生殖健康咨询服务在PAC流程中的应用效果评价  

Evaluation on application effect of reproductive health advisory services in PAC process

作　　者：邱新娇[1] 韩春艳[1] 吴小兴 潘伟芳[1] 吴永红[1] 梁冬梅[1] 

机构地区：[1]深圳市南山区计划生育服务中心,广东深圳518052

出　　处：《中国医药科学》2015年第12期199-203,共5页China Medicine And Pharmacy

基　　金：广东省人口计生委科研项目(20132034)

摘　　要：目的 探究建立建设规范有效的生殖健康咨询服务在流产后计划生育优质服务（PAC）项目中的意义。方法 2013年1月我院妇产科开始在流产后计划生育优质服务（post abortion care,PAC）项目中,根据指南,实践规范化生殖健康咨询服务,以2013年1月前进入研究并随访有效的妇女319例作为对照组,以2013年1~6月进入研究并随访有效的妇女283例作为干预组。对纳入研究的对象在到诊时、首次随访及12个月后随访,进行问卷调查,了解女性对生殖健康知识及避孕知识的了解情况,有效避孕措施的选择情况,以及1年内再次妊娠,特别是无计划再次妊娠及重复人工流产的情况。结果 在术后首次随访和1年后随访,干预组得分显著高于对照组得分（P〈0.05）。首次随访,干预组选择可靠避孕措施的妇女人数显著高于对照组,也显著高于术前干预组（P〈0.05）;1年后随访干预组选择可靠避孕措施的妇女人数显著高于对照组,也显著高于术前干预组（P〈0.05）;且对照组1年内非计划再次妊娠人数显著高于干预组,对照组1年内重复流产人数显著高于干预组（P〈0.05）。结论 生殖健康咨询服务在PAC中发挥着至关重要的作用,能够提高妇女对生殖健康知识有效安全避孕节育知识的知晓率,提高人工流产后女性安全有效避孕率,降低重复人工流产,流产一年内的再次人工流产现象,是提高女性生殖健康及人口素质的重要环节。Objective To explore the significance of establishing normative and effective reproductive health advisory services in Post Abortion Care （PAC） project. Methods The department of Obstetrics and Gynecology of our hospital practiced normative reproductive health advisory services according to the guide of PAC since January 2013. 319 women who were in the research and were effectively followed-up before January 2013 were selected as control group, and 283 women who were in the research and were effectively followed-up from January 2013 to June 2013 were selected as intervention group. Questionnaire survey was conducted to research subjects at first diagnosis, first follow-up and 12 months＇ follow-up to learn women＇s knowing of knowledge of reproductive health and contraceptive knowledge, their choice of effective contraceptive measures, and repeated pregnancy in one year, especially unplanned repeated pregnancy and repeat abortion. Results Scores of intervention group at first follow-up and 1 year＇s follow- up after surgery were significantly higher than those of control group, and were also significantly higher than those of intervention group before surgery （P 〈 0.05）. The number of women who chose effective contraceptive measures of intervention group at the first follow-up was significantly larger than that of control group, and was significantly larger than that of intervention group before surgery （P 〈 0.05）. The number of women who had unplanned repeated pregnancy in a year of control group was significantly larger than that of intervention group, and the number of women who had repeat abortion was significantly larger than that of intervention group （P 〈 0.05）. Conclusion Reproductive health advisory services plays a significant role in PAC, whieh can increase the awareness rate of women＇s reproductive health knowledge and effective safe contraceptive knowledge, increase rate of safe and effective contraception after abortion, so as to decrease ＇the rate of repeated abortion a

关 键 词：生殖健康咨询服务 流产后计划生育优质服务 效果评价 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]