《青少年产妇产后计划生育决策辅助工具：坦桑尼亚的一项准实验研究》。
A Decision Aid for Postpartum Adolescent Family Planning: A Quasi-Experimental Study in Tanzania.
机构信息
Community Health Department, School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam P.O. Box 65001, Tanzania.
Women's Health and Midwifery, School of Nursing Science, St. Luke's International University, Tokyo 104-0044, Japan.
出版信息
Int J Environ Res Public Health. 2023 Mar 10;20(6):4904. doi: 10.3390/ijerph20064904.
BACKGROUND
We evaluated the effects of our postpartum family planning decision aid on the decisional conflict, knowledge, satisfaction, and uptake of long-acting reversible contraception among pregnant adolescents in Tanzania.
METHODS
We used a facility-based pre-post quasi-experimental design. The intervention arm received routine family planning counseling and the decision aid. The control received only routine family planning counseling. The primary outcome was the change in decisional conflict measured using the validated decision conflict scale (DCS). The secondary outcomes were knowledge, satisfaction, and contraception uptake.
RESULTS
We recruited 66 pregnant adolescents, and 62 completed this study. The intervention group had a lower mean score difference in the DCS than in the control (intervention: -24.7 vs. control: -11.6, < 0.001). The mean score difference in knowledge was significantly higher in the intervention than in the control (intervention: 4.53 vs. control: 2.0, < 0.001). The mean score of satisfaction was significantly higher in the intervention than in the control (intervention: 100 vs. control: 55.8, < 0.001). Contraceptive uptake was significantly higher in the intervention [29 (45.3%)] than in the control [13 (20.3%)] ( < 0.001).
CONCLUSION
The decision aid demonstrated positive applicability and affordability for pregnant adolescents in Tanzania.
背景
我们评估了我们的产后计划生育决策辅助工具对坦桑尼亚孕妇青少年的决策冲突、知识、满意度和长效可逆避孕措施使用率的影响。
方法
我们使用了基于设施的前后准实验设计。干预组接受常规计划生育咨询和决策辅助工具，对照组仅接受常规计划生育咨询。主要结局是使用经过验证的决策冲突量表（DCS）测量的决策冲突变化。次要结局是知识、满意度和避孕措施使用率。
结果
我们招募了 66 名孕妇青少年，其中 62 名完成了这项研究。干预组的 DCS 平均评分差异低于对照组（干预组：-24.7 分，对照组：-11.6 分，<0.001）。干预组的知识平均评分差异明显高于对照组（干预组：4.53 分，对照组：2.0 分，<0.001）。干预组的满意度平均评分明显高于对照组（干预组：100 分，对照组：55.8 分，<0.001）。干预组的避孕措施使用率明显高于对照组[29（45.3%）]，对照组[13（20.3%）]（<0.001）。
结论
决策辅助工具对坦桑尼亚孕妇青少年具有积极的适用性和可负担性。
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