Van-der-Hofstadt C J, Ruiz M T
Unidad de Salud Mental Area 23, Servicio Valenciano de la Salud, Alicante.
Med Clin (Barc). 1994 Jun 25;103(4):125-8.
With the aim of promoting activities related with sexual problems of the population in the health care area of the province of Alicante (Spain), the following objectives were set to the teams of primary health care: to know the opinion of the professionals concerning the most frequent reasons for consultation related with sexuality, establish opinions on their knowledge and educational requirements in this area, decrease sexual myths, strengthen the habit of registration of information on sexual behavior and problems related with the sexuality of the users and increase the frequency of derivating these problems to specialists.
Information was collected with a self applied survey on variables related with the above objectives. Four seminars were then developed on human sexual response, sexologic interview, sexual dysfunction and sexual therapy from the results obtained. One year thereafter, an evaluation was carried out in which the initial survey was reapplied.
Fifty-eight percent of the 77 primary care professionals responded to the survey adequately in the initial phase. In their opinion the first three causes for consultation are impotence (13%), dispareunia (12%) and sexual disturbances related with chronic diseases (11%). The perception of their knowledge concerning the subjects covered in the seminars was slight with training in this area being clearly required. Eighty-nine percent were in favor of the collection of information on sexuality in health care files in contrast to 20% who reported to do so. From the initial to the final evaluation a decrease was seen in the direct intervention of the primary health care teams and an increase in derivations to specialists, which was of interest since around 20% of the professionals have erroneous beliefs on sexuality, varying according to the professions.
The low level of knowledge and abilities perceived, the need for education, possession of the erroneous beliefs of the health care professionals surveyed and the passive behavior but positive attitude towards the sexual problems of the population reconfirm the importance of adequate continued training to health care professionals, particularly to those of primary health care since they are the ideal suppliers of assistance to sexual problems.
为促进西班牙阿利坎特省医疗保健领域中与民众性问题相关的活动，对初级卫生保健团队设定了以下目标：了解专业人员对与性相关的最常见咨询原因的看法，就他们在该领域的知识和教育需求形成意见，减少性方面的误区，强化记录用户性行为及与性相关问题信息的习惯，并增加将这些问题转诊给专科医生的频率。
通过一项关于上述目标相关变量的自填式调查收集信息。然后根据所得结果举办了四场关于人类性反应、性学访谈、性功能障碍和性治疗的研讨会。一年后，进行了一次评估，重新应用了初始调查。
在初始阶段，77名初级保健专业人员中有58%充分回应了调查。在他们看来，前三大咨询原因是阳痿（13%）、性交困难（12%）和与慢性病相关的性障碍（11%）。他们对研讨会上所涵盖主题的知识认知程度较低，显然需要在该领域接受培训。89%的人赞成在医疗保健档案中收集性方面的信息，相比之下，只有20%的人报告有这样做。从初始评估到最终评估，初级卫生保健团队的直接干预有所减少，转诊给专科医生的情况有所增加，这一点值得关注。因为约20%的专业人员对性存在错误观念，且因职业不同而有所差异。
所察觉到的知识和能力水平较低、教育需求、被调查的医疗保健专业人员存在错误观念以及对民众性问题的被动行为但积极态度，再次证实了对医疗保健专业人员，特别是初级卫生保健专业人员进行充分持续培训的重要性，因为他们是性问题援助的理想提供者。
