Let's talk about sex: exploring factors influencing the discussion of sexual health among chronically Ill patients in general practice.

Autor: Barnhoorn PC; Department of Public Health and Primary Care, Leiden University Medical Centre, Albinusdreef 2, Leiden, 2300 RC, The Netherlands. P.C.Barnhoorn@LUMC.nl., Prins IC; Department of Public Health and Primary Care, Leiden University Medical Centre, Albinusdreef 2, Leiden, 2300 RC, The Netherlands., Zuurveen HR; Department of Psychiatry, Leiden University Medical Centre, Albinusdreef 2, Leiden, 2300 RC, The Netherlands., Oudsten BLD; Department Medical and Clinical Psychology, Tilburg University, P.O. Box 90153, 5000 LE, Tilburg, The Netherlands., Ouden MEMD; Research Group Technology, Health & Care, Saxion University of Applied Sciences, P.O. Box 70.000, 7500 KB, Enschede, the Netherlands., Numans ME; Department of Public Health and Primary Care, Leiden University Medical Centre, Albinusdreef 2, Leiden, 2300 RC, The Netherlands., Elzevier HW; Department of Urology & Department of Medical Decision Making, Leiden University Medical Centre, Albinusdreef 2, Leiden, 2300 RC, The Netherlands., van Ek GF; Department of Urology, Leiden University Medical Centre, Albinusdreef 2, Leiden, 2300 RC, The Netherlands.
Jazyk: angličtina
Zdroj: BMC primary care [BMC Prim Care] 2022 Mar 19; Vol. 23 (1), pp. 49. Date of Electronic Publication: 2022 Mar 19.
DOI: 10.1186/s12875-022-01660-8
Abstrakt: Background: Chronic diseases are often associated with sexual dysfunction (SD). Little is known about the practice patterns of general practitioners (GPs) regarding sexual care for chronically ill patients. Therefore, the aim of this study was to examine; to what extent GPs discuss SD with chronically ill patients; the barriers that may stop them; and the factors associated with discussing SD.
Methods: A cross-sectional survey using a 58-item questionnaire was sent to 604 Dutch GPs. Descriptive statistics and associations were used for analysis of the data.
Results: Nearly 58% (n = 350) of all GPs approached gave a response and 204 questionnaires were analysable (33.8%). Almost 60% of respondents considered discussing SD with patients important (58.3%, n = 119). During the first consultation, 67.5% (n = 137) of the GPs reported that they never discussed SD. The most important barrier stopping them was lack of time (51.7%, n = 104). The majority (90.2%, n = 184) stated that the GP was responsible for addressing SD; 70.1% (n = 143) indicated that the GP practice somatic care nurse (GPN) was also responsible. Nearly 80% (n = 161) of respondents were unaware of agreements within the practice on accountability for discussing SD. This group discussed SD less often during first and follow-up consults (p = 0.002 and p < 0.001, respectively). Of the respondents, 61.5% (n = 116) felt that they had received insufficient education in SD and 74.6% (n = 150) stated that the subject is seldom discussed during training. Approximately 62% of the GPs (n = 123) wanted to increase their knowledge, preferably through extra training. According to 53.2% of the GPs (n = 107) it was important to improve the knowledge of the GPN. The most frequently mentioned tool that could help improve the conversation about SD was the availability of information brochures for patients (n = 123, 60.3%).
Conclusions: This study indicates that Dutch GPs do not discuss SD with chronically ill patients routinely, mainly due to lack of time. An efficient tool is needed to enable GPs to address SD in a time-saving manner. Increased availability of informational materials, agreements on accountability within GP practices, and extra training for the GPs and GPNs could improve the discussion of SD.
(© 2022. The Author(s).)
Databáze: MEDLINE
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