医师对勃起功能障碍的认识和态度

目的 :医师对勃起功能障碍 (ED)的认识和态度对病人能否得到及时正确的诊治有重要的影响。本研究旨在调查专科医师和社区医师对ED的认识程度 ,对ED病人的态度 ,以及是否主动发现潜在的ED病人。　方法 :30 1名北京市泌尿外科、心内科、内分泌科、普通外科、骨科以及社区医师完成调查问卷。　结果 :被调查医师中83.4 %了解ED的定义 ,85 %知道ED是中老年男性的常见病 ,78.7%同意ED是影响身心健康的重要疾病 ,89.7%认为ED可能是慢性疾病的局部表现。全体被调查医师列举最多的危险因素依次为糖尿病 (45 .5 % )、高血压(12 .6 % )和冠心病 (12 .0 % )。 4 5 .5 %的医师曾遇到病人主动提出勃起功能问题。在病人主动提出勃起功能问题后 ,32 .6 %的医师将与病人对ED情况进行讨论 ,95 0 %的非泌尿外科专业和社区医师将病人转给泌尿男科医师。在全部被调查的医师中 4 3.5 %“从不”主动询问病人的勃起功能 ,在泌尿外科、非泌尿外科专业和社区医师中这一比例分别是 7.2 %、5 5 .3%和 6 0 .5 % (P <0 .0 1)。医师不主动询问病人的勃起功能的原因依次为 :“病人不主动提出勃起问题 ,就说明他没有这方面的问题”(42 .2 % ) ,“就诊本专业的病人没有ED”(2 0 .9% ) ,“ED不属于我的诊治范围”(17.3% ) ,“没时间”(15 .

Physicians'''' Knowledge and Attitude to Erectile Dysfunction

Objectives: The physicians knowledge and attitude to erectile dysfunction (ED) is very important to the diagnosis and management of this disease. We investigated the physicians and practitioners knowledge of ED, attitude to ED, and if they actively find the underlying ED patients. Methods: Three hundreds and one physicians and practitioners in Beijing completed a questionnaire. The subjects included urologists, cardiologists, endocrinologists, suregeons, orthopaedicians and community practitioners. Results: The definition of ED was well known by most subjects ( 83.4 %). Many agreed that ED was a common condition in the aging men ( 85.0% ), and it was an important health problem ( 78.7 %) and it was the local signs of certain systemic diseases ( 89.7 %). The most common risk factors of ED enumerated by the physicians were diabetes ( 45.5 %), hypertension (12.6%) and coronary artery diseases ( 12.0 %). 45.5 % physicians met the patients who initiated questions about ED. 32.6% physicians would discuss ED with the patients if the patients initiate questions about ED. 95 0 % non urological physicians would refer the ED patients to urologists or andrologists. 43.5 % of all the physicians never asked their patients about erectile function, this proportions in the subgroups of urologists, non urological physicians and community practitioners were 7.2 %, 55.3 %and 60.5 % respectively ( P < 0.01) . The most common reasons for the physicians not to initiate the inquiries about ED was "the patients would not have ED if they didn't complain about it" ( 42.2% ), "there was no ED patients in my specialty "( 20.9 %), "diagnosis and treatment of ED was not my business"( 17.3 %), "have no time "( 15.6 %), "feel embarrassed"( 13.6 %). Conclusions: Most physicians regarded ED as an important health problem and a common condition in aging men, but they didn't take an active attitude to ED in their clinical practice.