The Management of Sexual Disability Related to Low Back Pain: A Cross-Sectional Survey of Italian Physiotherapists

IF 1.1 4区 医学 Q3 REHABILITATION Sexuality and Disability Pub Date : 2024-09-12 DOI:10.1007/s11195-024-09872-9
Vanti Carla, Ferrari Silvano, Brovelli Silvia, Marinucci Celeste, Seggiaro Alessandro, Turolla Andrea, Pillastrini Paolo
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Abstract

Sexual disability is an emerging topic in the management of low back pain (LBP); nevertheless, sexual counseling skills are not widespread amongst professionals. The clinical behavior of physiotherapists in this field was not studied thoroughly; therefore, it is not clear if and how physiotherapists collect information related to sexual disability and how they manage it. This survey aimed to investigate knowledge, beliefs and attitudes of Italian physiotherapists in managing this disability. An online survey with 28 questions was distributed from February 2nd to July 10th 2023 via the newsletter of the Italian Association of Physiotherapy, email and social media. The questionnaire queried on participant demographics, assessment and treatment procedures, beliefs and potential barriers, sex, expertise, previous educational background, and geographical area. 448 physiotherapists completed the survey, with 69.87% not investigating LBP-related sexual disability routinely. 85% of physiotherapists diagnosed sexual disability in 0–10% of patients treated for LBP. Sexual disability is reported by physiotherapists at random in 54.91% of patients. When it is diagnosed, 90.41% of physiotherapists would choose evidence-based procedures, but only 19.96% of them would directly involve the patient’s partner. Postgraduate education and professional expertise positively influence beliefs and attitudes. Main barriers and difficulties in the field are the perceived lack of expertise, other therapeutic priorities, cultural attitudes of patients, and fear of violating patients’ privacy. The beliefs and attitudes of Italian physiotherapists in the management of sexual disability are characterized by scarce attention and feeling of inadequacy, but they show the potential to adequately treat this disability.

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与腰痛相关的性功能障碍管理:意大利物理治疗师横断面调查
在腰背痛(LBP)的治疗中,性障碍是一个新出现的话题;然而,性咨询技能在专业人员中并不普及。物理治疗师在这一领域的临床行为并未得到深入研究;因此,物理治疗师是否收集、如何收集与性障碍相关的信息以及如何管理这些信息并不清楚。本次调查旨在了解意大利物理治疗师在处理性残疾方面的知识、信念和态度。从 2023 年 2 月 2 日至 7 月 10 日,我们通过意大利物理治疗协会通讯、电子邮件和社交媒体发布了一份包含 28 个问题的在线调查问卷。问卷调查了参与者的人口统计学特征、评估和治疗程序、信念和潜在障碍、性别、专业知识、先前的教育背景和地理区域。448 名物理治疗师完成了调查,其中 69.87% 的物理治疗师没有对枸杞多糖相关性残疾进行常规调查。85%的物理治疗师诊断出 0-10% 的枸杞多糖症患者有性功能障碍。54.91%的患者是由物理治疗师随机报告的性残疾。当诊断出性功能障碍时,90.41% 的物理治疗师会选择循证程序,但只有 19.96% 的物理治疗师会让患者的伴侣直接参与。研究生教育和专业知识对信念和态度有积极影响。该领域的主要障碍和困难是认为缺乏专业知识、其他治疗优先事项、患者的文化态度以及担心侵犯患者隐私。意大利物理治疗师对性功能障碍治疗的信念和态度的特点是缺乏关注和感觉不足,但他们显示出充分治疗这种残疾的潜力。
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来源期刊
Sexuality and Disability
Sexuality and Disability REHABILITATION-
CiteScore
2.70
自引率
20.00%
发文量
47
期刊介绍: Sexuality and Disability is an international forum for the publication of peer-reviewed original interdisciplinary scholarly papers that address the psychological and medical aspects of sexuality in relation to rehabilitation. Publishing timely research articles, review articles, case studies, clinical practice reports, brief research reports, survey data reports, and book and film reviews, the journal offers the latest developments in the area of sexuality as it relates to a wide range of disabilities and conditions. Contributions address: clinical and research progress; community programs; independent-living programs; guidelines for clinical practice; special grand-rounds topics; consumer issues; and contemporary developments in special programs in sex education and counseling for people with disabilities. The journal features special issues with internationally renowned guest editors focusing on current topics in sexual health. By publishing research, best-practice, evidence-based, and educational articles, the journal seeks to contribute to the field''s knowledge base and advancement. Sexuality and Disability is an essential resource for the exchange of new knowledge, issues, techniques, and available modalities for researchers and other professionals addressing the psychological and medical aspects of sexuality in rehabilitation, medical, academic, and community settings.
期刊最新文献
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