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[日常实践中的性医学:德国范围内泌尿外科医生调查问卷]

[Sexual medicine in daily practice : Germany-wide questionnaire of urologists].

作者信息

Schloegl I, Koehn F-M, Beier K M, Bosinski H A G, Dinkel A, Gschwend J E, Herkommer K

机构信息

Klinik und Poliklinik für Urologie, Klinikum rechts der Isar der Technischen Universität München, München, Deutschland.

Andrologicum, München, Deutschland.

出版信息

Urologe A. 2017 May;56(5):637-644. doi: 10.1007/s00120-016-0297-9.

DOI:10.1007/s00120-016-0297-9
PMID:28078423
Abstract

BACKGROUND

Sexual-related problems are very prevalent. Physicians of different disciplines are frequently contacted by men with those problems.

OBJECTIVES

The aim of this study was to investigate the situation of sexual medicine in daily practice and to evaluate German urologists' need for further training in this field with a focus on gender-specific differences.

MATERIALS AND METHODS

A five-page questionnaire included questions about sexual medicine in daily practice. A focus was set on physicians dealing with sexual medicine in daily practice and their need for further training in this field. In April/Mai 2015, questionnaires were sent per mail to 5955 urologists, urology residents and andrologists throughout Germany. The questionnaire was developed based on previously published studies and a pretest was performed to evaluate comprehensibility. A χ test was performed to determine significant gender-specific differences; for this propose response options were dichotomised. P values ≤0.05 were considered significant.

RESULTS

The response rate was 16.0%, representing 955 questionnaires. A total of 50 questionnaires from non-urologists were excluded, so 905 questionnaires were analysed. The mean age was 47.7 ± 10.4 years, 78.9% were male, 97.0% had studied in Germany, 86.7% were specialists and 37.7% had further qualification in andrology.

CONCLUSION

Our results emphasize the need for further training in sexual medicine, especially for female physicians. This study underlines the demand for advanced qualification in sexual medicine.

摘要

背景

性相关问题非常普遍。患有这些问题的男性经常会联系不同学科的医生。

目的

本研究的目的是调查性医学在日常实践中的情况,并评估德国泌尿科医生在该领域的进一步培训需求,重点关注性别差异。

材料与方法

一份五页的问卷包含了关于性医学日常实践的问题。重点关注日常实践中处理性医学问题的医生及其在该领域的进一步培训需求。2015年4月/5月,通过邮件向德国各地的5955名泌尿科医生、泌尿科住院医师和男科学专家发送了问卷。该问卷是基于先前发表的研究制定的,并进行了预测试以评估其可理解性。进行χ检验以确定显著的性别差异;为此,将回答选项进行了二分法处理。P值≤0.05被认为具有显著性。

结果

回复率为16.0%,即955份问卷。总共排除了50份非泌尿科医生的问卷,因此对905份问卷进行了分析。平均年龄为47.7±10.4岁,78.9%为男性,97.0%在德国学习过,86.7%为专科医生,37.7%具有男科学的进一步资质。

结论

我们的结果强调了性医学进一步培训的必要性,尤其是对女医生而言。本研究强调了性医学高级资质的需求。

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1
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2
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本文引用的文献

1
Education in sexual medicine - a nationwide study among German urologists/andrologists and urology residents.性医学教育——一项针对德国泌尿科医生/男科医生及泌尿外科住院医师的全国性研究。
Andrologia. 2017 Mar;49(2). doi: 10.1111/and.12611. Epub 2016 May 2.
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Dealing with female sexuality: training, attitude, and practice of obstetrics and gynecology residents from a developing country.处理女性性行为:发展中国家妇产科住院医师的培训、态度和实践。
J Sex Med. 2015 May;12(5):1154-7. doi: 10.1111/jsm.12875. Epub 2015 Apr 9.
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New developments in education and training in sexual medicine.
性医学教育和培训的新发展。
J Sex Med. 2013 Apr;10(4):918-23. doi: 10.1111/jsm.12140.
4
General practitioners' knowledge, attitudes, beliefs, and practices in the management of sexual dysfunction-results of the Portuguese SEXOS study.全科医生在性功能障碍管理方面的知识、态度、信念和实践-葡萄牙 SEXOS 研究的结果。
J Sex Med. 2012 Oct;9(10):2508-15. doi: 10.1111/j.1743-6109.2012.02870.x. Epub 2012 Aug 15.
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Education in sexual medicine: proceedings from the international consultation in sexual medicine, 2009.性医学教育:2009 年国际性医学咨询会议记录。
J Sex Med. 2010 Oct;7(10):3305-14. doi: 10.1111/j.1743-6109.2010.02026.x.
6
Definitions/epidemiology/risk factors for sexual dysfunction.定义/流行病学/性功能障碍的危险因素。
J Sex Med. 2010 Apr;7(4 Pt 2):1598-607. doi: 10.1111/j.1743-6109.2010.01778.x.
7
How unusual are the contents of paraphilias? Paraphilia-associated sexual arousal patterns in a community-based sample of men.性偏好障碍的内容有多不寻常?基于社区的男性样本中的性偏好障碍相关的性唤起模式。
J Sex Med. 2011 May;8(5):1362-70. doi: 10.1111/j.1743-6109.2009.01597.x.
8
[The family doctor's role in diagnosis and treatment of sexual disorders].[家庭医生在性功能障碍诊断与治疗中的作用]
MMW Fortschr Med. 2008 Feb 21;150(8):27-30. doi: 10.1007/BF03371046.
9
Frequency and focus of sexual history taking in male patients--a pilot study conducted among Swiss general practitioners and urologists.男性患者性史询问的频率及重点——一项在瑞士全科医生和泌尿科医生中开展的试点研究
J Sex Med. 2008 Jan;5(1):47-59. doi: 10.1111/j.1743-6109.2007.00628.x. Epub 2007 Oct 23.
10
A study of sexuality and health among older adults in the United States.美国老年人的性与健康研究。
N Engl J Med. 2007 Aug 23;357(8):762-74. doi: 10.1056/NEJMoa067423.