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提高青少年和年轻成年女性对长效可逆避孕措施的认知。

Improving Knowledge of Long-Acting Reversible Contraception in an Adolescent and Young Adult Female Population.

出版信息

Nurs Womens Health. 2021 Feb;25(1):54-62. doi: 10.1016/j.nwh.2020.11.008. Epub 2021 Jan 13.

DOI:10.1016/j.nwh.2020.11.008
PMID:33450243
Abstract

OBJECTIVE

To improve adolescent and young adult clients' knowledge of long-acting reversible contraception (LARC) methods by standardizing the education they received at an outpatient clinic.

DESIGN

The Plan-Do-Study-Act was used as a framework to implement and evaluate a practice change aimed at improving the contraceptive education provided to adolescent and young women.

SETTING/LOCAL PROBLEM: This single-center quality improvement project took place at a community-based clinic in the Northeastern United States where clinicians' practice for contraceptive counseling lacked use of a standardized educational tool.

PARTICIPANTS

Thirty female participants between the ages of 14 and 25.

INTERVENTION/MEASUREMENTS: A pre- and postintervention survey was used to assess participants' knowledge of LARC methods after viewing an online video. A focus group of clinicians was held to assess their thoughts on the use of the video education.

RESULTS

Survey results indicated improved knowledge of participants on all six knowledge points assessed in the survey. Focus group feedback indicated the video education was considered sustainable and desired by clinicians for an additional year and Plan-Do-Study-Act cycle.

CONCLUSION

Online, video-based education may be an effective and sustainable way to provide adolescent and young adult clinic clients with evidence-based information on LARC methods to help them make informed decisions about contraception.

摘要

目的

通过规范门诊诊所提供的教育,提高青少年和年轻成年人客户对长效可逆避孕(LARC)方法的了解。

设计

采用计划-实施-研究-行动(Plan-Do-Study-Act)作为框架,实施和评估旨在改善为青少年和年轻女性提供的避孕教育的实践变革。

背景/当地问题:该单中心质量改进项目在美国东北部的社区诊所进行,临床医生的避孕咨询实践缺乏标准化的教育工具。

参与者

30 名年龄在 14 至 25 岁之间的女性参与者。

干预/措施:在观看在线视频后,通过预干预和后干预调查来评估参与者对 LARC 方法的知识。举行了一次临床医生焦点小组会议,以评估他们对使用视频教育的看法。

结果

调查结果表明,参与者在调查中评估的所有六个知识要点的知识都有所提高。焦点小组的反馈表明,视频教育被认为是可持续的,并且临床医生希望再使用一年并进行一轮 Plan-Do-Study-Act。

结论

基于在线视频的教育可能是向青少年和年轻成年诊所客户提供有关 LARC 方法的循证信息的有效和可持续方式,以帮助他们就避孕做出明智的决定。

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