[联合激素避孕选择咨询的重要性——捷克和斯洛伐克共和国CHOICE项目的结果]

[Importance of the consultation for combined hormonal contraception's choice--results of CHOICE project in Czech and Slovak Republic].

作者信息

Fait T, Apetauer I

机构信息

Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha.

出版信息

Ceska Gynekol. 2011 Apr;76(2):140-4.

PMID:21649999

Abstract

OBJECTIVE

The aim of this project was to evaluate influence of standardised information on patient's choice of combined hormonal contraception application way.

DESIGN

Non-interventional, multicentric, prospecive study.

SETTING

Dept. of Obstetrics and Gynecology, 1st Faculty of Medicine, Charles University Prague.

METHODS

The choice of application form of combined hormone contraception was evaluate in group of 1944 women in 183 centers of Czech and Slovak republic before and after doctor's consultation.

RESULTS

The 1911 women have given replay for all questions. Percentage of women preferring combined oral contraception (46.6%, CI 95% 44%-50%, 906 women) and transdermal patch (4.5%, CI 95% 3%-6%, 87 women) were unchanged. Choice of vaginal ring grew up from 6.2% to 42.6% (CI 95% 40%-46%, 837 women). It means significant elevation by 36.4% (CI 97.5% 33.9% - 38.9%, p < 0.0001). Vaginal ring was choosen by 54.2% of women without any intention and 39.1% from women with preference of nonhormonal contraception.

CONCLUSION

Project show to increase the preference of vaginal ring by information about all application forms of combined hormonal contraception.

摘要

目的

本项目旨在评估标准化信息对患者选择联合激素避孕应用方式的影响。

设计

非干预性、多中心前瞻性研究。

地点

布拉格查理大学医学院第一附属医院妇产科。

方法

在捷克和斯洛伐克共和国183个中心的1944名女性群体中，评估医生咨询前后联合激素避孕应用形式的选择情况。

结果

1911名女性回答了所有问题。倾向于复方口服避孕药的女性比例（46.6%，95%置信区间44%-50%，906名女性）和透皮贴剂（4.5%，95%置信区间3%-6%，87名女性）未变。阴道环的选择从6.2%增至42.6%（95%置信区间40%-46%，837名女性）。这意味着显著升高了36.4%（97.5%置信区间33.9%-38.9%，p<0.0001）。54.2%的女性在无任何意向的情况下选择了阴道环，39.1%的女性倾向于非激素避孕。