咨询对流产妇女避孕方法选择的影响  

Effect of consultation on contraceptive method choice among post-abortion women

作　　者：郭维维[1] 吴尚纯 侯自红[1] 李晶[1] 徐丽娜[1] 张爱娟[1] 侯成祯 顾向应[1] 

机构地区：[1]天津医科大学总医院,300052 [2]国家卫生计生委科学技术研究所

出　　处：《中国计划生育学杂志》2015年第5期352-356,共5页Chinese Journal of Family Planning

摘　　要：目的：了解流产后妇女避孕知识、态度、行为，分析咨询对流产后妇女避孕方法选择的影响。方法：随机选择2013年10月8日～2014年1月8日到天津医科大学总医院计划生育门诊行人工流产的500例妇女进行问卷调查，获取其人工流产后避孕的知识、态度、行为情况，给予流产后避孕咨询服务，对比咨询前后避孕方法选择的变化。结果：①流产后妇女避孕相关知识总正确率为29．1％，平均得分2．93分（总分为10分）；②流产后妇女对避孕知识态度：67．1％的妇女认为有必要或非常有必要了解避孕知识；③本次意外妊娠原因中，避孕失败的妇女中有14．6％未避孕，68．0％妇女采用避孕套避孕，10．6％的妇女使用低效方法避孕；④通过咨询，有效和非常有效的避孕方法选择比例较咨询前增加了12．5％。结论：流产后妇女避孕知识匮乏，避孕态度良好，多数因未避孕或采用效果较差的避孕方法导致意外妊娠，咨询可以增加效果较好的避孕方法的选择率，因此加强流产后避孕服务迫在眉睫。Objective： To explore the contraceptive knowledge, attitude and behavior of post-abortion women and analyze the effectiveness of consultation on contraceptive method choice of them to provide scientific theory for hospitals to better provide post-abortion contraception services. Methods.. A total of 500 women who did abortion operation from October 8, 2013 to January 8, 2014 in Tianjin Medical University General hospital were recruited. A questionnaire was used to survey the postpartum contraceptive knowledge, attitude and behavior. A consulting service was provided for them and the change in contraceptive method choice was evaluated. Results.. An overall accuracy of contraceptive knowledge was 29.1 ~/~0, and the average score was 2.93 points （10 points of total score）. About 67.1 ~ women of post -abortion thought it was necessary or very necessary to know the contraceptive knowledge. The unexpected pregnancy reason were no contraceptive use （14.6%）, effective contraeeptive use （10.6%）, and using condom （68.0%）. Through consulting women who chose effective and highly effective contraceptive methods inereased by 12.5 %. Con- clusion~ Post-abortion women are lack of contraceptive knowledge, but have a good eontraceptive attitude. The main reason of unexpected pregnancies is no use of effective or any contraceptive methods. Consultation can effectively improve the proportion of highly effective contraceptive use, therefore it is around the corner to strengthen post-abortion contraception services.

关 键 词：流产后避孕 知识 态度 行为 流产后关爱 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]