避孕方法知情选择干预对咨询服务效果的影响

Effects of Counseling Skill Training among Family Planning Workers on Quality of Clinical Counseling Service

目的 :评价咨询技巧培训对门诊服务提供者咨询服务效果的影响。对象和方法 :以计划生育门诊为基础 ,在基线调查后 ,对干预门诊服务提供者进行咨询技巧培训 ,项目结束时 ,通过对到干预门诊就诊的合格对象进行终末调查 ,来评估咨询服务情况及干预效果。结果 :培训干预措施显著提高了咨询服务水平 ,但仍有部分对象反映在咨询中存在服务提供者限制其使用某种避孕方法的现象。咨询服务质量的高低影响对象的避孕知识水平及其对现用避孕方法的满意程度。结论 :使咨询服务规范化 ,进一步提高服务提供者的咨询技巧 ,提高育龄群众的避孕知识普及程度。

Objective: To evaluate the effectiveness of providing counseling skill training among service providers on the quality of clinical counseling service. Subjects and Methods: As a clinic based intervention study, the service providers in the clinic received training of counseling skill and provided subjects with counseling service after baseline survey. Then evaluation survey was conducted. Results: Training of counseling skill significantly improved the quality of counseling service. But some subjects (19.9%) reported that service provider prescribed them to use certain contraceptive method during counseling. The quality of counseling service contributed to subjects' contraceptive knowledge and satisfaction with their use of current contraceptive. Conclusions: More effort should be taken in improving service provider's counseling skill and standardizing consultation service.