天津医药

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天津市生殖健康相关专业医务人员对性功能障碍的KAP研究

宋宝骥1,张钰娟2,付金鹏1   

  1. 1. 天津市天津医院外科
    2. 天津医科大学第二医院
  • 收稿日期:2014-01-08 修回日期:2014-06-16 出版日期:2014-10-15 发布日期:2014-10-15
  • 通讯作者: 张钰娟

Knowledge, Attitudes and Practices of Sexual Dysfunction in Tianjin Reproductive Healthcare Personnels

SONG Bao ji1,ZHANG Yu juan2,FU Jin peng1   

  1. 1. Department of Surgery, Tianjin Hospital, Tianjin 300211, China
    2. Department of Family Planning, The Second Hospital of Tianjin Medical University
  • Received:2014-01-08 Revised:2014-06-16 Published:2014-10-15 Online:2014-10-15
  • Contact: ZHANG Yu juan

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摘要：

【摘要】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。

关键词: 性功能障碍, 生殖健康服务, 医务人员, 健康知识, 态度, 实践

Abstract:

[Abstract] 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 approach, we selected 507 medical staffs in field of reproductive healthcare in Tianjin. Self-administered questionnaire on sexual 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 respond 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% respondants 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 demand 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 service to their patients and the public.

Key words: sexual dysfunction, reproductive health services, medical staff, health knowledge, attitudes, practice