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目的:探讨非计划妊娠妇女对药物流产的可接受性情况,并对影响因素进行调查分析。方法:采用分层整群随机抽样方法,在6家二级以上综合医院中抽取要求进行人工流产的妇女1371例,采用问卷形式调查患者的社会人口学特征和人流认知情况。共获有效问卷1305份,将1305例患者按照流产方式进行分组,药物流产者331例为观察组,手术流产者974例为对照组,采用视觉模拟表格进行可接受性评估。结果:结果显示,从两组人口学特征比较,年龄、文化程度、职业等方面存在显著差异(P<0.05);从流产知识认知情况看,观察组避孕知识、避孕措施知晓率均显著高于对照组(P<0.05),但对人工流产并发症的认知并无显著差异(P>0.05);观察组和对照组的避孕、流产知识来源相近,前3位分别为电视广播、互联网、朋友或家人。结论:药物流产易被年龄适中、教育水平高的群体所接受,有人工流产史的患者对药物流产的接受率更高,应当提高妇女的避孕、流产认知程度,尊重妇女流产方式的选择,更好、更全面地开展计划生育服务。
Objective: To investigate the acceptability of medical abortion among unplanned pregnant women and investigate the influencing factors. Methods: A stratified cluster random sampling method was used to select 1371 women who requested abortion in six general hospitals above Grade II, and the socio-demographic characteristics and cognitive abilities of the patients were surveyed by questionnaire. A total of 1305 valid questionnaires were obtained, 1305 patients were grouped according to abortion method, 331 abortion patients were observed group, and 974 surgical abortion patients were used as control group. The visual analogue scale was used to evaluate the acceptability. Results: The results showed that there were significant differences in demographic characteristics, age, education level, occupation and so on (P <0.05). From the cognition of abortion knowledge, the awareness rate of contraceptive knowledge and contraceptive measures in observation group were significantly higher (P <0.05), but there was no significant difference in the complication between abortion and abortion (P> 0.05). The source of knowledge about contraception and miscarriage was similar between the observation group and the control group. The top three were television broadcasting, Internet , Friends or family. Conclusions: Medical abortion is easily accepted by the group of moderate age and education level. Patients with artificial abortion history have a higher acceptance rate of medical abortion. Women should be better informed of contraception and miscarriage, and the choice of women’s abortion should be respected. Better and more comprehensive family planning services.