216例未婚意外妊娠女性避孕自我效能现状及影响因素分析

Contraceptive Self-efficacy of Unmarried Women with Unplanned Pregnancy and Its Influence Factors:A 216-case Study

目的了解未婚意外妊娠女性避孕自我效能状况,分析其影响因素。方法采用便利抽样方法,选取2018年7—12月广州某三级甲等综合医院妇科门诊未婚意外妊娠女性为研究对象,采用一般资料问卷、避孕自我效能量表、避孕态度量表、避孕知识量表对216例未婚意外妊娠女性进行调查,采用多元线性回归分析避孕自我效能的影响因素。结果216例未婚意外妊娠女性避孕自我效能总分为(54.37±7.36)分;多元线性回归结果显示:避孕态度、避孕知识、年龄、文化程度、长期居住地进入回归方程,解释未婚意外妊娠妇女避孕自我效能总变异的43.9%。结论未婚意外妊娠女性避孕自我效能处于较低水平,医护人员应重点关注避孕知识水平低,避孕态度消极,年龄小、文化程度低且长期居住于农村的意外妊娠女性,加强健康教育,采取针对性护理措施,提高意外妊娠女性避孕知识,改变其避孕态度,从而提高避孕自我效能,改善避孕行为。

Objective To understand contraceptive self-efficacy in unmarried women with unplanned pregnancy and explore its influence factors.Methods With convenient sampling method,216 women with unplanned pregnancy from one tertiary grade A general hospital in Guangzhou were recruited and investigated from July to December 2018 by using a self-designed demographic questionnaire,Contraceptive Self-efficacy Scale,Contraceptive Attitude Scale and Contraceptive Knowledge Scale.The influence factors were analyzed by multiple linear regression analysis.Results The average total score of contraceptive self-efficacy in unmarried women with unplanned pregnancy was 54.37±7.36.Contraceptive attitude,contraceptive knowledge,age,educational background,habitual residence entered into multiple regression equation,explaining 43.9%of the total variation.Conclusion The contraception self-efficacy in unmarried women with unplanned pregnancy is poor.More attention should be paid to young and less educated rural women with poor contraceptive knowledge and negative contraception attitude.Medical staff should take the influence factors into consideration and provide personalized and targeted nursing measures for them to improve contraception knowledge,contraception attitude and contraceptive behavior.