天津医药

天津医药 ›› 2015, Vol. 43 ›› Issue (3): 311-314.doi: 10.11958/j.issn.0253-9896.2015.03.024

• 流行病学调查 • 上一篇    下一篇

天津市妇产科医务人员对复方口服避孕药的 KAP 研究

霍彦， 张钰娟， 王建梅△， 杨敬， 谢国华   

  1. 天津医科大学第二医院计划生育科 （邮编 300211）
  • 收稿日期:2014-08-12 修回日期:2014-11-14 出版日期:2015-03-15 发布日期:2015-03-15
  • 通讯作者: 王建梅 E-mail:TJZYJ2009@hotmail.com
  • 作者简介:霍彦 （1970）， 女， 主治医师， 本科， 主要从事避孕节育、 女性生殖健康研究
  • 基金资助:
    天津市卫生局科技基金项目 （2011KZ98）

Knowledge, attitudes and practices of combined oral contraceptives in Tianjin obstetrics and gynecology personnels

HUO Yan, ZHANG Yujuan, WANG Jianmei△, YANG Jing, XIE Guohua   

  1. Department of Family Planning, the Second Hospital of Tianjin Medical University, Tianjin 300211, China
  • Received:2014-08-12 Revised:2014-11-14 Published:2015-03-15 Online:2015-03-15
  • Contact: WANG Jianmei 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复方口服避孕药(COCs)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各级医疗机构的妇产科医务人员 382 例， 采用自填式复方口服避孕药 KAP 问卷进行调查， 调查内容包括： 一般情况、 COCs 知识知晓情况、 COCs 相关态度、 提供 COCs 咨询服务的情况、 COCs 处方行为及相关知识培训需求等。结果 被调查者对 COCs 的适应证、 非避孕益处、 与癌症及出生缺陷关系等知晓程度较低。医生的 COCs 知识得分高于护士； 职称和学历越高， 知识得分越高。90.11% 的被调查者认为加强漏服后指导有助于减少漏服造成的妊娠； 加强对 COCs 误解的解释工作(81.04%)和加强对 COCs 不良反应的处理和随访(62.09%)有助于减少停服。仅 25.82%的被调查者能提供详细的 COCs 咨询服务； 42.96%的妇产科医生拒绝为以避孕为目的的 40 岁以上女性开具 COCs； 93.13%的医务人员有相关知识培训需求。结论 今后应通过一系列干预措施加强妇产科医务人员的 COCs 知识培训， 改善 COCs 相关态度和行为， 使其能为广大育龄女性和 COCs 适应证患者提供更加全面、 正确的 COCs 咨询和医疗服务。

关键词: 避孕药, 口服, 复合； 医务人员； 妇产科, 医院； 健康知识, 态度, 实践

Abstract: Objective To understand the knowledge, attitude, practice (KAP) status and relative demand to combined oral contraceptives (COCs) in medical staffs of obstetric and gynecological department in Tianjin, providing reference basis for the effective intervention measures. Methods By using random, stratified and clustered sampling approach, we selected 382 medical staffs of obstetric and gynecological department in Tianjin. A self-administered Questionnaire on COCs KAP was employed to survey the general characteristics, awareness of COCs knowledge, attitudes to COCs, service capabilities of contraceptive counseling, prescribing behavior and request of continuing education. Results The respondents showed defects in COCs indications, non- contraceptive benefits, relationship with cancer and birth defects. The average knowledge score was higher in doctors than that of nurses. The higher the titles and qualifications, the higher the knowledge score. A to⁃ tal of 90.11% of respondents believed that strengthening the contraceptive guidance can help to reduce pregnancy. Strength⁃ ening the interpretation of misunderstanding (81.04% ) and enhancing the treatment and follow- up of adverse reactions (62.09%) can help to reduce stop taking. Only 25.82% of respondents could provide detailed COCs relative consulting servic⁃ es; 42.96% of obstetricians and gynecologists refused prescribing COCs for women over the age of 40 for the purpose of con⁃ traception. A total of 93.13% medical personnel showed demand on relative training. Conclusion It’ s necessary to perform continuing education to medical staffs via different intervention, so as to improve their cognitive level to COCs, ameliorate COCs relative attitudes and behavior, and help them providing better service to women of childbearing age.

Key words: contraceptives, oral, combined, medical staff, obstetrics and gynecology department, hospital, health knowl? edge, attitudes, practice