Institute of Preventive Medicine, Faculty of Medicine, University of Lisbon, Lisboa, Portugal.
J Sex Med. 2012 Oct;9(10):2508-15. doi: 10.1111/j.1743-6109.2012.02870.x. Epub 2012 Aug 15.
Evidence shows that sexual dysfunctions (SDs) are very prevalent in both sexes and that they share risk factors with many other conditions. It is known that only a minority of people experiencing sexual problems seek treatment, but the role of the general practitioner (GP) in SD diagnosis and treatment is relatively unexplored. No study has been conducted in Portugal in order to identify GPs' knowledge, attitudes, beliefs, and practices regarding SD and only a small amount of similar studies from other countries have been published.
To characterize GPs' knowledge, attitudes, and beliefs concerning SD; practices of SD management in daily practice; self-perceived competence in discussing and treating SD; and need for training.
Cross-sectional study using confidential self-administered questionnaires applied to GPs working in Primary Health Care Units in the Lisbon region.
The questionnaire collected information concerning GPs' knowledge and perceptions regarding SD, training and practice in sexual health, criteria for initiating discussion and treatment, and the adoption of guidelines.
A total of 50 questionnaires (30 females) were obtained (73.5% response rate). On average, the 50 participants were 52±8.6 years old, had 21±8.2 years of family practice, and followed 1,613±364 patients. The degree in medicine was never considered as an extremely adequate source of information both for male and female SD. Lack of time to obtain relevant information for clinical practice and to deal with sexual health issues were perceived as important barriers in initiating a discussion with the patient, as well as lack of academic training and experience in this area.
GPs expressed a high need for continuous training in this area and more than half considered that their degree was not an adequate source of training. These results indicate that there is a need for both pregraduate and postgraduate training in this area.
有证据表明，性功能障碍（SD）在两性中都非常普遍，且与许多其他疾病存在共同的风险因素。已知只有少数有性问题的人寻求治疗，但全科医生（GP）在 SD 诊断和治疗中的作用相对未得到充分探索。葡萄牙尚未开展针对 GPs 对 SD 的知识、态度、信念和实践的研究，仅有少量来自其他国家的类似研究发表。
描述 GPs 对 SD 的知识、态度和信念；日常实践中 SD 管理的实践；讨论和治疗 SD 的自我感知能力；以及培训需求。
使用机密的自我管理问卷对里斯本地区初级保健单位的 GPs 进行横断面研究。
问卷收集了有关 GPs 对 SD 的知识和看法、性健康培训和实践、启动讨论和治疗的标准以及指南采用情况的信息。
共获得 50 份问卷（30 名女性）（73.5%的应答率）。平均而言，50 名参与者的年龄为 52±8.6 岁，有 21±8.2 年的家庭实践经验，随访 1,613±364 名患者。医学学位从未被认为是男性和女性 SD 相关信息的极其充分来源。缺乏时间获取与临床实践相关的信息以及处理性健康问题被认为是与患者开始讨论的重要障碍，此外，在该领域缺乏学术培训和经验。
GPs 表示在该领域有持续培训的强烈需求，超过一半的人认为他们的学位不是适当的培训来源。这些结果表明，该领域需要进行本科和研究生培训。
