基于COX模型分析流产关爱后重复流产发生原因  

The causes of repeated abortion post-abortion care based on COX model

作　　者：黄丽群 曾静英 吴彩霞 Huang Liqun;Zeng Jingying;Wu Caixia(Heyuan City Maternal and Child Health Hospital,517000,China)

机构地区：[1]河源市妇幼保健院,517000

出　　处：《国际护理学杂志》2020年第19期3459-3463,共5页international journal of nursing

基　　金：河源市科学技术局课题(河科00849)。

摘　　要：目的探讨基于COX模型分析流产关爱后重复流产发生原因。方法选取2017年1月至2019年5月在河源市妇幼保健院实施人工流产手术,接受流产后关爱并完成术后随访1年的女性(486名)为研究对象。采取回顾性调查法,对486名女性术后1个月、3个月、6个月及12个月的随访资料进行调查,并根据调查结果将其分为重复流产组52名和非重复流产组434名,采用COX模型回归分析法对流产关爱后重复流产发生的相关危险影响因素进行分析。结果根据对人工流产妇女进行PAC咨询服务后的调查结果显示,在术后随访12个月期间内486例研究对象中,52例发生重复流产,占总例数的10.70%;434例未发生重复流产,占总例数的89.30%。单因素分析结果显示,流产妇女年龄、婚姻状况、文化程度、避孕知识认知水平、既往产史、生殖健康知识、既往孕史、术后6个月避孕措施及术后12个月避孕措施均为流产关爱后重复流产发生的相关影响因素(P<0.05);COX多元回归分析结果显示,年龄、避孕知识认知水平、既往孕史、术后6个月避孕措施及术后12个月避孕措施均为流产关爱后重复流产发生的独立因素(均P<0.05)。结论年龄、避孕知识认知水平、既往孕史、术后6个月避孕措施及术后12个月避孕措施均为流产关爱后重复流产发生的独立因素。因此,针对上述因素应加强全程规范化的流产后关爱服务,院内配备专人负责和加强培训,院外增加随访干预深度及广度,将避免重复流产的服务不断拓展,鼓励社会及家庭给予更多的支持和关注,切实保障广大女性的生殖健康。Objective To explore the causes of repeated abortion post-abortion care(PAC)based on COX model.Methods A total of 486 women(from January 2017 to May 2019)who underwent induced abortion,received PAC and completed 1 year of postoperative follow-up were selected as study subjects.A retrospective study was conducted to investigate the follow-up data of 486 women at 1,3,6 and 12 months after surgery,and according to the results,they were divided into the repeat abortion group(n=52)and the non-repeat abortion group(n=434).COX model regression analysis was used to analyze the risk factors for PAC repeated abortion.Results According to the results of PAC counseling for induced abortion women,among 486 subjects,52 had repeated abortions,accounting for 10.70%of the total number,during the 12 months of postoperative follow-up.No repeated abortion occurred in 434 cases,accounting for 89.30%of the total cases.Single factor analysis results show that the abortion women's age,marital status,educational level,the contraceptive knowledge level,history of production,reproductive health knowledge,history of pregnancy and contraception after 6 months and 12 months after abortion were related factors for the occurrence of PAC repeated abortion(P<0.05).COX multivariate regression analysis showed that age,contraceptive knowledge,previous pregnancy history,contraceptive measures 6 months after surgery and 12 months after surgery were independent factors for the occurrence of repeated abortion PAC(P<0.05).Conclusions Age,contraceptive knowledge,previous pregnancy history,contraceptive methods 6 months after surgery and 12 months after surgery were independent factors for PAC repeat abortion.Therefore,in view of the above factors,the whole process of standardized PAC should be strengthened,the hospital should be equipped with special personnel to take charge of and strengthen training,the depth and breadth of follow-up intervention should be increased outside the hospital,the services to avoid repeated abortion should be continuously expa

关 键 词：COX模型 流产关爱 重复流产 随访研究 

分 类 号：R714.21[医药卫生—妇产科学]