未婚女性流产后关爱服务中的微信干预效果  

The effect of intervention based on Wechat during the post abortion care of unmarried women

作　　者：诸葛听[1] 钟颖[1] 杨卫萍 张煊[1] 刘素萍[1] ZHU Geting;ZHONG Yin;YANG Weiping;ZHANG Xuan;LIU Suping(Obstetrics & Gynecology Hospital of FUDAN University,Shanghai,200090)

机构地区：[1]复旦大学附属妇产科医院

出　　处：《中国计划生育学杂志》2019年第10期1396-1399,共4页Chinese Journal of Family Planning

基　　金：上海市卫生和计划生育委员会计划生育类科研基金(201440011)

摘　　要：目的:探讨未婚女性流产后关爱(PAC)的微信干预效果。方法:纳入836例计划行人工流产未婚女性,209例妇女对照组提供常规PAC服务,其余除常规PAC服务外,分别在术后1月(干预1组)、3月(干预2组)、6月(干预3组)再次行微信PAC服务。所有入组女性人工流产前基线调查,流产术后1、3、6、12个月问卷调查人工流产和避孕知识。结果。微信干预的3组人工流产后1、3、6个月避孕问题答题正确率均高于对照组,术后12个月PAC服务后效果评估(44.9%、49.7%、69.8%)高于对照组(38.3%)(P<0.05)。结论:微信干预能促进PAC服务效果,增加未婚女性对人工流产和避孕相关知识的了解和巩固。Objective: To evaluate the effect of intervention based on Wechat during the post abortion care (PAC) of unmarried women. Methods: 836 unmarried pregnant women who experienced abortion during the first trimester pregnancy were enrolled. After abortion, 209 women in group A were given routine PAC services, while the other women in group B, C, or D were given conventional PAC service combined with service based on WeChat-PAC for one month, for three months, or for six months. All enrolled women accepted baseline survey by qustionar prior to abortion, and their understanding on abortion and contraceptive knowledge were also evaluated by questionnaires at the 1st, 3th, 6th, or 12th month after abortion. Results: The corrective rate of answering question on contraceptive knowledge of women in group B, C, or D was significant higher than that of women in group A ( P >0.05). The intervention efficacy of women in group B, C, or D at the 12th month after abortion was 44.9%, 49.7%, or 69.8%, which was significant higher than that (38.3%) of women in group A ( P <0.05). Conclusion: Intervention based on Wechat for unmarried women after abortion can improve the effect of PAC services, and can promote the level of knowledge on abortion and contraceptive of unmarried women.

关 键 词：人工流产 流产后关爱 服务干预 避孕知识 微信 

分 类 号：R473.71[医药卫生—护理学]