在青少年患者的宫内器械实践提供者观点
Amber Sucharov1, Kristina Arion2, Sarah McQuillan3
1Department of Obstetrics and Gynecology, University of Saskatchewan, Regina, SK.
概括
在青少年中,关于宫内器械 (IUD) 的误解仍然存在,阻碍了其使用. 通过教育和程序性镇静来解决这些神话和插入疼痛,可以提高IUD接受率以防止青少年怀孕.
科学领域:
- 生殖健康 生殖健康
- 青少年妇科 青少年妇科
- 公共卫生 公共卫生
背景情况:
- 青少年怀孕仍然是一个全球公共卫生问题.
- 宫内避孕器 (IUD) 被认为是青少年的安全有效的长效可逆避孕.
- 专业协会建议这种人群使用宫内避孕器作为一线避孕方法.
研究的目的:
- 调查有关青少年使用IUD的现行做法.
- 为了确定阻碍青少年插入IUD的障碍.
- 了解提供者对IUD使用的看法.
主要方法:
- 一项调查分发给北美儿科和青少年妇科学会的成员.
- 该调查通过该协会的列表服务两次传播.
- 回答是匿名收集的,并使用描述性统计数据进行分析.
主要成果:
- 55名受访者参与了调查,主要来自北美.
- 青少年最常寻求避孕IUD (45%) 和异常子宫出血 (24%).
- 提供者认为误解 (25%) 和插入疼痛 (24%) 是主要的障碍. 程序性镇静中心被认为有利于等待时间 (33%) 或已经优化了等待时间 (38%).
结论:
- 关于IUD的持续误解需要有针对性的教育干预.
- 改善青少年对IUD的态度对于降低怀孕率至关重要.
- 解决插入疼痛,可能通过手术镇静,可以增加IUD的接受和利用.
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