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良好避孕咨询的特点 - 一项访谈研究。

Characteristics of good contraceptive counselling - An interview study.

机构信息

School of Health and Social Studies, Dalarna University, Falun, Sweden.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

出版信息

Sex Reprod Healthc. 2024 Mar;39:100948. doi: 10.1016/j.srhc.2024.100948. Epub 2024 Jan 13.

Abstract

OBJECTIVE

One key component in preventing unplanned pregnancies is to provide effective contraceptive counselling. This study aimed to investigate what characterises good contraceptive counselling from the woman's perspective.

METHODS

A qualitative study with a phenomenological approach. Twenty-four women aged 15-45 participated in semi-structured, individual, face-to-face interviews that lasted, on average, one hour. Data were analysed by latent content analysis.

RESULTS

One overall theme emerged, person-centred contraceptive counselling - an interactive process, with three main categories: (i) a trustworthy healthcare provider, (ii) creating a liaison and (iii) the right time and place.

CONCLUSIONS

The healthcare provider's attributes as well as what happened between the healthcare provider and the woman, and the surrounding context, had a bearing on the women's descriptions of good contraceptive counselling. The process of the counselling was described as more important than the actual outcome; thus, healthcare providers need to be aware that this seemingly straightforward consultation is rather multi-layered and has great health promoting potential.

摘要

目的

防止意外怀孕的一个关键因素是提供有效的避孕咨询。本研究旨在从女性的角度探讨什么是良好的避孕咨询。

方法

这是一项采用现象学方法的定性研究。24 名年龄在 15-45 岁的女性参与了半结构化的、个体的、面对面的访谈,平均持续一小时。数据采用潜在内容分析法进行分析。

结果

出现了一个总体主题,即以人为中心的避孕咨询——这是一个互动的过程,包括三个主要类别:(i)值得信赖的医疗保健提供者,(ii)建立联系,以及(iii)合适的时间和地点。

结论

医疗保健提供者的属性以及医疗保健提供者与女性之间发生的事情和周围环境,对女性对良好避孕咨询的描述产生了影响。咨询过程被描述为比实际结果更重要;因此,医疗保健提供者需要意识到,这种看似简单的咨询实际上是多层次的,具有巨大的促进健康的潜力。

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