避孕及生殖健康宣教单的研制及应用效果

Development and Application Effect of Contraceptive and Reproductive Health Education Leaflet

目的:探讨避孕及生殖健康宣教单的研制及应用效果。方法:对以往住院终止妊娠女性进行基线资料收集,分析存在问题及健康教育需求,制作健康教育宣教单,于2021年1月20日—3月15日在广东省妇幼保健院流产服务中试用,试用后进行满意度调查,宣教前后避孕知识对比分析,流产者与医务人员对高危流产判断一致性分析。结果:(1)满意度,有94人参与了全部评价反馈,对于宣教形式满意率97.9%,对宣教内容满意度100.0%;宣教内容量,77.0%认为合适,表示对宣教内容都容易理解有74人(78.7%),认为高危流产因素理解较难的有11人(11.7%),100.0%表示宣教获得益处;97.9%表示认识到重复人工流产的危害性,98.9%表示已认识到坚持正确、高效避孕的重要性,92.6%愿意进一步了解高效避孕方法;(2)宣教前后比较,重复流产并发症及危害、早孕流产后排卵时间、不可靠避孕方法、避孕套的正确使用、体外排精法体外排精前是否可能有精子溢出等,经配对失合法检验,差异有统计学意义(P<0.01);(3)高危流产一致性判断,与医务人员相比,判断一致率60.6%,经配对秩合检验,差异有统计学意义(P<0.01),高危流产一致性判断:Cohen’s Kappa系数为0.198<0.4,P=0.036,一致性较差。结论:健康宣教单在住院流产服务中应用效果较好,提高了服务满意率,可以较好地指导流产者科学避孕、提高避孕意识,但仍需结合口头宣教等其他方法进行指导,不能单纯依赖健康宣教单。

Objective:To explore the development and application effects of contraceptive and reproductive health promo⁃tion leaflets.Methods:Baseline data were collected from women with previous inpatient termination of pregnancy,problems and health education needs were analyzed,and health education leaflets were produced.It was piloted in the hospital abortion service from January 20,2021 to March 15,2021,and a satisfaction survey was conducted after the trial.Contraceptive knowledge was compared and analyzed before and after the mission,and the consistency of the judgment of high-risk abortion between abortionists and medical personnel was analyzed.Results:(1)94 people participated in all the evaluation feedback,with a 97.9%satisfaction rate for the mission form and 100.0%satisfaction for the mission content.77.0%thought the content of the mission was appropri⁃ate,74(78.7%)said it was easy to understand all the contents of the mission,11(11.7%)said it was difficult to understand the fac⁃tors of high-risk abortion,and 100.0%said the mission was beneficial.97.9%said they recognized the harm of repeated abortion,98.9%said they had recognized the importance of adhering to correct and efficient contraception,and 92.6%were willing to learn more about efficient contraceptive methods.(2)The differences in complications and hazards of repeat abortion,time to ovulation af⁃ter early abortion,unreliable contraceptive methods,correct use of condoms,and the possibility of sperm overflow before in vitro ejaculation by the in vitro ejaculation method before and after the mission were statistically significant by paired rank sum method test(P<0.01).(3)High-risk miscarriage was consistently judged with a 60.6%agreement rate compared to medical staff,and the difference was statistically significant by paired chi-square test(P<0.01).High-risk miscarriage consistency judgment:Cohen’s Kappa coefficient was 0.198<0.4,P=0.036,which was poorly consistent.Conclusion:The application of health education leaflets in the inpatient abortion service is effective and improves the satisfaction rate of the service,and can better guide abortion patients to scientific contraception and improve contraceptive awareness,but it still needs to be combined with other methods such as oral education to provide guidance,and cannot rely solely on health education leaflets.