美国泌尿妇科学会成员中女性性功能和障碍的教育：一项未满足的需求。
Education in Female Sexual Function and Dysfunction among American Urogynecologic Society Members: An Unmet Need.
机构信息
Emory University School of Medicine, Atlanta, Georgia.
出版信息
South Med J. 2024 Jan;117(1):7-10. doi: 10.14423/SMJ.0000000000001637.
OBJECTIVES
Sexual function is an important component of women's health that has not been traditionally emphasized during medical training, suggesting that further education is needed to provide comprehensive patient care. The purpose of this study was to describe education and interest in female sexual function among urogynecology providers.
METHODS
Conducted in 2020, this was a cross-sectional survey of American Urogynecologic Society members assessing educational and clinical experience with female sexual function.
RESULTS
Of 642 members who opened the survey, 123 (19%) completed it. Most of the respondents were fellowship trained (70%), and 74% reported ≥10% of their patients had sexual function questions or concerns unrelated to prolapse or incontinence. Most (71%) of the members strongly agreed/agreed that they were comfortable evaluating and managing these patients. This was more common in providers who saw more patients (≥25%) with sexual function concerns (83%) compared with those who saw <25% (65%; 0.04). Most of the respondents reported receiving ≤1 lecture on normal sexual function (82%) or sexual dysfunction (85%) during medical training. Most (67%) would expand their practice if they received additional education. The most requested topics were disorders of desire (72%), orgasm (71%), and arousal (67%). The most common reasons for not expanding practice even with additional education were female sexual function not being of significant interest (30%) and time and interruption of practice flow (28%).
CONCLUSIONS
Most of the respondents felt comfortable caring for patients with sexual function concerns, but reported that they would expand their practice with additional education. The majority reported having received ≤1 female sexual function/dysfunction lecture during their medical training. This highlights a critical need and desire for more female sexual function education among the urogynecologic provider population.
目的
性功能是女性健康的一个重要组成部分，但在医学培训中传统上并未得到强调，这表明需要进一步教育，以提供全面的患者护理。本研究的目的是描述尿妇产科医生在女性性功能方面的教育和兴趣。
方法
这是 2020 年进行的一项美国尿妇产科协会成员的横断面调查，评估了女性性功能的教育和临床经验。
结果
在打开调查的 642 名成员中，有 123 名（19%）完成了调查。大多数受访者接受过专科培训（70%），74%的人报告说，他们有 10%以上的患者有与脱垂或尿失禁无关的性功能问题或担忧。大多数（71%）的成员强烈同意/同意他们能够舒适地评估和管理这些患者。与看到性功能问题患者<25%（65%）的医生相比，看到性功能问题患者≥25%（83%）的医生更有可能这样做（0.04）。大多数受访者报告在医学培训中仅接受过≤1 次关于正常性功能（82%）或性功能障碍（85%）的讲座。如果接受额外的教育，大多数人（67%）会扩大他们的实践。最需要的主题是性欲障碍（72%）、性高潮（71%）和唤醒（67%）。即使接受了额外的教育，也不扩大实践的最常见原因是女性性功能没有显著的兴趣（30%）和时间和实践流程中断（28%）。
结论
大多数受访者对照顾有性功能问题的患者感到满意，但报告说，如果接受额外的教育，他们将扩大自己的实践。大多数人在医学培训中报告接受过≤1 次女性性功能/性功能障碍讲座。这突出表明，在尿妇产科医生群体中，对更多女性性功能教育的需求和愿望非常强烈。
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