摘要
目的了解妇产科医护人员产后避孕相关知识、态度和行为情况,并探讨其影响因素。方法于2019年10月至2021年3月采用一般资料调查表及自行编制的医护人员产后知识、态度和行为现状调查问卷对上海市8家各级医院139名妇产科医护人员进行调查。结果139名妇产科医护人员对产后避孕相关知识知晓率总体情况不是很理想,仅在产后6个月内哺乳妇女不宜使用的避孕方法、皮下埋置剂在产后避孕中应用情况以及是否知道哺乳闭经避孕法相关知识条目上知晓率>50%。大多数妇产科医护人员认为有必要对产妇产后进行积极主动宣教,临床对产妇产后推荐的避孕方法多样,主要以安全套及宫内节育器为主,且认为在孕期、分娩后、出院时及42 d复查时均应实施相关宣教,另外在面对问题时可虚心请教或积极主动查阅资料解决。其中医护人员工作忙没时间、避孕相关知识的匮乏以及产妇的高危因素均是影响其介绍避孕知识的主要原因。结论妇产科医护人员认为产后避孕知识宣教具有较高的必要性,但医护人员应该提高和加强产后避孕相关知识和行为。
Objective To investigate the knowledge,attitude and practice of postpartum contraception among obstetrics and gynecology staff,and to explore its influencing factors.Methods From October 2019 to March 2021,139 obstetrical and gynecological medical staff in 8 hospitals in Shanghai were investigated by general data questionnaire and self-compiled questionnaire on knowledge,attitude and practice of medical staff after delivery.Results The overall knowledge rate of 139 obstetrical and gynecological medical staff about postpartum contraception was not very satisfactory.The knowledge rate of contraceptive methods unsuitable for lactating women within 6 months after delivery,the application of subcutaneous embedding agent in postpartum contraception,and the knowledge items related to lactating amperrhea contraception were more than 50%.The vast majority of medical staff in the department of obstetrics and gynecology believed that it was necessary to perform proactive education for puerperae after delivery.There were various contraceptive methods recommended for postpartum parturients in clinic,mainly condoms and intrauterine devices,and it is believed that relevant education should be carried out during pregnancy,after delivery,at the time of discharge and 42-day review.In addition,it was necessary to humbly ask for advice or actively consult the information to solve the problem when facing problems.The main reasons influencing the introduction of contraceptive knowledge were the busy work of medical staff,the lack of contraceptive knowledge and the high-risk factors of puerperae.Conclusions Medical staff in obstetrics and gynecology believe that postpartum contraceptive knowledge education has a high necessity,but medical staff should improve and strengthen postpartum contraceptive knowledge and behavior.
作者
唐洁
时秋静
沈春艳
戴锦萍
Tang Jie;Shi Qiujing;Shen Chunyan;Dai Jinpin(Department of Obstetrics,Obstetrics and Gynecology Hospital Affiliated to Fudan University,Shanghai 200011,China)
出处
《国际护理学杂志》
2023年第9期1561-1565,共5页
international journal of nursing
关键词
产后避孕
健康知识
妇产科医护人员
知识、态度和行为
Postpartum contraception
Health knowledge
Medical staff in department of obstetrics and gynecology
Knowledge,attitude and practice
