未婚人工流产女性避孕行为的影响因素及护理策略  

The factors of the contraception and the nursing strategies of unmarried females who accept the induced abortion

作　　者：甘晓青[1] 罗辉兰[1] 刘云英[1] 徐玉燕[1] 

机构地区：[1]广东省深圳市妇幼保健院,518028

出　　处：《中国妇幼卫生杂志》2015年第2期52-54,共3页Chinese Journal of Women and Children Health

摘　　要：目的分析未婚人工流产(人流)女性避孕行为的影响因素,探讨相应的护理措施。方法选取深圳市妇幼保健院2013年3月-2014年3月收治的180例未婚人流女性作为研究对象,通过问卷调查收集临床资料,采用二分类Logistic回归分析未婚人流女性避孕行为及影响因素。结果 1180例未婚人流女性在本次受孕周期都未做到每次性行为均采取避孕措施,其中有155例(86.11%)采用过避孕措施,但其中仅有6例(3.33%)能够坚持每次使用,而在采用过避孕措施中使用避孕套避孕的人数最多,共104例(67.10%)。导致未婚女性不采取避孕措施的原因中,除了极少数是由于不知道避孕方法外,其中大部分是因抱有侥幸心理,共180例(47.22%)。同时其配偶不配合使用也是原因之一,共32例(17.78%)。2单因素Logistic回归分析发现,文化程度高、同居、非常了解避孕措施、非常了解人流知识、男友非常了解避孕知识并非常关心避孕等均为未婚人流女性出现避孕行为的保护因素。3多因素Logistic回归分析发现,文化程度高、非常了解人流知识及男友非常关心避孕等3个因素是未婚人流女性出现避孕行为的保护因素。结论为尽量减少女性未婚人流发生率,必须加强对未婚女性避孕知识和避孕措施的普及,并鼓励男性伴侣参与,从而有效降低意外妊娠发生率。Objective To analyze the relationships betweencontraceptive practice and abortion among unmarried abortion women, then to propose appropriate nursing strategies for them. Methods 180 unmarried females who accepted the induced abortion in our hospital from March 2013 to March 2014 were taken as the research objects and the clinical materials were collected by the questionnaire. Then, the factors of the contraception of unmarried females who accept the induced abortion were analyzed by the Logistic analysis method. Results （~All these 180 unmarried females who accepted the induced abortion did not adopte the contraception measures. In addition, 163 unmarried females who accepted the induced abortion only adopted one contraception measure （90.56%）, and the contraception method was mainly the condom （61.11%）. However, the main reason for these females who did not adopt the contraception measures was the fluke mind, which accounted for 46.67%. According to the single factor analysis, the high level of education, living together, the good knowledge of contraception measures, the good knowledge of induced abortion knowledge, the boy friends＇ good knowledge of the contraception and the boy friends＇ caring for contraception were the factors that lead into the contraception behavior. According to the multi-factor Logistic analysis, the high level of education, the good knowledge of induced abortion knowledge and the boy friends＇ caring for contraception were the factors that lead into the contraception behavior. Conclusion In order to decrease the occurrence rate of the unmarried females who accept the induced abortion, the knowledge on the female contraception and the contraception measures must be popularized and the male companions must also cooperate, which can effectively decrease the occurrence rate of accidental pregnancy.

关 键 词：未婚 人工流产 避孕 影响因素 护理措施 

分 类 号：R473.71[医药卫生—护理学]