人工流产妇女对依托孕烯埋植剂认知及态度调查研究

摘要

Objective:To investigate the knowledge and attitudes about implanon of women who experienced induced abortion,and to provide evidences for promotion and education of contraception using implant.Methods:A total of 1498 women who experienced induced abortion in outpatient of Chongqing population and family planning science and technology research institute were randomly selected and answered questionnaire by self designed.The contents of questionnaire included socio-demographic characteristics,as well as knowledge and attitudes of women about implanon.Results:Among the total of 16 items about knowledge of implanon,only 5 items were answered by equal to or over than 20.0％ correctly.The total mean score of knowledge about implanon was 3.0± 1.2(total 16 score).The score of knowledge about implanon had no statistical significant different among women in different professional,marital status,the economic income,educational level,and the household registration.There was significant different of mean scores among women in different age (F =58.47,P ＜0.001).The score of women who had heard of implanon was significant higher than that of women who never heard of implanon (4.9± 0.9 vs.2.0±1.0)(P＜0.001).Multiple factors analysis had showed that age and whether had heard of implanon were related factors to the score of the knowledge about implanon (t=8.13,51.72;P ＜0.001).21.0％ women would like to choose implanon as one of their contraceptives.Conclusion:This study indicates that the of knowledge about implanon among women who experienced induced abortion is poor.Publicity and educations of knowledge about implanon should be strengthened for women who experienced induced abortion to understand implanon correctly and objectively.More effective and appropriate contraceptives should be provided for them to reduce repeated abortion.%目的:调查人工流产妇女对依托孕烯埋植剂的认知及态度,为开展避孕节育宣传教育提供参考.方法:自制问卷,内容包括一般人口学特征及对依托孕烯埋植剂的认知及态度.对在本院门诊接受人工流产术妇女共1498例进行问卷调查.结果:认知问卷16个题目中,正确率≥20.0％仅有5个题目.认知得分为3.0±1.2分(总分16分),职业、婚姻、收入、学历、户籍分组得分无明显差异,而不同年龄组得分有统计学差异(F=58.47,P＜0.001),听说过依托孕烯埋植剂组得分(4.9±0.9分)高于未听说过组(2.0±1.0分)(F=3051.10,P＜0.001).多因素分析显示,年龄及是否听说过依托孕烯埋植剂对得分有明显影响(t =8.13,51.72;P均＜0.001).选择依托孕烯埋植剂者占21.0％.结论:人工流产妇女对依托孕烯埋植剂的认知不足,应加强对依托孕烯埋植剂的宣传和教育,让人工流产妇女对其有正确和客观的认识,将其做为可以选择的高效避孕方法之一,从而降低重复人工流产率.