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张素珍,姚晓英.品管圈活动在提高非意愿妊娠女性避孕知识知晓率中的应用[J].上海护理,2015,15(3):
品管圈活动在提高非意愿妊娠女性避孕知识知晓率中的应用
DOI：
中文关键词:  非意愿妊娠  避孕知识  品管圈  健康教育
英文关键词:unwanted pregnancy  contraceptive knowledge  quality control circle  health education
基金项目:
作者单位E-mail
张素珍* 复旦大学附属妇产科医院 susanzhang2066@sina.com 
姚晓英 复旦大学附属妇产科医院  
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中文摘要:
      目的 提高非意愿妊娠女性对避孕知识的知晓率。方法 组成品管圈，首先在传统健康教育后，对非意愿妊娠的女性对避孕知识的知晓率进行调查作为基础数据。然后通过要因分析，针对性制作了视频和文字资料，并结合使用集体宣教和一对一指导等进行改进。改进措施实施后，对非意愿妊娠女性对避孕知识的知晓率进行再评价。结果 通过品管圈活动，改进后的健康教育措施显著提高非意愿妊娠女性对避孕知识的知晓率。对反复非意愿妊娠危害的知晓率由66.2%提高到93.2%，短效口服避孕药的优点知晓率由40.9%提高到93.8%，安全期避孕的缺点知晓率由44.1%提高到99.0%，紧急避孕药缺点的知晓率由42.3%提高到93.8%，避孕套正确使用方法的知晓率由89.3%提高到97.6%（均P=0.000）。结论 品管圈活动显著改善健康教育效果，有效提高了非意愿妊娠女性对避孕知识的知晓率，可望降低重复流产率。
英文摘要:
      Objective To improve the awareness of contraceptive knowledge in women with unwanted pregnancy. Method We established quality control circle (QCC), a method for improving the quality of management. The awareness rate on contraceptive knowledge by women with unwanted pregnancy was investigated first. According to the analysis of causes of low awareness, tailored video and printed material were made and lecture and personal consultation were performed. After those corresponding countermeasures were taken, the awareness rate on contraceptive knowledge was assessed again. Results The awareness of contraceptive knowledge in women with unwanted pregnancy was improved significantly. The awareness rate on the harm of repeated artificial abortion was improved from 66.2% to 93.2%, the advantage of short-term oral contraceptive pills from 40.9% to 93.8%, the disadvantage of safe-period method from 44.1% to 99.0%, the disadvantage of emergency oral conceptive pills from 42.3% to 93.8%, the correct usage of condom from 89.3% to 97.6%（all P=0.000）. Conclusions QCC could effectively improve the awareness of contraceptive knowledge in women with unwanted pregnancy, which is expected to reduce the repeated unwanted pregnancy rate.
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主管单位：上海市卫生健康委员会   主办单位：上海市护理学会  出版：《上海护理》编辑部
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