意外妊娠的农村女性对避孕知识认知现状及人工流产后咨询与教育对其影响  

Current situation of cognition of rural women of unwanted pregnancy to contracep- tive knowledge and the effect of consultation and education after artificial abortion

作　　者：弋文娟[1] 艾银惠[1] 李立[1] 明芳[1] 

机构地区：[1]广西壮族自治区柳州市人民医院,545001

出　　处：《中国妇幼保健》2013年第32期5342-5344,共3页Maternal and Child Health Care of China

摘　　要：目的：了解意外妊娠的农村女性对避孕知识的认知情况，并进一步评估流产后咨询与教育对其影响。方法：选取2011年10月-12月因意外妊娠自愿要求在柳州市人民医院行人工流产的农村女性共426人。随机分为两组，干预组213人，对照组213人。人工流产前均行避孕知识问卷调查，对照组术后予传统的指导，研究组术后进行咨询与教育。1年后电话随访，再次了解其避孕知识认知情况及是否再次意外妊娠。结果：共随访到183人（其中干预组111人失访，对照组132人失访）。干预前两组女性中不知道哪种方式为安全的避孕方式占28．40％；不知道哪种避孕方式适合自己占71．83％；在性生活中未避孕的占29．58％，偶尔避孕的占54．22％。进行流产后咨询与教育后，干预组对上述避孕知识的认知率提高（P〈0．01）；干预后干预组采取安全的避孕方式（避孕套、宫内放置IUD、口服短效避孕药）占83．33％，对照组为50．00％（P〈0．01）。1年内干预组与对照再次妊娠率分别为5．89％，18．52％（P〈0．01）。结论：意外妊娠的农村女性的避孕知识缺乏，流产后进行咨询与教育可以增加农村女性的避孕知识，提高有效避孕率，减少再次意外妊娠发生率。Objective： To understand the cognition of rural women of unwanted pregnancy to contraceptive knowledge, further eval- uate the effect of consultation and education after artificial abortion. Methods： A total of 426 rural women who received artificial abortion voluntarily because of unwanted pregnancy in the hospital from October to December in 2011 were selected and randomly divided into inter- vention group and control group, 213 women in each group. All the women were surveyed by a questionnaire about contraceptive knowledge before conducting artificial abortion, the women in control group received routine guidance after artificial abortion, while the women in inter- vention group received consultation and education after artificial abortion. The women in the two groups were followed up on telephone after one year to understand their cognition to contraceptive knowledge and whether they got unwanted pregnancy again. Results： A total of 183 women were followed up, I 11 women in intervention group and 132 women in control group were lost to follow -up. Before intervention, 28.40% of the women in the two groups didnl know which contraceptive methods were safe; 71.83% of them didnt know which contracep- tive methods were suitable for themselves ; 29. 58% of them didn ~ take any contraceptive measures ; 54. 22% of them took contraceptive measures occasionally. After consultation and education, the cognitive rate to the above - mentioned contraceptive knowledge in intervention group increased （P 〈 0. 01 ） ; after intervention, 83.33% of the women in intervention group took safe contraceptive methods, such as con- dom, insertion of intrauterine device, and oral administration of short- term contraceptives; while in control group, 50. 00% of the women took safe contraceptive methods, there was statistically significant difference between the two groups （P 〈 0.01 ） . The subsequent pregnancy rates in intervention group and control group within one year were 5.89% and 18.52% , respectively, there was st

关 键 词：意外妊娠 农村女性 咨询与教育 干预研究 

分 类 号：R17[医药卫生—妇幼卫生保健]