干预措施对重复人工流产妇女紧急避孕的影响  

Effect of interventions for emergency contraception of women who underwent recurrent induced abortion

作　　者：周钰[1] 丁辉[2] 赵温[1] 毛康娜[1] 

机构地区：[1]北京市海淀区妇幼保健院,北京100080 [2]北京市妇幼保健院,北京100026

出　　处：《中国妇幼健康研究》2010年第6期766-768,共3页Chinese Journal of Woman and Child Health Research

基　　金：首都医学发展科研基金资助项目（2002-3100）

摘　　要：目的 评价避孕节育咨询指导宣教对提高早孕重复人工流产妇女紧急避孕知识水平的效果.方法 对2005年9月至2006年8月间,参与北京海淀区＂早孕终止妊娠后避孕干预效果分析＂项目的921例早孕重复人工流产妇女随访1年,统计分析其紧急避孕知识状况.结果 被调查妇女干预前知晓率为67.10%,使用率为10.84%,术后随访1年知晓率为89.14%,使用率为18.13%,差别均有统计学意义（P＜0.01）,且掌握紧急避孕知识得分差别也有统计学意义（P＜0.01）.结论 医疗保健机构是宣传、指导紧急避孕应用的主要载体和关键环节,进一步加大宣教力度是提高紧急避孕方法知晓与应用最直接和有效的方法.Objective To evaluate effects of contraceptive counseling and guiderline on knowledge of emergency contraception for women who had undergone recurrent induced abortion. Methods 921 early pregnant women who had undergone recurrent induced abortion and participated in project ＂ Analysis of contraceptive effect after induced abortion in early pregnancy ＂ in one-year period from Sept. , 2005 to Aug. , 2006 in Haidian district, Beijing were followed-up for one-year. The knowing status of the pregnant women about emergency contraception were analyzed statistically. Results The knowing rate of knowledge about emergency contraception in the surveyed women before the intervention was 67.1%, while the knowing rate of knowledge about emergentey contraception at 1 year follw up was 89.1%. The utilization rate of emergency contraception after the intervention （ at 1 year follw up） in surveyed pregnant women was 18.13%, while that before the intervention was 10.9%. In both the knowing rate of knowledge about emergency contraception and the utilization rate of emergency contraception there were significant differences before and after the intervention （ both P 〈 0.01 ）. And in scores of pregnant women in grasping emergency contraception knowledge there was also significant difference before and after intervention （ P 〈 0.01 ）. Conclusion The medical and health care institution is the main carrier and key links to instruct application of emergency contraception, and the most direct and effective method is to strengthen force of propaganda in order to raise the knowing rates of emergency contraceptive methods and utilization.

关 键 词：重复人工流产 紧急避孕 知识与方法 干预效果 

分 类 号：R71[医药卫生—妇产科学]