天津医药
天津醫藥
천진의약
TIANJIN MEDICAL JOURNAL
2014年
10期
1012-1015
,共4页
宋宝骥%张钰娟%付金鹏
宋寶驥%張鈺娟%付金鵬
송보기%장옥연%부금붕
性功能障碍,生理性%生殖健康服务%医务人员%健康知识,态度,实践
性功能障礙,生理性%生殖健康服務%醫務人員%健康知識,態度,實踐
성공능장애,생이성%생식건강복무%의무인원%건강지식,태도,실천
sexual dysfunction,physiological%reproductive health services%medical staff%health knowledge,atti-tudes,practice
目的：了解天津市生殖健康相关专业医务人员对性功能障碍（SD）的知识、态度和行为（KAP）现状及相关知识需求情况。方法分层整群随机抽样方法抽取天津市各级医疗机构的生殖健康相关专业医务人员507例，采用自填式性功能障碍KAP问卷进行调查，调查内容包括：一般情况、SD基本知识知晓情况、发生SD时的就诊态度、自身SD发生情况及相关知识培训需求。结果该专业医务人员对SD知识的知晓程度较高，但在性行为机制和女性SD方面有所欠缺。多因素分析显示年龄和医疗机构级别为知识得分的影响因素，低年龄组（β=-0.827，P=0.018）和高医疗机构级别(β=-0.223，P=0.048)的医务人员SD认知水平较高。对于发生SD时的就诊态度，49.28%选择积极就诊，36.85%选择暂时观察，9.73%持消极态度，4.14%的人说不清。17.14%的有性生活史的被调查者自身发生过SD，90.48%的医务人员有相关知识培训需求。结论今后应通过一系列干预措施加强医务人员生殖健康培训，以进一步提高其SD认知水平、改善相关态度，更好地为患者和大众服务。
目的：瞭解天津市生殖健康相關專業醫務人員對性功能障礙（SD）的知識、態度和行為（KAP）現狀及相關知識需求情況。方法分層整群隨機抽樣方法抽取天津市各級醫療機構的生殖健康相關專業醫務人員507例，採用自填式性功能障礙KAP問捲進行調查，調查內容包括：一般情況、SD基本知識知曉情況、髮生SD時的就診態度、自身SD髮生情況及相關知識培訓需求。結果該專業醫務人員對SD知識的知曉程度較高，但在性行為機製和女性SD方麵有所欠缺。多因素分析顯示年齡和醫療機構級彆為知識得分的影響因素，低年齡組（β=-0.827，P=0.018）和高醫療機構級彆(β=-0.223，P=0.048)的醫務人員SD認知水平較高。對于髮生SD時的就診態度，49.28%選擇積極就診，36.85%選擇暫時觀察，9.73%持消極態度，4.14%的人說不清。17.14%的有性生活史的被調查者自身髮生過SD，90.48%的醫務人員有相關知識培訓需求。結論今後應通過一繫列榦預措施加彊醫務人員生殖健康培訓，以進一步提高其SD認知水平、改善相關態度，更好地為患者和大衆服務。
목적：료해천진시생식건강상관전업의무인원대성공능장애（SD）적지식、태도화행위（KAP）현상급상관지식수구정황。방법분층정군수궤추양방법추취천진시각급의료궤구적생식건강상관전업의무인원507례，채용자전식성공능장애KAP문권진행조사，조사내용포괄：일반정황、SD기본지식지효정황、발생SD시적취진태도、자신SD발생정황급상관지식배훈수구。결과해전업의무인원대SD지식적지효정도교고，단재성행위궤제화녀성SD방면유소흠결。다인소분석현시년령화의료궤구급별위지식득분적영향인소，저년령조（β=-0.827，P=0.018）화고의료궤구급별(β=-0.223，P=0.048)적의무인원SD인지수평교고。대우발생SD시적취진태도，49.28%선택적겁취진，36.85%선택잠시관찰，9.73%지소겁태도，4.14%적인설불청。17.14%적유성생활사적피조사자자신발생과SD，90.48%적의무인원유상관지식배훈수구。결론금후응통과일계렬간예조시가강의무인원생식건강배훈，이진일보제고기SD인지수평、개선상관태도，경호지위환자화대음복무。
Objective To better understand the knowledge, attitude, practice status of sexual dysfunction (SD) in medical staffs in field of reproductive health in Tianjin. Methods Using random, stratified and clustered sampling ap-proach, we selected 507 medical staffs in field of reproductive healthcare in Tianjin. Self-administered questionnaire on sex-ual dysfunction KAP was employed to survey the general condition, to understand SD knowledge and their attitude to SD, to perceive SD prevalence of the medical staffs and their demand to sexual dysfunction training. Results The people who re-spond to our survey had high awareness to SD, but they are lack of knowlege in mechanism on sexual behavior and female SD related knowledge. Multiple-factor analysis indicated that young age group respondants(β=-0.827,P=0.018)and medical staffs from high-tier medical institutions (β=-0.223, P=0.048) showed higher awareness. When they suffered SD, 49.28%re-spondants would see doctor immediately, 36.85% informants chosen temporary observation, and 9.73% informants shown negative altitude. Minority (17.14%) of medical staff are able to confirmed SD to themselves and 90.48% of medical staff de-mand training on SD related knowledge. Conclusion It’s necessary to perform continuing education to medical staffs via different intervention, so as to improve their cognitive level and attitude to SD, and these can help them providing better ser-vice to their patients and the public.
