Goudman Lisa, van Schaik David, Jager Tjeerd, Moens Maarten, Scheerlinck Thierry
STIMULUS Research Group, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090, Brussels, Belgium.
Department of Neurosurgery, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium.
Brain Spine. 2024 Feb 23;4:102776. doi: 10.1016/j.bas.2024.102776. eCollection 2024.
Spinal pain syndromes have a severe impact on the patient's sex life, contributing to a decrease in sexual function and sexual satisfaction. Despite the importance of sexual health on mental and physical wellbeing, sexual health is rarely discussed during consultations.
The aim of this study is to explore to what extent influencing factors can alter the discussion about sexual health during consultations. More specifically, we will evaluate the influence of healthcare profession, sex of the patient and the surgical approach that is proposed.
An online survey was sent to neurosurgeons, pain physicians and orthopedists in Belgium and The Netherlands in April 2019. Participants were asked about; counseling routine, knowledge, and opinion on sexual health. Answers were scored on a 5-point Likert scale. Independence between the response levels and type of surgery as well as profession were tested.
In total, 350 respondents were approached of whom 57 completed the survey. The majority of respondents (61.4%) indicated that they rarely or never discussed sexual disturbances. Profession and type of surgery had an influence on discussing erectile dysfunction, retrograde ejaculation, and alterations in orgasms. Thirty-five percent of healthcare providers considered it the patient's responsibility to bring up the subject of sexual health.
Sexual health is rarely addressed by healthcare providers during spinal care. Profession as well as type of surgery seems to play a role on whether sexual health is discussed during consultations.
脊柱疼痛综合征对患者的性生活有严重影响，会导致性功能和性满意度下降。尽管性健康对身心健康很重要，但在会诊期间很少讨论性健康问题。
本研究的目的是探讨影响因素在多大程度上能够改变会诊期间关于性健康的讨论。更具体地说，我们将评估医疗职业、患者性别以及所提议的手术方式的影响。
2019年4月，对比利时和荷兰的神经外科医生、疼痛科医生和骨科医生进行了一项在线调查。参与者被问及：咨询常规、性健康知识和看法。答案采用5分李克特量表评分。对回答水平与手术类型以及职业之间的独立性进行了测试。
总共邀请了350名受访者，其中57人完成了调查。大多数受访者（61.4%）表示他们很少或从未讨论过性障碍问题。职业和手术类型对讨论勃起功能障碍、逆行射精和性高潮改变有影响。35%的医疗服务提供者认为提出性健康问题是患者的责任。
在脊柱护理期间，医疗服务提供者很少提及性健康问题。职业以及手术类型似乎在会诊期间是否讨论性健康方面发挥作用。
