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目的:探讨新型皮下埋植避孕剂依托孕烯植入剂的知晓及使用现状,分析影响依托孕烯植入剂使用的因素,为今后更好的推广提供依据。方法:回顾性分析2014年12月至2016年8月来我院放置和取出依托孕烯皮下埋植剂的47例患者临床资料,调查分析患者选择该皮下埋植剂的原因、放置后月经改变情况、其他副作用发生情况及取出皮下埋植剂的原因。针对皮下埋植剂知晓率及使用率不高的现状,在面向产后42 d人群开设的避孕咨询门诊中,采用问卷调查的方法,调查就诊者目前避孕知识的知晓情况及选择意愿,对比有针对性地宣教产后及哺乳状态下的适宜避孕知识后,分析就诊者避孕知识及避孕方法选择意愿的变化,进而综合分析影响选择依托孕烯植入剂使用的因素。结果:依托孕烯皮下埋植剂避孕有效率100%,不能耐受月经出血模式改变是取出皮下埋植剂的主要原因,皮下埋植剂持续放置时间长短与出血模式可接受性呈正相关。有针对性的避孕宣教对比一般性宣教对皮下埋植剂的选择意愿,差异有统计学意义(P<0.05)。结论:基于计划生育优质服务的详细及有针对性的避孕知识宣教,是提高皮下埋植剂依托孕烯知晓及选择意愿的重要因素。植入皮下埋植剂前医生对月经出血模式改变等副作用的详细解释及正确对症处理,可减少皮下埋置剂提前中止率,延长放置时间并提高满意度。
OBJECTIVE: To investigate the status quo and the status quo of the new subcutaneous implantable contraceptives etoposide implants and to analyze the factors influencing the use of itoposide implants, so as to provide a basis for better promotion in the future. Methods: The clinical data of 47 patients who received placement and removal of epigastric implants in our hospital from December 2014 to August 2016 were analyzed retrospectively. The reasons for the patients selecting the implants were investigated. The menstrual changes The situation, the occurrence of other side effects and the reasons for removing the subcutaneous implant. In view of the current situation of low awareness rate and utilization rate of subcutaneous implants, questionnaires were used to investigate the current contraceptive knowledge awareness and the willingness of the contraceptives in contraceptive consultation clinics for 42 days postpartum Sexually Propagandize Postpartum and Breastfeeding Information on Proper Contraception, Analyze the Variation of Intention of Contraceptive Methods and Contraception in Visitors, and then analyze the factors influencing the choice of pregnanenide implants. Results: The contraceptive efficacy of etoposide implants was 100%, and the change of menstrual bleeding pattern was the main reason for subcutaneous implants. The duration of subcutaneous implants was positively correlated with the acceptability of bleeding pattern. Targeted contraceptive education compared to the general mission of choice of subdermal implants, the difference was statistically significant (P <0.05). Conclusion: The detailed and targeted education on contraceptive knowledge based on the quality of family planning service is an important factor to improve the understanding and choice of implants for pregnancies. Implantation of subcutaneous implants before the doctor on the menstrual bleeding patterns change and other side effects of a detailed explanation and correct symptomatic treatment can reduce the rate of early placement of subcutaneous burial agent, to extend the placement time and increase satisfaction.