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医学生对计划生育服务的知识与认知:一项初步干预研究。

Medical students' knowledge and perception toward family planning services: A preliminary intervention study.

作者信息

Htay Mila Nu Nu, Latt Swe Swe, Abas Adinegara Lutfi, Chuni Neena, Soe Htoo Htoo Kyaw, Moe Soe

机构信息

Department of Community Medicine, Melaka Manipal Medical College, Manipal Academy of Higher Education, Malacca, Malaysia.

Unit of Community Medicine, Asian Institute of Medicine, Science and Technology, Kedah, Malaysia.

出版信息

J Educ Health Promot. 2018 Nov 27;7:137. doi: 10.4103/jehp.jehp_104_18. eCollection 2018.

Abstract

INTRODUCTION

Family planning and contraception is the effective strategy to reduce maternal mortality, child mortality, abortion, and unwanted pregnancies. Since the medical students are the future doctors, it is important to have proper knowledge and training on family planning services. This study aimed to explore the effect of teaching-learning process at maternal and child health (MCH) clinics on the students' knowledge, perceptions toward contraception methods, and family planning counselling.

METHODS

This quasi-experimental study was conducted in the private medical institution in Malaysia. The same questionnaire was used to administer twice, before and after the posting. Moreover, a qualitative question on the issues related to family planning and contraception utilizations in Malaysia was added to the after posting survey. The quantitative data were analyzed using IBM SPSS (version 20) and qualitative data by RQDA software.

RESULTS

A total of 146 participants were recruited in this study. Knowledge on contraception method before posting was 5.11 (standard deviation [SD] ±1.36) and after posting was 6.35 (SD ± 1.38) ( < 0.001). Thematic analysis of the students' answer revealed four salient themes, which were as follows: (1) cultural barrier, (2) misconception, (3) inadequate knowledge, and (4) improvement for the health-care services.

CONCLUSIONS

The teaching-learning process at the MCH posting has an influence on their perception and upgraded their knowledge. It also reflects the role of primary health-care clinics on medical students' clinical exposure and training on family planning services during their postings.

摘要

引言

计划生育和避孕是降低孕产妇死亡率、儿童死亡率、堕胎及意外怀孕的有效策略。由于医学生是未来的医生,掌握计划生育服务的相关知识并接受适当培训非常重要。本研究旨在探讨母婴健康(MCH)诊所的教学过程对学生在避孕方法知识、对避孕方法的认知以及计划生育咨询方面的影响。

方法

本准实验研究在马来西亚的一家私立医疗机构进行。在实习前后两次使用相同的问卷进行调查。此外,在实习后调查中增加了一个关于马来西亚计划生育和避孕使用相关问题的定性问题。定量数据使用IBM SPSS(版本20)进行分析,定性数据使用RQDA软件进行分析。

结果

本研究共招募了146名参与者。实习前避孕方法知识得分为5.11(标准差[SD]±1.36),实习后为6.35(SD±1.38)(<0.001)。对学生答案的主题分析揭示了四个突出主题,分别如下:(1)文化障碍,(2)误解,(3)知识不足,(4)医疗服务的改进。

结论

母婴健康实习点的教学过程对学生的认知有影响,并提升了他们的知识水平。这也反映了基层医疗诊所在医学生实习期间对计划生育服务的临床接触和培训方面所起的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e74c/6282685/912011a613ac/JEHP-7-137-g004.jpg

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