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土耳其助产专业学生在性咨询方面的态度、信念和舒适度。

Attitudes, beliefs and comfort levels of midwifery students regarding sexual counselling in Turkey.

作者信息

Ören Besey, Zengin Neriman, Yazıcı Saadet, Akıncı Ayşe Çil

机构信息

Midwifery Department, Faculty of Health Science, Health Science University, Mekteb-i Tıbbiye-i Şahane (Haydarpaşa) Külliyesi Selimiye Mah. Tıbbiye Cad. No:38 34668, Üsküdar, İstanbul, Turkey.

Midwifery Department, Faculty of Health Science, Istanbul University, Demirkapı C. Karabal S. Ruh ve Sinir Hastalıkları Hastanesi Bahçe İçi-Bakırköy, İstanbul, Turkey.

出版信息

Midwifery. 2018 Jan;56:152-157. doi: 10.1016/j.midw.2017.10.014. Epub 2017 Oct 20.

DOI:10.1016/j.midw.2017.10.014
PMID:29121550
Abstract

OBJECTIVE

this aim of this study was to determine midwifery students' attitudes and beliefs regarding sexual counselling, the factors preventing effective sexual counselling and comfort levels towards sexual counselling.

PARTICIPANTS

the study was conducted with 650 students studying in the midwifery departments of eight universities in Turkey (response rate 59.1%).

DESIGN

the data were obtained through a self-administered questionnaire in early 2016, which collected sociodemographic characteristics and comfort levels, and used the Sexuality Attitudes and Beliefs Survey.

FINDINGS

just over half (52.4%) of the students had been confronted in clinical practice with caring for a woman who reported having sexual problems and 74.9% reported that the women they were caring for requested sexual counselling from them. Just under a half (48.8%), stated that midwives talk about these issues during care and a similar proportion (48.3%) reported that issues about sexual counselling were part of their midwifery education. Just over half (53.5%) of the midwifery students stated that sexuality is a very special subject to discuss with women but that insufficient time created a barrier to being able to discuss sexual problems. The students did not feel comfortable counselling all women, including homosexual women or sex workers who may be potentially carrying HIV.

CONCLUSIONS

even though the attitudes of midwifery students toward sexual counselling were good, students were not always comfortable to provide counselling, especially to particular groups of women.

IMPLICATIONS FOR PRACTICE

attitudes, beliefs and comfort levels of midwifery students about sexuality and sexual counselling can be improved. Students are an important group to target as they are specialised in women's health, Different groups should be supported through training concerning sexual counselling.

摘要

目的

本研究旨在确定助产专业学生对性咨询的态度和信念、妨碍有效进行性咨询的因素以及对性咨询的舒适度。

参与者

该研究对土耳其八所大学助产专业的650名学生进行(回复率59.1%)。

设计

2016年初通过自填式问卷获取数据,问卷收集了社会人口学特征和舒适度,并采用了性态度与信念调查。

结果

略超过一半(52.4%)的学生在临床实践中遇到过照顾有性问题的女性的情况,74.9%的学生报告称他们照顾的女性向他们寻求性咨询。略不到一半(48.8%)的学生表示助产士在护理过程中会谈论这些问题,类似比例(48.3%)的学生报告称性咨询问题是他们助产士教育的一部分。略超过一半(53.5%)的助产专业学生表示性是与女性讨论的一个非常特殊的话题,但时间不足成为了能够讨论性问题的障碍。学生们对为所有女性提供咨询,包括可能携带艾滋病毒的同性恋女性或性工作者,感到不自在。

结论

尽管助产专业学生对性咨询的态度良好,但学生们并不总是愿意提供咨询,尤其是对特定女性群体。

对实践的启示

可以提高助产专业学生对性和性咨询的态度、信念及舒适度。学生是一个重要的目标群体,因为他们专门从事妇女健康工作,应通过性咨询培训来支持不同群体。

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