CAJ | 학술논문

目的通过分析产科医师有关产后避孕知识-态度-行为(KAP)问卷的调查结果,了解其对产后避孕知识的掌握情况、相关观念与态度以及影响因素.方法 2013年10月至12月,对天津市10家不同级别医院的209例产科医师进行问卷调查.结果产科医师产后避孕知识的平均得分为(34.8±13.5)分,总正确率为34.8％; 60分及以上者占2.9％(6/209).86.6％(181/209)的产科医师认为有必要在孕期开展产后避孕的宣教指导,97.6％ (204/209)认为有必要对产科医师进行产后避孕培训.92.8％(194/209)和94.2％(197/209)的产科医师分别在出院前和产后返诊时向大多数产后妇女告知了应注意避孕,但未讨论具体的避孕方法.产科医师获得避孕知识相关进展的途径主要是通过日常的医疗工作(92.8％,194/209),其希望通过继续教育课程(77.5％,162/209)、学术会议相关专题讲座(72.2％,151/209)、专题培训(67.5％,141/209)进行产后避孕知识培训.结论 (1)产科医师产后避孕知识严重缺乏.(2)产科医师对产后避孕知识宣教持积极态度.(3)产后避孕宣教指导时间仅局限于出院前和产后返诊,内容仅告知应注意避孕,未讨论具体的避孕方法.(4)探讨开展产后避孕情况不理想的原因为,宣传和重视不够,产科医师未及时更新避孕知识,对各种高效、长效、可逆避孕方法认识不足,过分夸大其副反应及并发症.
목적 통과분석산과의사유관산후피잉지식-태도-행위(KAP)문권적조사결과,료해기대산후피잉지식적장악정황、상관관념여태도이급영향인소.방법 2013년10월지12월,대천진시10가불동급별의원적209례산과의사진행문권조사.결과 산과의사산후피잉지식적평균득분위(34.8±13.5)분,총정학솔위34.8％; 60분급이상자점2.9％(6/209).86.6％(181/209)적산과의사인위유필요재잉기개전산후피잉적선교지도,97.6％ (204/209)인위유필요대산과의사진행산후피잉배훈.92.8％(194/209)화94.2％(197/209)적산과의사분별재출원전화산후반진시향대다수산후부녀고지료응주의피잉,단미토론구체적피잉방법.산과의사획득피잉지식상관진전적도경주요시통과일상적의료공작(92.8％,194/209),기희망통과계속교육과정(77.5％,162/209)、학술회의상관전제강좌(72.2％,151/209)、전제배훈(67.5％,141/209)진행산후피잉지식배훈.결론 (1)산과의사산후피잉지식엄중결핍.(2)산과의사대산후피잉지식선교지적겁태도.(3)산후피잉선교지도시간부국한우출원전화산후반진,내용부고지응주의피잉,미토론구체적피잉방법.(4)탐토개전산후피잉정황불이상적원인위,선전화중시불구,산과의사미급시경신피잉지식,대각충고효、장효、가역피잉방법인식불족,과분과대기부반응급병발증.
Objective Through analysed the questionnaire about postpartum contraception knowledge-attitude-practice (KAP) among obstetricians,to understand the postpartum contraceptive knowledge,idea,attitude and related factors among obstetricians.Methods From October 2013 toDecember 2013,209 obstetricians of 10 different levels of the hospital of Tianjin area had been enrolled in this study,and KAP questionnaire was investigated.Results The knowledge of postpartum contraception among obstetricians was seriously lack,the total correct rate was 34.8％,the lowest score was 5 points,the highest was 80 points,the average score was 34.8± 13.5,more than 60 points accounted for only 2.9％ (6/209).86.6％ (181/209) obstetricians have thought it necessary to carry out postpartum contraceptive propaganda during pregnancy,and 97.6％ (204/209) obstetricians have thought it necessary to develop postpartum contraception training.92.8％ (194/209) and 94.2％ (197/209) obstetricians always informed that pay attention to contraception before discharge and postpartum visit,specific methods were not discussed.Obstetricians obtained relevant progress of contraceptive knowledge mainly through the daily medical work (92.8％,194/209),hoped that approach postpartum contraception related knowlege through continuing education courses (77.5％,162/209),special lectures in academic conference (72.2％,151/209) and special training (67.5％,141/209).Conclusions (1) The postpartum contraception knowledge among obstetricians is seriously lack.(2) The obstetricians hold positive attitude towards the propaganda for postpartum contraceptive knowledge.(3) Postpartum contraception related education only provided before discharging and postpartum visit,and the content was simply inform that pay attention to contraception,specific methods are not discussed.(4) To explore the reason why postpartum contraception situation is not ideal,that's because insufficient attention and propaganda,obstetricians don't update the contraception knowledge,and be lack of knowledge on the efficient,long-acting reversible contraception methods,exaggerated the side effects and complications.