van Ek Gaby F, Krouwel Esmée M, Nicolai Melianthe P, Bouwsma Hanneke, Ringers Jan, Putter Hein, Pelger Rob C M, Elzevier Henk W
Department of Urology, Leiden University Medical Center, Leiden, The Netherlands.
Department of Nephrology, Leiden University Medical Center, Leiden, The Netherlands.
J Sex Med. 2015 Dec;12(12):2350-63. doi: 10.1111/jsm.13062. Epub 2015 Dec 3.
Sexual dysfunction (SD) is a common problem in patients suffering from chronic kidney disease (CKD). Sexual health remains a difficult subject to detect and discuss. Although many studies have been performed on the incidence of SD, little is known about practice patterns when it concerns quality of life (QoL)-related questions such as SD in the nephrologists' practice.
The aim of this study was to determine to which extent nephrologists, important renal care providers, discuss SD with their patients and their possible barriers toward discussing this subject.
A 50-item questionnaire was sent to all Dutch nephrologists (n = 312).
The survey results.
The response rate of the survey was 34.5%. Almost all responders (96.4%) stated to address SD in less than half of their new patients. The most important barrier not to discuss SD was patients not expressing their concern regarding SD spontaneously (70.8%). Other important barriers were: "the lack of a suitable moment to discuss" (61.9%) and "insufficient time" (46.9%). Eighty-five percent of the nephrologists stated that insufficient attention was paid to SD and treatment options during their training. Sixty-five percent of the respondents stated to be in need of extending their knowledge on the discussing of SD.
Dutch nephrologists do not discuss problems with sexual function routinely. The lack of knowledge, suitable education, and insufficient time are factors causing undervaluation of SD in CKD patients. Implementation of competent sexual education and raising awareness among nephrologists on the importance of paying attention to SD could improve care and QoL for patients with CKD. More research should be performed among patients and other renal care providers to develop an adequate method to enhance our current system.
性功能障碍（SD）是慢性肾脏病（CKD）患者的常见问题。性健康仍然是一个难以察觉和讨论的话题。尽管已经对SD的发生率进行了许多研究，但对于肾脏病医生在临床实践中涉及与生活质量（QoL）相关问题（如SD）时的实际做法知之甚少。
本研究的目的是确定作为重要肾脏护理提供者的肾脏病医生在多大程度上与患者讨论SD以及他们在讨论该主题时可能遇到的障碍。
向所有荷兰肾脏病医生（n = 312）发送了一份包含50个条目的问卷。
调查结果。
调查的回复率为34.5%。几乎所有回复者（96.4%）表示在不到一半的新患者中会提及SD。不讨论SD的最重要障碍是患者未自发表达对SD的担忧（70.8%）。其他重要障碍包括：“缺乏合适的讨论时机”（61.9%）和“时间不足”（46.9%）。85%的肾脏病医生表示在他们的培训期间对SD和治疗选择的关注不足。65%的受访者表示需要扩展他们关于讨论SD的知识。
荷兰肾脏病医生不会常规讨论性功能问题。知识缺乏、适当教育不足和时间不够是导致对CKD患者的SD重视不足的因素。实施有效的性教育并提高肾脏病医生对关注SD重要性的认识可以改善CKD患者的护理和生活质量。应该在患者和其他肾脏护理提供者中进行更多研究，以开发一种适当的方法来改进我们当前的体系。
