非意愿妊娠妇女紧急避孕药物使用现状调查

发布时间：2018-05-02 17:38

本文选题：非意愿妊娠 + 紧急避孕药物　；参考：《中国药房》2017年21期

【摘要】：目的:为提高紧急避孕药物使用比例和减少非意愿妊娠发生提供参考。方法:采用自行设计的问卷对我院458例因非意愿妊娠要求流产的妇女的紧急避孕知识知晓情况及来源、紧急避孕药物使用情况、未使用紧急避孕药物的主要原因以及相关药物可获得性等进行调查,并就调查结果进行统计和分析。结果:共发放问卷458份,回收有效问卷426份,有效回收率为93.0%。受访妇女紧急避孕知识知晓率为81.2%(346/426),其中接受过高等教育的受访妇女紧急避孕知识知晓率显著高于其他文化程度的受访妇女(P0.001);曾使用过相关药物的比例为56.3%(240/426),其中年龄30岁和接受过高等教育的受访妇女曾使用过相关药物的比例显著高于其他年龄段和文化程度的受访妇女(P0.01)。受访妇女本次妊娠发生的末次月经后使用过紧急避孕药物的占20.2%(86/426),其中按正确方法服用紧急避孕药物的仅占3.5%(3/86);未使用紧急避孕药物的主要原因是对紧急避孕不太了解和不知晓,占60.6%(206/340)。受访妇女紧急避孕知识主要来源于网络信息平台的比例最高,占53.5%(185/346)。有购买紧急避孕药物经历的受访妇女中,37.0%(81/219)认为不能方便地购买到药物。结论:紧急避孕药物在非意愿妊娠妇女中的使用比例有待提高,且不规范用药的现象较为普遍,表明避孕知识健康教育仍待加强,紧急避孕药物可获得性仍待提升。
[Abstract]:Objective: to provide reference for increasing the proportion of emergency contraceptive use and reducing the incidence of unwanted pregnancy. Methods: a self-designed questionnaire was used to investigate the knowledge and sources of emergency contraception and the use of emergency contraception in 458 women who requested miscarriage due to unwanted pregnancy in our hospital. The main reasons for not using emergency contraception and the availability of related drugs were investigated, and the results were analyzed. Results: a total of 458 questionnaires were distributed, 426 valid questionnaires were recovered, and the effective recovery rate was 93.0. The awareness rate of emergency contraception knowledge among the women interviewed was 81.2% 34.6% 426%. The rate of awareness of emergency contraception knowledge among the women who had received higher education was significantly higher than that of women with other educational levels (P 0.001), and the proportion of women who had used related drugs was 56.33% 426%. The proportion of women aged 30 and with higher education who had used related drugs was significantly higher than that of women of other ages and educational levels. The percentage of women interviewed who had used emergency contraception after the last menstruation of this pregnancy accounted for 20.286% of 426% of them, of whom only 3.5% (86%) took emergency contraception according to the correct method. The main reason for not using emergency contraception was that they did not know much about emergency contraception and did not know it. Account for 66. 6% of 320%. The highest proportion of women's emergency contraception knowledge came from Internet information platforms, accounting for 53.5% of the total number of 185 / 346g. Among women who had purchased emergency contraception, 37.0% of them thought they could not be easily purchased. Conclusion: the proportion of emergency contraception used in unwanted pregnant women needs to be increased, and the phenomenon of irregular use of drugs is more common, indicating that health education on contraception knowledge still needs to be strengthened, and the availability of emergency contraception drugs still needs to be improved.
【作者单位】：华北石油管理局总医院妇产科;
【分类号】：R979.21

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