Sexualidad del paciente
OBJECTIVES: Identify clinicians' knowledge and appropriate counseling about patients' sexual history. MATERIALS AND METHODS: Descriptive, observational, cross-sectional study, using a structured, anonymous, self-administered survey consisting of closed-ended questions including demographi...
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| Publicado en: | Revista Médica Universitaria |
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| Autores principales: | , , , , , , , , , , , |
| Materias: | |
| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=18270 |
| Sumario: | OBJECTIVES: Identify clinicians' knowledge and appropriate counseling about patients' sexual history.
MATERIALS AND METHODS: Descriptive, observational, cross-sectional study, using a structured, anonymous, self-administered survey consisting of closed-ended questions including demographic data, and behavioral data on patients' sexual history, satisfactory relationships, risky relationships, substance use or prostitution, sexual orientations, and counseling on preventive practices. A comparative analysis is made according to the physician's gender.
RESULTS: 101 clinicians were surveyed, 52% women; mean age 44 years; The 80% always consider sexuality to be an important component in people's health. 57% systematically recorded sexual history in the medical record. 56% say that they do not find it embarrassing to talk about sex with patients. 55% do not ask If the sexual relations are satisfactory. 65% inquire about the number of sexual contacts of their patients. 71% query about their patients' sexual orientation. 44% assume that the patient is heterosexual. 81% inquire about their patients' sexual risk practices; 90% record a history of sexually transmitted infections (STIs), 78% advise on prevention of STIs, and 87% advise on contraceptive use for persons in child-bearing age. 85% discuss sex with adolescent patients. 60% admitted, not discuss the use/consumption of prostitution or preference, type of sexual practices. 82% do not investigate about their patients' sexual fantasies. Half of them do not record the use of addictive substances in the context of sexual relations. The pathologies in which patients' sexual history is least investigated were with colostomy, cancer, osteomyoarticular alterations and polypharmacy patients. However, they recognized that the main difficulties in talking about sex in the medical office were: poor training (51%), lack of time (65%), sexuality is a private matter (35%) and lack of interest patient (20%). In the comparative analysis, female clinicians inquired less about: addictive behaviors, use of prostitution, risk behaviors, satisfactory relationships, sexual orientation, sexual type and practice, did not talk about sex with adolescents and gave less advice on STI prevention and were less updated (p<0.05).
CONCLUSIONS: The survey has shown that although 80% consider sexuality to be important in people's health, clinicians do not give it enough importance. Although they perceive themselves to be up to date, they consider that the lack of approach to the subject is due to lack of time, but above all due to lack of training (are we lying to ourselves?). |
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