医院内流产后服务模式改进的效果评价分析  

Evaluation of the Improvement in In-hospital Post Abortion Care

作　　者：晏菱[1] 翁艳香[1] 傅晓华[2] 邢莉莉[2] 舒静[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院妇产科,杭州310016 [2]浙江大学医学院,杭州310016

出　　处：《生殖与避孕》2011年第6期380-384,共5页Reproduction and Contraception

基　　金：2007年浙江省人口和计划生育科技项目

摘　　要：目的:探讨医院内流产后服务(post abortion care,PAC)模式改进的可行性和有效性。方法:对医护人员进行PAC培训并在原流产服务流程中增加PAC内容来改进服务模式。将患者随机分为对照组和干预组,对照组维持原流产服务流程,干预组在原流产服务基础上进一步对人工流产后妇女进行生殖保健服务;干预前、后对患者和医护人员进行基线及干预满1年后的问卷调查。结果:1年后干预组避孕知识得分增值和有效避孕措施使用率均高于对照组,非意愿妊娠率低于对照组。干预组增加服务时间6.0±2.5 min/人。74.5%的医护人员赞同对原流程进行细节优化,70.6%的医护人员认为当患者>16人/d时PAC负荷过重,宜设专岗。结论:医院内PAC能有效降低重复流产率,对现有流产流程在细节上渗入PAC内容是目前改进医院内PAC的一种可行方法。Objective： To investigates the feasibility and effectiveness of improving service pattern for in-hospital post abortion care（PAC）.Methods： The patients were divided into the interventional group（n=474） and control group（n=462） randomly.The control was received the original abortion service procedure,interventional group was received adding PAC concept into the original abortion service procedure.Baseline questionnaires were conducted for patients and medical staff before the application of abortion service.Follow-up surveys were conducted for all the patients and medical staff 1 year later.Results： The scores pertaining to contraception knowledge and the ratio of taking effective contraception of the interventional group were both higher than those of the control.The ratio of unwanted pregnancy of the interventional group was lower than that of the control.The interventional group increased 6.0±2.5 min in individual service time.74.5% of the medical staff concurred the service can be improved by adding PAC education to the original abortion service procedure.70.6% of medical staff hold the idea that they will be overburden if the number of patients were more than 16 patients/d and thus would necessitate the need for an extra position.Conclusion： In-hospital PAC can decrease recurrent abortion effectively.It＇s a feasible method to improve abortion service by adding PAC education into the current procedure.

关 键 词：流产后服务(PAC) 人工流产 重复流产 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]