Metzner Franka, Siefert Sönke, Pawils Silke
Institut für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
Kinderkrankenhaus Wilhelmstift, Hamburg, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2017 Feb;60(2):163-170. doi: 10.1007/s00103-016-2495-4.
Due to their high social acceptance gynecologists provide ideal conditions for approaching families. Psychosocial stress (PSS), e. g. in the context of partnership conflicts, poverty or social isolation can be identified and support can be initiated.
The aim of the study was to capture attitudes and engagement of gynecologists dealing with patients with PSS in gynecological practices in Germany.
Out of 3000 randomly selected gynecologists in private practices, 1034 (response rate: 35%) took part in a Germany-wide questionnaire study on gynecologists' sense of responsibility, procedures and barriers when dealing with women with PSS.
Ninety-six percent of the surveyed gynecologists felt responsible for patients with PSS. On average, gynecologists assumed PSS in 23% of their patients. Most of the gynecologists counseled patients with PSS and referral into the regional help system often occurred. When asked about the German early intervention system, 74% responded that they could imagine their own practice participating in this system. A need for improvement was observed in networking and financing. Significant differences in screening and interventions were found mainly in terms of professional experience, old vs. new federal states as well as between single and joint practices.
Surprisingly, openness and engagement for patients with PSS were found in gynecological practices. The majority of gynecologists already offered psychosocial interventions. It may be deduced from these results that gynecologists in practices would contribute to the psychosocial aid network if key basic conditions including the financing were fulfilled.
由于妇科医生具有较高的社会认可度，他们为接触家庭提供了理想的条件。心理社会压力（PSS），例如在伴侣冲突、贫困或社会孤立的情况下，可以被识别出来，并启动相应的支持措施。
本研究的目的是了解德国妇科诊所中处理有心理社会压力患者的妇科医生的态度和参与情况。
在随机抽取的3000名私人执业妇科医生中，1034名（回复率：35%）参与了一项全德范围内关于妇科医生在处理有心理社会压力女性时的责任感、程序和障碍的问卷调查研究。
96%的受访妇科医生认为自己对有心理社会压力的患者负有责任。妇科医生平均认为其23%的患者存在心理社会压力。大多数妇科医生为有心理社会压力的患者提供咨询，且经常会将患者转介到当地的帮助系统。当被问及德国的早期干预系统时，74%的人表示他们可以想象自己的诊所参与该系统。在网络和资金方面存在改进的需求。在筛查和干预方面的显著差异主要体现在专业经验、新旧联邦州以及单人执业和联合执业之间。
令人惊讶的是，在妇科诊所中发现了对有心理社会压力患者的开放态度和参与度。大多数妇科医生已经提供心理社会干预措施。从这些结果可以推断，如果包括资金在内的关键基本条件得到满足，私人执业的妇科医生将有助于心理社会援助网络。
