Winter L, Breckenmaker L C
Family Health Council of Central Pennsylvania, Inc., Camp Hill.
Fam Plann Perspect. 1991 Jan-Feb;23(1):24-30.
Experimental service protocols tailored to the needs of teenage family planning patients were developed that emphasized indepth counseling, education geared to an adolescent's level of development, and the provision of reassurance and social support. These protocols were tested against usual service delivery practices in a study involving 1,261 patients under 18 years of age at six nonmetropolitan family planning clinics. A comparison with teenagers obtaining services at control sites found that six months after their first clinic visit, patients at the experimental sites were more likely to be using a method, were less likely to experience difficulty in dealing with problems, were more likely to continue using their method despite problems and had learned more during the educational session. Teenage patients at the experimental clinics were also less likely to have become pregnant within one year than those who went to control clinics. Attrition during the year following the first study visit was similar among both groups; patient satisfaction was very high, and equivalent at experimental and control sites. The data show that the extra time and effort required to meet the special needs of teenagers is justified by their improved contraceptive use, greater knowledge and lower pregnancy rates.
针对青少年计划生育患者的需求制定了实验性服务方案，该方案强调深入咨询、根据青少年发育水平开展的教育以及提供安慰和社会支持。在一项涉及六个非都市计划生育诊所1261名18岁以下患者的研究中，将这些方案与常规服务提供方式进行了对比。与在对照地点接受服务的青少年相比，发现在首次就诊六个月后，实验地点的患者更有可能采用某种避孕方法，处理问题时遇到困难的可能性更小，即使出现问题也更有可能继续使用该方法，并且在教育课程中学到了更多知识。实验诊所的青少年患者在一年内怀孕的可能性也低于前往对照诊所的患者。两组在首次研究就诊后的一年中流失率相似；患者满意度很高，在实验地点和对照地点相当。数据表明，满足青少年特殊需求所需的额外时间和精力因他们避孕方法使用的改善、知识的增加和怀孕率的降低而得到了证明。
