人工流产后关爱服务对妇女避孕认知及避孕措施落实的影响  

Influence of post abortion care service on the cognition and implement of contraception of women in outpatient

作　　者：谭俐 郑慧瑜 温丽娜 TAN Li;ZHENG Huiyu;WEN Lina(Baiyun District Maternal and Child Health Care Hospital,Guangzhou,Guangdong Province,510410)

机构地区：[1]广东省广州市白云区妇幼保健院,510410

出　　处：《中国计划生育学杂志》2020年第10期1702-1705,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨人工流产后关爱服务(PAC)对受术妇女避孕认知及落实避孕措施的影响。方法:选择2017年3月-2018年2月本院妇科门诊行人工流产术妇女600例,随机分为观察组和对照组各300例。对照组术后给予常规护理和健康教育宣讲,观察组在对照组基础上给予门诊人工流产后关爱服务,评价两组避孕知识知晓及避孕措施选择情况,记录术后医护工作满意度和重复流产率。结果:术后避孕知识知晓率观察组(92.6%)高于对照组(54.3%),选择高效避孕法比例高于术前且高于对照组(P<0.05)。观察组术后6个月、12个月重复流产率(2.3%、5.3%)均低于对照组(5.7%、10.3%),对医护工作满意度(98.0%)高于对照组(84.7%)(P<0.05)。结论:PAC可改善受术妇女对避孕知识的认知状况,提高对医护工作的满意度及术后高效避孕方法使用率,降低重复流产率。Objective: To explore the influence of post abortion care(PAC) service on the cognition and implement of contraception of women. Methods: 600 women who wanted artificial abortion were randomly divided into observation group and control group(300 cases in each group) from March 2017 to February 2018. The women in the control group had received routine nursing and health education after abortion, and the women in the observation group had received PAC service except routine nursing and health education after abortion. The awareness and knowledge of contraception of women in both groups were evaluated. The satisfaction degree and repeat abortion rate of women after abortion were recorded. Results: The rate of knowledge of contraception after abortion of women in the observation group(92.6%) was significant higher than that(54.3%) of women in the control group, and the rate of choosing highly effective contraception of women in the observation group was also significant higher(P<0.05). The rate of repeated abortion at 6 months and 12 months after this abortion of women in the observation group were 2.3% and 5.3%, which were significant lower than those(5.7% and 10.3%) of women in the control group, but the satisfaction degree with providers of women in the observation group was 98.0%, which was significant higher than that(84.7%) of women in the control group(P<0.05). Conclusion: PAC service can improve the awareness of contraceptive knowledge, promote the satisfaction with providers, improve the utilization rate of highly effective contraception after abortion, and reduce the rate of repeated abortion rate.

关 键 词：人工流产 流产后关爱 避孕知识 高效避孕方法 重复流产 满意度 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]