Department of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Heart Lung. 2012 Sep-Oct;41(5):492-9. doi: 10.1016/j.hrtlng.2012.04.009. Epub 2012 Jun 12.
We sought to examine the current practice of discussing sexual health by heart failure (HF) nurses, and to explore which barriers prevent nurses from discussing sexuality.
The Nurses' Survey of Sexual Counseling of Myocardial Infarction Patients and a list of barriers were used to form a questionnaire, which was sent to all HF clinics (n = 122) in the Netherlands.
The majority (75%) of nurses (n = 146) felt a certain responsibility to discuss patients' sexual health. However, in practice, 61% of the nurses rarely or never addressed sexuality. Barriers that prevented nurses from addressing sexuality and that differed between nurses who do (n = 58) and do not (n = 88) discuss sexuality include a lack of organizational policy (49% vs. 79%, respectively; P < .001) and lack of training (43% vs. 80%, respectively; P < .001), and not knowing how to initiate the subject (24% vs. 72%, respectively; P < .001). Nurses preferred to address sexuality during a follow-up visit or when discussing medication.
Although HF nurses feel responsible for discussing sexuality, this topic is rarely addressed in clinics. Several barriers were identified, relating to personal, patient, and organizational factors.
我们旨在研究心力衰竭（HF）护士目前讨论性健康的实践情况，并探讨哪些障碍阻止护士讨论性行为。
使用《心肌梗死患者性咨询护士调查》和一系列障碍清单来制定问卷，并将其发送给荷兰所有 HF 诊所（n=122）。
大多数（75%）护士（n=146）认为自己有一定责任讨论患者的性健康问题。然而，在实践中，61%的护士很少或从不涉及性行为。阻止护士讨论性行为的障碍，且在讨论性行为的护士（n=58）和不讨论性行为的护士（n=88）之间存在差异，包括缺乏组织政策（49%比 79%；P<.001）和缺乏培训（43%比 80%；P<.001），以及不知道如何开始这个话题（24%比 72%；P<.001）。护士更愿意在随访就诊或讨论药物时讨论性行为。
尽管 HF 护士认为有责任讨论性行为，但该话题在诊所很少涉及。确定了一些与个人、患者和组织因素有关的障碍。
