Objective To explore the effect of reproductive health education on health literacy of hospitalized female adolescents, and to provide reference for the protection of their physical and mental health.
Methods A total of 102 female adolescents who were hospitalized in department of gynaecology from January 2019 to December 2019 were selected for reproductive health education and questionnaire survey.
Results There were 65 cases of unplanned pregnancy (4 cases of tubal pregnancy), 18 cases of gynecological tumor (1 case of ovarian malignancy), 11 cases of gynecological inflammation (1 case of tubal abscess), and 8 cases of abnormal uterine bleeding (2 cases of blood transfusion) .Eighty-six patients (84.3%) were treated surgically, 7 cases had their ovaries and/or fallopian tubes removed. After reproductive health education, health literacy of menstruation and ovulation, reproductive organ tumor, gynecological inflammation (inducing factors, clinical manifestations, harmfulness) , harm of premature sexual life, scientific contraception, sexually transmitted diseases (types, transmission routes, preventioe measures) , abortion hazard (short-term and long-term complications) and necessity of health examination improved significantly (χ 2 = 14.8, 25.1, 15.7, 30.6, 18.6, 25.9, 31.1, 17.8, 19.1, 15.2, 40.1, 58.6, 69.8, P<0.05).
Conclusion The lack of reproductive health knowledge of female hospitalized adolescents may lead to unplanned pregnancy, tumor, inflammation and abnormal uterine bleeding. Reproductive health education can significantly improve the health literacy of female adolescents and ensure their physical and mental health.
【摘要】 目的 探析生殖健康宣教对青春期患病女学生健康认知的影响, 为保障青春期女学生的身心健康提供参 考。 方法 选择 2019 年 1一12 月在浙江省立同德医院妇科住院的 102 例 10~19 岁青春期女学生, 治疗期间行生殖健康宣 教及问卷调査。 结果 意外妊娠 65 例 (输卵管妊娠 4 例) , 妇科肿瘤 18 例 (卵巢恶性肿瘤 1 例) , 妇科炎症 11 例 (输卵管 脓肿 1 例) , 异常子宫出血 8 例 (输血治疗 2 例) ; 手术治疗 86 例, 切除患侧卵巢和 (或) 输卵管 7 例。生殖健康宣教后学生 对月经及排卵知识、生殖器官肿瘤、妇科炎症(诱发因素、临床表现、盆腔炎的危害) 、过早性生活的危害、科学避孕、性传播 疾病(疾病种类、传播途径、预防措施) 、人工流产危害 (延期并发症、远期并发症) 、健康体检必要性相关内容的认知均较前 提髙 (χ 2 值分别为 14.8, 25.1, 15.7, 30.6, 18.6, 25.9, 31.1, 17.8, 19.1, 15.2, 40.1, 58.6, 69.8, P 值均<0.05)。 结论青春期患病 女学生生殖健康知识匮乏, 可能导致意外妊娠、肿瘤、炎症、异常子宫出血的发生。生殖健康宣教可显著提髙青春期患病女 学生的健康认知水平, 保障身心健康。