天津医药

天津医药 ›› 2015, Vol. 43 ›› Issue (7): 796-799.doi: 10.11958/j.issn.0253-9896.2015.07.026

• 流行病学调查 • 上一篇    下一篇

天津市妇产科医务人员对流产后计划生育服务的 KAP 研究

杨敬，霍彦，张钰娟，王建梅，王振霞   

  1. 天津医科大学第二医院计划生育科

  • 收稿日期:2014-11-17 修回日期:2015-02-15 出版日期:2015-07-15 发布日期:2015-07-15
  • 通讯作者: 张钰娟△ E-mail:TJZYJ2009@hotmail.com
  • 基金资助:
    天津市卫生局科技基金项目

Knowledge, attitudes and practices of post abortion family planning services in Tianjin

YANG Jing, HUO Yan, ZHANG Yujuan, WANG Jianmei, WANG Zhenxia   

  1. The Second Hospital of Tianjin Medical University, Tianjin

  • Received:2014-11-17 Revised:2015-02-15 Published:2015-07-15 Online:2015-07-15
  • Contact: ZHANG Yujuan△ E-mail:TJZYJ2009@hotmail.com

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摘要： 目的 了解天津市妇产科医务人员对流产后计划生育服务（PAFPS）的知识、态度和行为（KAP）现状，为制定有效的干预措施提供参考依据。方法 分层整群随机抽样方法抽取天津市三级和二级医疗机构的妇产科医务人员290例，采用自填式流产后计划生育服务KAP问卷进行调查，调查内容包括：一般情况、PAFPS知识知晓情况、PAFPS相关态度、自身非意愿妊娠发生情况、提供PAFPS的情况及相关培训需求。结果 被调查者对PAFPS的形式、随访事宜、流产后避孕方法等知晓程度较低。三级医疗机构者的PAFPS知识得分高于二级医疗机构者；医生高于护士；职称越高，得分越高。95.34%的被调查者认为广泛开展PAFPS很有必要，但93.55%认为按要求开展PAFPS存在一定困难，包括服务流程不明确、专项资金短缺、人力资源紧张、配套设施不完善和服务意识淡薄。53.36%有性生活史的被调查者自身发生过意外妊娠，主要原因为避孕失败和未避孕。目前PAFPS的不足主要为无规范的服务流程、中远期随访环节缺失、集体咨询环节缺失、未及时提供避孕药具、未重视避孕指导等。90.68%的被调查者有PAFPS培训需求。结论 今后应通过一系列干预措施加强妇产科医务人员的PAFPS培训，增加各方面投入，完善服务流程，提高医务人员的PAFPS水平。

关键词: 流产, 人工, 计划生育服务, 避孕, 医务人员, 妇产科, 医院, 健康知识, 态度, 实践

Abstract: 　　　Objective To better understand the knowledge, attitudes, practice(KAP) status and relative demand to post abortion family planning service(PAFPS) in medical staffs of obstetrics and gynecology department in Tianjin. Methods By using random, stratified and clustered sampling approach, we selected 290 obstetrics and gynecology personnels in Tianjin. A Self-Administered Questionnaire on PAFPS KAP was employed to survey the general characteristics, awareness of PAFPS knowledge, attitudes to PAFPS, the occurrence of unintended pregnancy themselves, service capabilities of PAFPS and request of continuing education. Results The respondents had defects in PAFPS forms, follow-up arrangements and contraceptive method after abortion. Doctors’ average knowledge score was higher than nurses’. The higher the level of medical institutions and job titles, the higher the knowledge score. 95.34% of respondents believe that it is necessary to develop PAFPS widely. But 93.55% of respondents think it is difficult to carry out PAFPS as required because of unclear service process, shortage of funds, human resource constraints, inadequate facilities and weak sense of service. 53.36% of respondents who had sexual life history occurred unintended pregnancy themselves. The current defects of PAFPS were hadn’t standardized service processes, missing of medium-term and long-term follow-up, missing of collective consulting, providing of contraceptives not timely and hadn’t pay attention to contraceptive advice. 90.68% medical personnel showed demand on relative training. Conclusion It’s necessary to perform continuing education about PAFPS to obstetrics and gynecology personnels via different intervention. At the same time, we should increase investment and make the service processes perfectly, so as to improve the level of PAFPS among obstetrics and gynecology medical staffs.

Key words: abortion, induced, family planning services,  contraception, medical staff, obstetrics and gynecology department, hospital, health knowledge, attitudes, practice