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目的:了解未婚人工流产女青年对医疗机构服务的满意度和服务需求,为探索青少年友好服务相关措施提供依据。方法:采用匿名问卷调查形式对在医院计划生育门诊接受人工流产手术的未婚女青年1 225例进行调查。结果:①服务满意度:对服务人员的满意度比对候诊时间和就诊环境高,达60%;20岁以下者对就诊环境满意度(45.60%)比20～24岁满意度(50.00%)低,20～24岁组对候诊时间的满意度(37.40%)比20岁以下的(45.60%)低;9.0%未婚人工流产女青年认为医务人员对其存在歧视或者态度冷淡。②需求:对性生殖健康知识最希望了解的前三位为:怀孕与避孕、性生理保健及人工流产后保健;③服务:对于流产希望获得的相关服务主要为人工流产后保健指导、避孕指导、心理咨询指导等;对服务的希望是获得保护隐私(65.96%),性保健知识宣教(36.49%),工作人员友好(35.27%)等。结论:未婚女青年对目前人工流产服务的环境、候诊时间的满意度相对较低,对接受人工流产的相关服务内涵及要求相对较高,提示需要建立满足青春期性生殖保健的友好服务模式。
Objective: To understand the satisfaction and service demand of medical unmarried young women who have abortions, and to provide the basis for exploring the related measures of friendly service for teenagers. Methods: An unofficial questionnaire was used to investigate 1,225 unmarried young women who underwent abortion in the family planning clinic at the hospital. Results: ①Satisfaction with service personnel was 60% higher than that with waiting time and visiting environment; satisfaction with the age of 20 years (45.60%) was lower than that of 20-24 years (50.00%) In the 20-24 age group, the satisfaction with waiting time (37.40%) was lower than that under the age of 20 (45.60%); 9.0% of unmarried young women were considered as abusive or indifferent to medical staff. ② Requirements: The top three most knowledgeable knowledge about sexual reproductive health are: pregnancy and contraception, sexual health care and post-abortion health care; ③ Services: The related services for abortion are mainly related to post-abortion health guidance and contraception guidance , Counseling and counseling; the hope of service is to obtain the protection of privacy (65.96%), sexual health education (36.49%), staff friendly (35.27%) and so on. Conclusions: The unmarried young women are less satisfied with the current environment and waiting time for abortion services, and have relatively higher connotation and requirements for the services related to abortion, suggesting the need to establish a friendly service model that meets the needs of adolescent reproductive health care.