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: | , , , , , , , , , , , |
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| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=18270 |
| todos_str_mv |
1221 18268 HLL HLL HLL HLL HLL HLL HLL HLL HLL HLL HLL Investigación inédita SAMed_ARG spa UNCuyo FCM UNCuyo FCM |
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| autor_str_mv |
Adarme, Gonzalo Casarotto, Mariana Chacón, Romina Cohen, Paola Di Pietro, Janina Ferri, Emmanuel Gisbert, Patricia Lante, Cecilia Pont, Diego Salomón, Susana Elsa Ticera, Erica Valdez, Pascual |
| disciplina_str_mv |
Ciencias e Investigación Ciencias médicas |
| descriptores_str_mv |
Conducta sexual Entrevista Sexualidad |
| description_str_mv |
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?). OBJETIVOS: Identificar el conocimiento y la consejería adecuada de los médicos clínicos acerca de la historia sexual de los pacientes. MATERIALES Y MÉTODOS: Estudio descriptivo, observacional y transversal, mediante una encuesta estructurada, anónima, autoadministrada que consta de preguntas cerradas que incluyen datos demográficos, y comportamiento ante los antecedentes sexuales de los pacientes, relaciones satisfactorias, riesgosas, con uso de sustancias adictivas o prostitución, orientaciones sexuales y consejería sobre prácticas preventivas. Se realiza un análisis comparativo según el género del médico. RESULTADOS: Se encuestaron 101 médicos clínicos, 52% mujeres; edad promedio 44 años; El 80% considera que siempre la esfera sexual es un componente importante en la salud de las personas. El 57% registra sistemáticamente en la historia clínica la historia sexual. El 56% dice que no le resulta embarazoso hablar de sexo con los pacientes. El 55% no investiga si las relaciones sexuales son satisfactorias. El 65% indaga el número de contactos sexuales de sus pacientes. El 71% la orientación sexual de los mismos. El 44% supone que el paciente es heterosexual. El 81% investiga sobre prácticas de riesgo sexual de sus pacientes; el 90% registra antecedentes de infecciones de transmisión sexual (ITS), 78% aconseja sobre prevención de las mismas y 87% aconseja sobre uso de anticonceptivos a las personas en edad fértil. El 85% habla de sexo con los pacientes adolescentes. El 60% admitió que no habla del uso /consumo de la prostitución ni del tipo o preferencia de prácticas sexuales. El 82% no averigua las fantasías sexuales de sus pacientes. La mitad no registra el consumo de sustancias adictivas en el contexto de las relaciones sexuales. Las patologías en las que se investiga menos sobre la historia sexual de los pacientes fueron pacientes con colostomía, cáncer, con problemas osteomioarticulares y polimedicados. El 70% dice estar actualizado en relación a los nuevos conocimientos de las orientaciones sexuales; sin embargo, reconoce que las principales dificultades para hablar de sexo en la consulta son: la escasa formación en el 51%, falta de tiempo en el 65%, considerar la privacidad de la esfera sexual en el 35% y falta de interés por parte del paciente en el 20%. En el análisis comparativo las médicas clínicas indagan menos: conductas adictivas, uso de prostitución, conductas de riesgo, relaciones satisfactorias, orientación sexual, tipo y práctica sexual, no hablan de sexo con los adolescentes y aconsejan menos sobre la prevención de ITS y están menos actualizadas. (p<0.05). CONCLUSIONES: A través de la encuesta se ha podido evidenciar que si bien el 80% considera importante la esfera sexual en la salud de las personas, los médicos clínicos no la jerarquizan lo suficiente. Si bien se autoperciben actualizados, consideran que la falta de abordaje del tema es por carecer de tiempo, pero sobre todo por escasa formación (nos mentimos?). |
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Sexualidad del paciente |
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Textual: Revistas |
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18270 |
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Artículo de Revista |
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article |
| container_title |
Revista Médica Universitaria |
| journal_title_str |
Revista Médica Universitaria |
| journal_id_str |
r-1221 |
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Revista Médica Universitaria |
| container_volume |
Vol. 18, no. 2 |
| journal_issue_str |
Vol. 18, no. 2 |
| tipo_str |
textuales |
| type_str_mv |
Articulos |
| title_full |
Sexualidad del paciente |
| title_fullStr |
Sexualidad del paciente Sexualidad del paciente |
| title_full_unstemmed |
Sexualidad del paciente Sexualidad del paciente |
| description |
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?). |
| dependencia_str_mv |
Facultad de Ciencias Médicas |
| title |
Sexualidad del paciente |
| spellingShingle |
Sexualidad del paciente Conducta sexual Entrevista Sexualidad Adarme, Gonzalo Casarotto, Mariana Chacón, Romina Cohen, Paola Di Pietro, Janina Ferri, Emmanuel Gisbert, Patricia Lante, Cecilia Pont, Diego Salomón, Susana Elsa Ticera, Erica Valdez, Pascual |
| topic |
Conducta sexual Entrevista Sexualidad |
| topic_facet |
Conducta sexual Entrevista Sexualidad |
| author |
Adarme, Gonzalo Casarotto, Mariana Chacón, Romina Cohen, Paola Di Pietro, Janina Ferri, Emmanuel Gisbert, Patricia Lante, Cecilia Pont, Diego Salomón, Susana Elsa Ticera, Erica Valdez, Pascual |
| author_facet |
Adarme, Gonzalo Casarotto, Mariana Chacón, Romina Cohen, Paola Di Pietro, Janina Ferri, Emmanuel Gisbert, Patricia Lante, Cecilia Pont, Diego Salomón, Susana Elsa Ticera, Erica Valdez, Pascual |
| title_sort |
Sexualidad del paciente |
| title_short |
Sexualidad del paciente |
| url |
https://bdigital.uncu.edu.ar/fichas.php?idobjeto=18270 |
| estado_str |
3 |
| building |
Biblioteca Digital |
| filtrotop_str |
Biblioteca Digital |
| collection |
Artículo de Revista |
| institution |
Sistema Integrado de Documentación |
| indexed_str |
2023-04-25 00:34 |
| _version_ |
1764120058099924992 |
