Research Group Digital Business & Media, HU University of Applied Sciences Utrecht, Heidelberglaan 15, Utrecht, CS 3584, the Netherlands; Department of Obstetrics and Gynecology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam, AZ 1105, the Netherlands.
Research Group Digital Business & Media, HU University of Applied Sciences Utrecht, Heidelberglaan 15, Utrecht, CS 3584, the Netherlands.
Patient Educ Couns. 2022 Apr;105(4):858-868. doi: 10.1016/j.pec.2021.07.049. Epub 2021 Jul 29.
Many healthcare professionals experience difficulties in discussing sexual health with their patients. The aim of this review was to synthesize results of studies on communication practices in interactions about sexual health in medical settings, to offer healthcare professionals suggestions on how to communicate about this topic.
We searched for studies using five databases. Reference lists and specialist bibliographies were searched to identify additional studies. We included discourse analytic studies that used recordings of medical consultations.
We identified five studies that met the inclusion criteria. Findings were synthesized into seven categories of practices deployed by patients and healthcare professionals when talking about sexual health: avoiding delicate terms (1), delaying potentially delicate words and issues (2), using assumptive talk (3), generalized advice-giving (4), deploying patients' talk (5), depersonalization (6), and patient-initiated advice (7).
Practices indicate the delicacy associated with discussing sexual health issues, but results also shed light on practices that can help professionals to deal with this delicacy, and to be responsive to patients' needs and concerns.
Findings will assist healthcare professionals in broaching topics related to sexual health so they can help patients deal with challenges that affect their sexual health and overall well-being.
许多医疗保健专业人员在与患者讨论性健康问题时感到困难。本研究旨在综合医学环境中关于性健康交流实践的研究结果，为医疗保健专业人员提供关于如何讨论这一主题的建议。
我们使用五个数据库搜索研究。还检索了参考文献列表和专业书目，以确定其他研究。我们纳入了使用医疗咨询录音的话语分析研究。
我们确定了符合纳入标准的五项研究。研究结果综合为患者和医疗保健专业人员在谈论性健康时使用的七种实践类别：避免使用敏感术语（1）、延迟使用潜在敏感词和问题（2）、使用假设性谈话（3）、提供一般性建议（4）、使用患者的谈话（5）、去人格化（6）和患者主动提供建议（7）。
这些实践表明了讨论性健康问题的敏感性，但结果也揭示了一些实践方法，这些方法可以帮助专业人员处理这种敏感性，并对患者的需求和关注点做出回应。
研究结果将帮助医疗保健专业人员提出与性健康相关的话题，以便他们能够帮助患者应对影响其性健康和整体幸福感的挑战。
