Mintz Laura Janine, Moore Scott Emory
Laura Janine Mintz, MD, PhD, is an Assistant Professor, Case Western Reserve University, School of Medicine, Cleveland, Ohio, USA.
Scott Emory Moore, PhD, APRN, AGPCNP-BC, is an Assistant Professor, Case Western Reserve University, Frances Payne Bolton School of Nursing, Cleveland, Ohio, USA.
J Assoc Nurses AIDS Care. 2022;33(3):241-247. doi: 10.1097/JNC.0000000000000290. Epub 2021 Aug 20.
Sexual history taking is an important part of caring for any clinical population. However, the topic is often wrapped in discomfort that makes it more challenging than it needs to be for both the provider and the individual providing the history. The act of taking an effective sexual history is more than simply asking all the right questions in the right ways; it requires an awareness of the impact of the clinical environment, the provider's own comfort with the content, and an awareness of any personal biases. In this study, we provide a framework for evaluating and addressing many of these factors as well as providing key points for consideration as a health care provider of any level. We offer several concrete strategies for including these strategies and processes in multiple clinical environments.
获取性病史是照料任何临床人群的重要组成部分。然而,这个话题常常笼罩在不适感之中,这使得它对于提供病史的医护人员和个人来说都比应有的难度更大。获取有效的性病史不仅仅是以正确的方式询问所有正确的问题;它需要意识到临床环境的影响、医护人员自身对相关内容的舒适度,以及对任何个人偏见的认识。在本研究中,我们提供了一个框架,用于评估和应对其中的许多因素,并为各级医疗保健提供者提供关键的考虑要点。我们提供了几种具体策略,以便在多种临床环境中纳入这些策略和流程。