医护人员性健康指导知信行状况及其影响因素

Investigation of current status of the knowledge,attitude and practice of medical staff on sexual health guidance and analysis of influence factors

目的了解医护人员对患者性健康指导现状,分析性健康指导知信行的影响因素。方法自行设计问卷调查表,调查460名临床医护人员的性健康指导知信情况,并对数据进行分析统计。结果医护人员对患者性健康指导的知信行分值均偏低;不同科室医护人员在性健康指导知识、态度和行为方面存在差异(F值分别为7.063、6.746和7.618,均P<0.001),妇科在性健康指导方面做得最好(P<0.01);影响健康指导行为的首要因素是没有患者咨询性知识,其次为医护人员性知识缺乏。结论临床科室医护人员普遍存在性健康指导知识缺乏、忽视患者性健康问题、健康行为受限的诸多问题。性健康教育任重道远。

Objective To investigate the current status of knowledge, attitude and practice （KAP） of medical staff among dif- ferent clinic unit on sexual health guidance, and analyze the influence factors. Methods A self-developed KAP questionnaire for medi- cal staff was used, and 460 medical personnel in Chengdu city were investigated. The data were statistically analyzed. Results The scores of KAP of sexual health guidance were low. There was a significant difference in KAP among different clinic units （F=7. 063, 6. 746,7.618 for knowledge, attitude and practice, respectively ; all P〈0.001 ） with the best in the department of gynaecology. The pri- mary influence factor for guidance behavior was that the patients lacked consulting knowledge. The secondary factor was that medical staff lacked sexual knowledge. Conclusion The most clinical medical staff lack knowledge of sexual health guidance and ignore patients＇ sexual health problems. The guidance behavior is also limited. Therefore,it will be a long way for sexual health guidance.