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医疗保健提供者向青少年和未生育年轻女性提供长效可逆避孕措施的障碍。

Barriers to Health Care Providers' Provision of Long-Acting Reversible Contraception to Adolescent and Nulliparous Young Women.

作者信息

Hopkins Brooke

出版信息

Nurs Womens Health. 2017 Apr-May;21(2):122-128. doi: 10.1016/j.nwh.2017.02.007.

Abstract

Despite recommendations for long-acting reversible contraception (LARC) as a first-line contraceptive method for adolescents and young women, its use in the United States remains low. This integrative review highlights previously unidentified barriers to health care providers' provision of LARC to adolescent and nulliparous young women. Four themes emerged: Appropriateness of Candidates and Contraceptive Safety, Provider Training and Work Setting, Appropriate Resources, and Opportunity. Raising awareness of barriers to LARC use may galvanize providers to find solutions. Nurses and other clinicians can remain aware of new contraceptive options and guidelines to reduce the risk of unintended pregnancy among adolescents.

摘要

尽管长效可逆避孕法(LARC)被推荐为青少年和年轻女性的一线避孕方法,但在美国其使用率仍然很低。这篇综合综述强调了医疗保健提供者在为青少年和未生育年轻女性提供LARC方面先前未被发现的障碍。出现了四个主题:候选人的适宜性和避孕安全性、提供者培训和工作环境、适当的资源以及机会。提高对LARC使用障碍的认识可能会促使提供者找到解决方案。护士和其他临床医生可以持续了解新的避孕选择和指南,以降低青少年意外怀孕的风险。

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