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目的:了解对流动人口避孕节育服务的综合干预效果,为形成更加适宜于流动人口推广避孕节育技术的服务新方式提供参考。方法:以自填式问卷,对年龄15～49岁、非深圳户籍、未采取长效避孕措施、有过性生活且到我中心接受服务的流动人口进行调查,分阶段进行2个月的基本干预和2个月全面干预后,再次进行调查,了解干预效果。结果:知识水平:在女性干预组干预后知识水平均有所提高,全面干预后提高更明显(P<0.05)。咨询:干预后咨询人数有显著提高,全面干预后提高更显著(P<0.05)。意愿:干预后,流动人口愿意使用提供的药具、愿意将信息告诉同伴和在有需求时愿意再来中心就诊。行为:调查对象采取避孕措施比例在98%以上,干预后比例有显著提高,全面干预后增加更显著(P<0.05),但仍有30%左右的人没有坚持使用。满意度:不同性别对11项相关服务干预前后满意度平均分有差别。服务质量全面干预后较基本干预和干预前的差别有统计学意义。结论:南山区计生服务中心充分发挥自身优势,将流动人口做为重点服务人群,开展了一系列宣传教育、技术服务、药具发放、信息咨询、人员培训、生殖保健等综合干预活动,引导流动人口在避孕节育认知、信念、态度和行为方面发生改变,取得了较好的效果。
OBJECTIVE: To understand the effect of comprehensive intervention on contraceptive services for floating population and to provide reference for forming a new service mode that is more suitable for popularizing contraceptive technology among floating population. Methods: A self-administered questionnaire was used to investigate the floating population aged 15-49 years old, who did not have permanent residence in Shenzhen, who did not take long-term contraception, who had had sex and went to our center for service. Intervention and 2 months after the full intervention, re-investigation to understand the effect of intervention. Results: The level of knowledge: The level of knowledge increased after the intervention in the female intervention group, and increased more obviously after the full intervention (P <0.05). Counseling: The number of counseling after intervention increased significantly (P <0.05) after the intervention. Intent: After the intervention, the floating population is willing to use the provided medicine, is willing to tell the companion of the information and is willing to visit the center again when the need arises. Behavior: The proportion of contraceptive measures taken by the surveyed persons was over 98%, the proportion of contraceptives increased significantly after intervention (P <0.05), but about 30% of the contraceptives were still not used. Satisfaction: There were differences in mean satisfaction scores of 11 related services before and after the intervention according to gender. The quality of service after the comprehensive intervention compared with the basic intervention and intervention before the difference was statistically significant. Conclusion: The Nanshan District Family Planning Service Center has given full play to its own advantages and made the floating population as a key service group. It conducted a series of comprehensive intervention activities such as publicity, education, technical services, medicine distribution, information consultation, personnel training and reproductive health care to guide the flow The population has changed its awareness of contraception, beliefs, attitudes and behaviors and achieved good results.