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巴西医生关于堕胎护理的知识,态度和做法:全国性的横截面研究
Rosa Maria Soares Madeira Domingues1, Romina Margarita Hamui2, Marcos Augusto Bastos Dias3
1Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz. Avenida Brasil, 4365 - Manguinhos, Rio de Janeiro, RJ, 21040360, Brazil. rosa.domingues@ini.fiocruz.br.
Scientific reports
|February 23, 2026
概括
关于巴西堕胎护理的医生知识和实践揭示了重大的差距. 许多医生缺乏对指导方针和基本程序的认识,影响到女性.
科学领域:
- 生殖健康 生殖健康
- 医学教育 医学教育
- 公共卫生政策 公共卫生政策
背景情况:
- 堕胎护理是生殖健康服务的关键组成部分.
- 了解医疗保健提供者的观点对于改善医疗保健的获取和质量至关重要.
研究的目的:
- 评估巴西医生关于堕胎护理的知识,态度和实践 (KAP).
- 确定在提供堕胎服务方面存在的区域差异和障碍.
主要方法:
- 进行了一项全国性的,基于医院的,涉及1276名医生的横截面研究.
- 数据是通过匿名,自我管理的问卷收集的.
- 统计分析包括千平方测试来比较区域差异.
主要成果:
- 三分之一的医生不知道巴西的堕胎指南.
- 只有25%的人对mizoprostol的非医院用途有充分的了解.
- 近40%的人报告说,手动真空吸收 (MVA) 缺乏可用性.
- 观察到广泛的低同意扩大合法堕胎准入,报告的偏见,缺乏同情心,以及高度依赖良心异议.
结论:
- 医疗专业人员需要加强对性和生殖权利的培训,超越临床方面.
- 整合其他医疗保健专业人员并确保MVA供应可用性对于全面的堕胎护理至关重要.
- 解决态度障碍和良心异议对于公平获得合法堕胎服务至关重要.
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