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性健康领域高级临床医生的会诊和临床评估。

Consultation and clinical assessment for advanced clinical practitioners in sexual health.

机构信息

Advanced Nurse Practitioner, Hospital at Night Team, NHS Lothian.

Programme Leader, Queen Margaret University, Edinburgh.

出版信息

Br J Nurs. 2022 May 12;31(9):478-481. doi: 10.12968/bjon.2022.31.9.478.

Abstract

Sexual health is a very important aspect of patient wellbeing, but it is a topic health professionals still find challenging within patient consultations. The incidence of sexually transmitted infections (STIs) continues to rise, highlighting the need for all advanced clinical practitioners (ACPs) to understand the principles of a sexual health consultation as they may have to support patients who present with a sexual health concern, not purely those in specialist clinics and roles. This article provides a comprehensive overview of key points to include as part of a consultation and assessment within this area of specialist practice. Effective communication is a key skill for obtaining a thorough, clear history, allowing for more accurate differentials and a smoother patient journey. The environment and body language are two other considerations when undertaking a sexual health consultation. As with all histories, a systematic approach is essential and having a solid knowledge of the foundations of sexual health will enable the ACP to focus this history to obtain pertinent information.

摘要

性健康是患者健康的一个非常重要的方面,但它是一个卫生专业人员在患者咨询中仍觉得具有挑战性的话题。性传播感染(STIs)的发病率持续上升,这凸显出所有高级临床医生(ACPs)都需要了解性健康咨询的原则,因为他们可能需要为那些有性健康问题的患者提供支持,而不仅仅是那些在专科诊所和岗位的患者。本文全面概述了在该专科实践领域的咨询和评估中需要包含的要点。有效的沟通是获取全面、清晰病史的关键技能,这有助于更准确地鉴别诊断和让患者的就诊过程更加顺畅。在进行性健康咨询时,环境和肢体语言也是另外两个需要考虑的因素。与所有病史一样,系统的方法是必不可少的,并且对性健康基础知识有扎实的了解将使 ACP 能够集中精力进行病史采集以获取相关信息。

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