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目的了解女大学生人工流产相关知识、态度以及健康照护服务需求,为学校、医院、教育部门整合资源、制定相应政策提供理论依据。方法采用自行编写的调查问卷,选取长春东方职业学院在校女大学生为研究对象进行问卷调查。结果受调查的378名女大学生中有性经验者89名(23.5%),有人工流产经历者22名(5.8%)。人工流产知识平均每题得分为(0.33±0.20)分;人工流产态度平均每题得分为(2.38±0.30)分;人工流产前考虑阶段和流产后恢复阶段健康照护服务需求平均每题得分为(2.93±0.52)分、(2.88±0.55)分,大部分同学认为她们需要健康照护服务,在学校提供相关照护服务部分得分为(3.18±0.64)分。不同年龄、年级、父母文化程度、有无人工流产经历者在人工流产前、后及总需求上存在差异(P<0.05)。结论女大学生人工流产知识较缺乏,人工流产态度较保守,人工流产前考虑阶段的健康照护服务需求强于流产后恢复阶段,大部分同学认为需要学校提供该类服务。学校可整合相关资源,建立全面、连续、个性化的健康照护服务系统。
Objective To understand the knowledge, attitudes and demands of health care services for induced abortion among female college students and to provide theoretical basis for integrating resources and formulating corresponding policies in schools, hospitals and educational departments. Methods A self-prepared questionnaire was used to select the female undergraduates in Changchun Oriental Vocational College as the research object to conduct a questionnaire survey. Results Of the 378 female undergraduates surveyed, 89 (23.5%) had sexual experience and 22 had induced abortion (5.8%). (0.33 ± 0.20) points for each question of abortion knowledge; (2.38 ± 0.30) points for abortion attitude average; the average of questions for health care service during pre-abortion and post-abortion recovery stages is ( 2.93 ± 0.52) and (2.88 ± 0.55) respectively. Most of the students thought they needed health care services. The score of providing some care services in schools was 3.18 ± 0.64. There were differences in total age, grade, parental education level and abortion experience before and after induced abortion and total demand (P <0.05). Conclusions There is a lack of knowledge of induced abortion in female students and a more conservative attitude of induced abortion. The demand for health care services in pre-abortion stage is stronger than that in post-abortion recovery stage, and most of the students think it is necessary for schools to provide such services. Schools can integrate relevant resources to establish a comprehensive, continuous, personalized health care service system.