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脊髓损伤患者的性健康咨询:医疗保健专业人员的观点。

Sexual health counselling in patients with spinal cord injury: Health care professionals' perspectives.

机构信息

Division of Physical Medicine and Rehabilitation, Glenrose Rehabilitation Hospital, Edmonton, Canada.

College of Medicine, University of Saskatchewan, Saskatoon, Canada.

出版信息

J Spinal Cord Med. 2022 Mar;45(2):280-286. doi: 10.1080/10790268.2020.1786322. Epub 2020 Jul 9.

Abstract

We aimed to explore barriers to discussing sexual health with spinal cord injured (SCI) patients as perceived by health care professionals, to determine interest and preferences regarding further education in sexual health, and to assess the perceived need for an inpatient Sexual Health Team. Pre and post surveys were completed by attendees following a 1-2 hour educational session on sexual health and SCI, assessing core elements including participant characteristics, confidence levels, and perceptions towards sexual health counselling and education. Wascana Rehabilitation Centre, a facility in Regina, SK offering inpatient and outpatient rehabilitation services in Saskatchewan. Eighty-six participants with a mean age of 39 years took part in this study. Among them, nearly half were nurses. Educational sessions on SCI patients' sexual health. Self-administered surveys. Significant differences were observed between pre- and post-session participant responses regarding their confidence levels (P < 0.001). Most participants (82.1%) had never provided sexual health counselling to SCI patients. The main perceived barrier to lack of sexual health counselling was insufficient training; the preferred learning method was via in-person workshops. The majority (80%) of participants indicated a Sexual Health Team should be created and 39.4% of participants expressed interest in becoming a member of this team. These results support that an educational session may help improve the confidence, knowledge, and perceptions around delivery of sexual health education of SCI patients. Study results suggest a perceived need for a Sexual Health Team and interest from health care professionals to become more involved in sexual health counselling.

摘要

我们旨在探讨医护人员在与脊髓损伤(SCI)患者讨论性健康方面所面临的障碍,确定他们对性健康进一步教育的兴趣和偏好,并评估他们对住院性健康团队的需求。在参加完为时 1-2 小时的性健康和 SCI 教育课程后,参与者完成了预调查和后调查,评估了核心要素,包括参与者的特征、信心水平以及对性健康咨询和教育的看法。Wascana 康复中心是萨斯喀彻温省里贾纳的一家机构,提供萨斯喀彻温省内的住院和门诊康复服务。共有 86 名平均年龄为 39 岁的参与者参加了这项研究。其中近一半是护士。有关 SCI 患者性健康的教育课程。自我管理的调查。参与者在课程前后对其信心水平的回答存在显著差异(P<0.001)。大多数参与者(82.1%)从未为 SCI 患者提供过性健康咨询。缺乏性健康咨询的主要障碍是培训不足;首选的学习方法是面对面研讨会。大多数(80%)参与者表示应创建一个性健康团队,39.4%的参与者表示有兴趣成为该团队的一员。这些结果表明,教育课程可能有助于提高提供 SCI 患者性健康教育的信心、知识和认知。研究结果表明,需要一个性健康团队,并且医护人员有兴趣更多地参与性健康咨询。

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