中国西部地区医护人员和患者对宫内粘连预防的知识、态度和实践:一项横断面研究

IF 2.7 2区 医学 Q1 EDUCATION & EDUCATIONAL RESEARCH
Jingyi Zhang, Sang Luo, Liwei Yuan, Yiran Jin, Dan Liu
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引用次数: 0

摘要

目的:通过对中国西部地区多家医院进行调查,了解妇产科医生和育龄妇女对宫腔粘连(IUA)的认识、态度和做法(KAP)。设计:本研究采用横断面调查设计,于2023年1 - 6月选取中国西部地区7家具有代表性的医院。对这7家医院的210名妇产科医生和306名到这些医院的妇产科/宫腔镜诊所就诊的育龄妇女进行了问卷调查。结果:共获得有效问卷506份。受访医生对流产后管理的知识水平较高,这与他们的经验年限和医院水平呈正相关。约96.12%的医生表示愿意将这些知识应用于临床实践。根据对流产管理的认识和态度,87.86%的医生会选择有效地实施这些措施,以保护患者未来的生育能力。治疗后患者的相关知识明显提高,92.33%的患者同意在不打算生育的情况下性交时应采取防护措施。然而,在实践中,只有47.67%的妇女自愿采取安全措施。结论:提高医生对生育保护和围手术期管理的认识,可降低流产率,提高患者对流产潜在危害的认识。加强育龄妇女的生殖健康教育,在流产前教育中增加相关知识的获取,可以加深育龄妇女对宫腔粘连的认识。临床试验号:不适用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge, attitudes, and practices of intrauterine adhesion prevention among healthcare providers and patients: a cross-sectional study in western China.

Objective: The aim was to assess the current knowledge, attitudes, and practices (KAP) of obstetricians, gynaecologists and women of childbearing age attending gynaecology/hysteroscopy clinics regarding intrauterine adhesions (IUA) by conducting a survey in various hospitals in western China.

Design: In this study, a cross-sectional survey design was used to select seven representative hospitals in western China between January and June 2023.questionnaires were administered to 210 obstetricians and gynaecologists in these seven hospitals and to 306 women of childbearing age visiting the obstetrics and gynaecology/hysteroscopy clinics of these hospitals.

Results: A total of 506 valid responses were obtained. The interviewed doctors exhibited a high level of knowledge regarding postabortion management, which correlated positively with their years of experience and the hospital level. Approximately 96.12% of the doctors expressed a willingness to apply this knowledge in clinical practice. On the basis of their knowledge and attitudes towards abortion management, 87.86% of the doctors would choose to implement these measures effectively to protect patients' future fertility. The patients' knowledge significantly improved after treatment, with 92.33% of the patients agreeing that protective measures should be taken during sexual intercourse when procreation is not intended. However, in practice, only 47.67% of the women voluntarily used safety measures.

Conclusion: Enhancing doctors' understanding of fertility protection and perioperative management can reduce the abortion rate and increase patient awareness of the potential harm caused by abortion. Strengthening reproductive health education for women of childbearing age and improving their access to relevant knowledge during preabortion education can deepen their understanding of uterine cavity adhesions.

Clinical trial number: Not applicable.

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来源期刊
BMC Medical Education
BMC Medical Education EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
4.90
自引率
11.10%
发文量
795
审稿时长
6 months
期刊介绍: BMC Medical Education is an open access journal publishing original peer-reviewed research articles in relation to the training of healthcare professionals, including undergraduate, postgraduate, and continuing education. The journal has a special focus on curriculum development, evaluations of performance, assessment of training needs and evidence-based medicine.
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