Dur Gamze, Mert Ayşen, Dur Rıza, Pektas Mine Kanat
School of Medicine, Department of Family Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey.
School of Medicine, Department of Obstetrics and Gynecology, Afyonkarahisar Health Sciences University, Zafer Sağlık Külliyesi Dörtyol Mahallesi 2078 Sokak No: 3, Afyonkarahisar, Turkey.
BMC Prim Care. 2025 Jan 8;26(1):6. doi: 10.1186/s12875-024-02700-1.
Standardizing the knowledge of health care givers and eliminating their misconceptions would help to achieve optimal service for contraception. This study aims to evaluate the knowledge levels of physicians and nurses working at primary health care centers about the oral contraceptive pill (OCP) use.
This is a cross-sectional review of 306 professional care givers (117 physicians and 189 nurses) who are working at primary health care centers.
Only 17.3% of health care givers recommend OCP as their first professional choice of contraception for their patients. Approximately 50.3% of these care givers do not feel qualified about the OCPs and 81.7% of them wish to have regular training about OCPs. There is a significantly higher number of male health care givers who claim that OCPs cause acne, sexual dysfunction, ectopic pregnancy, deep vein thrombosis, and liver cancer (respectively p = 0.040, p = 0.028, p = 0.001, p = 0.001, and p = 0.020). When compared to nurses, there is a significantly higher number of physicians who state that OCPs cause acne, depression, sexual dysfunction, ectopic pregnancy, deep vein thrombosis, breast cancer and liver cancer.
Physicians and nurses working at primary health centers in an inland Turkish province have relatively lower rates of recommendation for OCP use. These lower recommendation rates become significantly more obvious in male physicians with ≥ 14 years' experience. The concern about probable adverse effects, the lack of standardization in formal education, the absence of post-graduate training and the shortage of time and resources for counseling might have led to the limitation in OCP use.
规范医护人员的知识并消除他们的误解有助于实现最佳的避孕服务。本研究旨在评估在初级卫生保健中心工作的医生和护士对口服避孕药（OCP）使用的知识水平。
这是一项对在初级卫生保健中心工作的306名专业医护人员（117名医生和189名护士）的横断面研究。
只有17.3%的医护人员将OCP作为为患者提供避孕服务的首选专业方法。这些医护人员中约50.3%觉得自己对OCP不熟悉，81.7%希望能定期接受关于OCP的培训。声称OCP会导致痤疮、性功能障碍、异位妊娠、深静脉血栓形成和肝癌的男性医护人员数量显著更多（p值分别为0.040、0.028、0.001、0.001和0.020）。与护士相比，声称OCP会导致痤疮、抑郁、性功能障碍、异位妊娠、深静脉血栓形成、乳腺癌和肝癌的医生数量显著更多。
在土耳其内陆省份的初级卫生中心工作的医生和护士对OCP使用的推荐率相对较低。在有≥14年经验的男性医生中，这些较低的推荐率变得更加明显。对可能的不良反应的担忧、正规教育缺乏标准化、缺乏研究生培训以及咨询时间和资源短缺可能导致了OCP使用的受限。
