Zhang Jingyi, Luo Sang, Yuan Liwei, Jin Yiran, Liu Dan
College of Clinical Medicine, Ningxia Medical University, Yinchuan, Ningxia, China.
Institute of Medical Sciences, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, China.
BMC Med Educ. 2025 May 9;25(1):684. doi: 10.1186/s12909-025-07273-w.
The aim was to assess the current knowledge, attitudes, and practices (KAP) of obstetricians, gynaecologists and women of childbearing age attending gynaecology/hysteroscopy clinics regarding intrauterine adhesions (IUA) by conducting a survey in various hospitals in western China.
In this study, a cross-sectional survey design was used to select seven representative hospitals in western China between January and June 2023.questionnaires were administered to 210 obstetricians and gynaecologists in these seven hospitals and to 306 women of childbearing age visiting the obstetrics and gynaecology/hysteroscopy clinics of these hospitals.
A total of 506 valid responses were obtained. The interviewed doctors exhibited a high level of knowledge regarding postabortion management, which correlated positively with their years of experience and the hospital level. Approximately 96.12% of the doctors expressed a willingness to apply this knowledge in clinical practice. On the basis of their knowledge and attitudes towards abortion management, 87.86% of the doctors would choose to implement these measures effectively to protect patients' future fertility. The patients' knowledge significantly improved after treatment, with 92.33% of the patients agreeing that protective measures should be taken during sexual intercourse when procreation is not intended. However, in practice, only 47.67% of the women voluntarily used safety measures.
Enhancing doctors' understanding of fertility protection and perioperative management can reduce the abortion rate and increase patient awareness of the potential harm caused by abortion. Strengthening reproductive health education for women of childbearing age and improving their access to relevant knowledge during preabortion education can deepen their understanding of uterine cavity adhesions.
Not applicable.
通过在中国西部多家医院开展一项调查，评估妇产科医生以及在妇科/宫腔镜检查门诊就诊的育龄期女性对宫腔粘连（IUA）的现有知识、态度和行为（KAP）。
在本研究中，采用横断面调查设计，于2023年1月至6月在中国西部选择了7家具有代表性的医院。对这7家医院的210名妇产科医生以及到这些医院妇产科/宫腔镜检查门诊就诊的306名育龄期女性进行问卷调查。
共获得506份有效回复。受访医生对流产后管理表现出较高的知识水平，这与他们的工作年限和医院级别呈正相关。约96.12%的医生表示愿意在临床实践中应用这些知识。基于他们对流产管理的知识和态度，87.86%的医生会选择有效实施这些措施以保护患者未来的生育能力。患者在接受治疗后的知识水平有显著提高，92.33%的患者认同在不打算生育时进行性行为应采取保护措施。然而，在实际中，只有47.67%的女性自愿采取安全措施。
加强医生对生育保护和围手术期管理的认识可以降低流产率，并提高患者对流产潜在危害的认识。加强对育龄期女性的生殖健康教育，并在流产前教育期间改善她们获取相关知识的途径，可以加深她们对宫腔粘连的理解。
不适用。
