Discussing sexual health in spinal care
| Autor: | Melianthe P.J. Nicolai, Henk W. Elzevier, S. Both, C. L. A. Vleggeert-Lankamp, N. S. Korse |
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| Přispěvatelé: | Obstetrics and Gynaecology |
| Rok vydání: | 2015 |
| Předmět: |
Counseling
Male Quality of Life/psychology Practice Patterns 0302 clinical medicine Practice Patterns Physicians'/statistics & numerical data Orthopedics and Sports Medicine Lack of knowledge Sexual Dysfunctions Psychological 030212 general & internal medicine Practice Patterns Physicians' Referral and Consultation Spinal cord injury Netherlands Reproductive health Response rate (survey) High prevalence Patient Education as Topic/methods Sexual Dysfunctions Psychological/etiology Middle Aged Reproductive Health Female Referral and Consultation/statistics & numerical data Clinical Competence Neurosurgery medicine.symptom Adult medicine.medical_specialty Sexual Dysfunction Attitude of Health Personnel Physiological/etiology Physicians'/statistics & numerical data Young Adult 03 medical and health sciences Quality of life (healthcare) Patient Education as Topic medicine Humans Psychological/etiology Spinal Cord Injuries Aged Physician-Patient Relations business.industry Sexual Dysfunction Physiological/etiology Sexual Dysfunctions Spinal Cord Injuries/complications medicine.disease Sexual Dysfunction Physiological Cross-Sectional Studies Sexual dysfunction Family medicine Quality of Life Physical therapy Surgery business 030217 neurology & neurosurgery |
| Zdroj: | European spine journal, 25(3), 766-73. Springer Verlag European Spine Journal, 25(3), 766-773 |
| ISSN: | 1432-0932 0940-6719 |
| DOI: | 10.1007/s00586-015-3991-1 |
| Popis: | Abstract BACKGROUND: The possible detrimental effects of spinal disease on sexual health are widely recognized; however, it is not known to what extent neurosurgeons discuss this topic with their patients. The aim of this study is to identify knowledge, attitude and practice patterns of neurosurgeons counseling their patients about sexual health. METHODS: All members of the Dutch Association of Neurosurgery (neurosurgeons and residents) were sent a questionnaire addressing their attitudes, knowledge and practice patterns regarding discussing sexual health. RESULTS: Response rate was 62 % with 89 questionnaires suitable for analysis. The majority of participants (83 %) were male; mean age, 42.4 years. The mean experience in neurosurgical practice was 9 years. Respondents assumed that in 34 % of their patients, sexual health was affected due to spinal disease. The majority of respondents (64 %) stated that responsibility for discussing sexual health lies (partly) with the neurosurgeon; however, 73 % indicated to (almost) never do this. The main reasons for not discussing sexual health were patients' old age (42 %), lack of knowledge (38 %) and lack of patients' initiative to bring up the subject (36 %). Twenty-six percent indicated lack of time as a reason. There was no evidence for gender or doctor's age discordance as important barriers. Fifty percent of participants wished to gain more knowledge on discussing sexual health with patients. CONCLUSION: This study shows that despite high prevalence of sexual dysfunction (SD) in spinal patients, counseling about sexual health is not often done in neurosurgical care. More training on sexual health counseling early in the residency program seems critical. By initiating the discussion, clinicians who deal with spinal patients have the potential to detect sexual dysfunction (SD) and to refer adequately when necessary, thereby improving overall quality of life of their patients. KEYWORDS: Cauda equina syndrome; Counseling; Patient care; Sexual dysfunction; Spinal cord injury |
| Databáze: | OpenAIRE |
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