Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.
Scand J Rheumatol. 2013;42(1):20-6. doi: 10.3109/03009742.2012.709274. Epub 2012 Sep 21.
To explore multidisciplinary health professionals' (HPs) management of disease-related sexual issues in patients with rheumatic diseases, including their perceptions and assessments, and identify factors that prevent HPs from addressing sexuality as a topic with patients.
A self-constructed questionnaire was sent to 647 nurses, physicians, physiotherapists, occupational therapists, social workers, and psychologists working within rheumatology care. A multivariate logistic regression model of significant determinants for initiating sexual topics with patients was built.
The mean age of the responders (n = 274, 42% response rate, 87% female) was 46 years. While 96% considered sexuality a relevant topic in rheumatology care, 71% seldom/never raised the topic. The patient was the main initiator (53%), and 88% of HPs gave the patient responsibility to initiate. The HPs with relevant education in sexuality were significantly more comfortable talking about sexuality (p < 0.001) and raised sexual issues significantly more often (p < 0.001). In the multivariate analyses, higher age [odds ratio (OR) 3.69], having relevant education (OR 3.16), and being comfortable to some extent (OR 3.62) or to a large extent (OR 5.58) remained significant predictors to initiating sexual topics.
Although HPs regarded sexuality as a relevant topic in rheumatic health care, they seldom raised the topic in consultations. Those with further education in sexuality addressed sexual issues more frequently and felt more comfortable. Correspondingly, the majority of respondents requested more education. Such training should be part of the basic HPs' education, as well as part of postgraduate courses.
探讨多学科卫生专业人员（HPs）对风湿病患者相关疾病的性问题的管理，包括他们的看法和评估，并确定阻碍 HPs 与患者讨论性问题的因素。
向从事风湿病护理工作的 647 名护士、医生、物理治疗师、职业治疗师、社会工作者和心理学家发送了一份自我构建的问卷。建立了一个多变量逻辑回归模型，用于确定与启动与患者讨论性话题相关的显著决定因素。
应答者的平均年龄（n = 274，42%的应答率，87%为女性）为 46 岁。尽管 96%的人认为性问题是风湿病护理中的一个相关话题，但 71%的人很少/从未提出过该话题。患者是主要的发起者（53%），88%的 HPs 让患者负责发起。具有性教育相关背景的 HPs 更愿意谈论性问题（p < 0.001），并且更频繁地提出性问题（p < 0.001）。在多变量分析中，较高的年龄（优势比[OR] 3.69）、具有相关教育（OR 3.16）、在一定程度上（OR 3.62）或在很大程度上（OR 5.58）感到舒适仍然是启动性话题的显著预测因素。
尽管 HPs 将性问题视为风湿病保健中的一个相关话题，但他们在咨询中很少提出这个话题。那些接受过性教育的人更频繁地处理性问题，并且感到更自在。相应地，大多数受访者要求接受更多的教育。这种培训应该成为 HPs 基本教育的一部分，也是研究生课程的一部分。
