一个堕胎后的避孕文本和呼叫服务,以支持患者在远程医疗堕胎后获得有效的避孕措施
John Joseph Reynolds-Wright1,2, Sharon T Cameron3,2
1Centre for Reproductive Health, Institute for Regeneration and Repair, The University of Edinburgh, Edinburgh, UK john.reynolds-wright@ed.ac.uk.
BMJ sexual & reproductive health
|September 13, 2024
概括
一个试点的短信和呼叫服务改善了一些患者获得堕胎后避孕 (PAC) 的机会. 超过一半的那些连接到服务的人转向了更有效的避孕方法.
科学领域:
- 生殖健康 生殖健康
- 远程医疗远程医疗
- 避孕方法 访问 避孕方法 访问
背景情况:
- 苏格兰的远程医疗堕胎通常涉及信息过载,可能会降低避孕的优先级.
- 通过远程医疗即时提供有限的避孕方法需要改进堕胎后避孕 (PAC) 途径.
研究的目的:
- 试行一个短信和呼叫服务,以提高堕胎后避孕 (PAC) 患者接受远程医疗堕胎的机会.
- 评估用于选择和提供避孕方法的结构化后续服务的采用和有效性.
主要方法:
- 为爱丁堡的远程医疗堕胎患者实施了一项试点"短信和呼叫"PAC服务.
- 参与者在堕胎后4-6周收到短信,提供由护士带领的避孕电话咨询,在线决策辅助支持.
主要成果:
- 64%的患者同意联系;17%要求进行后续电话.
- 54%的接受了电话的患者转换为更高效的避孕方法.
- 在未决者中,8人中有5人选择长效可逆避孕 (LARC),其中1人开始.
结论:
- 该PAC短信和呼叫服务证明了可行性,并支持少数患者获得避孕措施.
- 该服务为一半的参与患者提供了更有效的避孕方法,突出了改善避孕药的潜力.
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