care physicians.加利福尼亚州初级保健医生的艾滋病相关能力。
Am J Public Health. 1987 Jul;77(7):795-9. doi: 10.2105/ajph.77.7.795.
9
AIDS prevention in primary care clinics: testing the market.基层医疗诊所中的艾滋病预防:测试市场。
J Gen Intern Med. 1989 Jan-Feb;4(1):34-8. doi: 10.1007/BF02596487.