改进流产后关爱措施对高危流产妇女心理弹性和避孕方式的影响  

Effects of improved post-abortion care measures on contraceptives and resilience in high-risk induced abortion women

作　　者：陈少君[1] 冯丽嫦[1] 黄兰英[1] 曹玲丽[1] Chen Shaojun;Feng Lichang;Huang Lanying;Cao Lingli(Gynecology Department of the People's Hospital of Zhongshan,Zhongshan 528400,China)

机构地区：[1]广东省中山市人民医院妇科一区,528400

出　　处：《中国实用护理杂志》2020年第35期2759-2763,共5页Chinese Journal of Practical Nursing

基　　金：广东省中山市卫生和计划生育委员会医学科研基金项目(2017A020426)。

摘　　要：目的探讨改进流产后关爱措施对高危流产妇女避孕方式选择和心理弹性的影响。方法将156例高危流产妇女随机分为对照组和观察组各78例。对照组给予常规流产后关爱模式,观察组采用改进流产后关爱措施。流产术后1、3、6、12个月随访2组避孕方法的选择、再次妊娠率和重复流产率,分别于干预前和干预后采用《心理弹性量表》评价妇女心理弹性水平。结果术后6个月、12个月观察组高效避孕方式使用率、坚持每次避孕率分别为93.2%(68/73)、94.5%(64/20)、94.5%(69/73)、92.9%(65/70),明显高于对照组的81.9%(51/72)、76.1%(54/71)、83.3%(60/72)、80.4%(57/71);术后12个月观察组再次妊娠率为2.9%(2/70),明显低于对照组的12.7%(9/71),差异有统计学意义(χ^(2)值为4.187~6.102,P<0.05)。干预后观察组坚韧、力量、乐观维度得分及心理弹性总分分别为(36.34±6.65)、(25.86±4.32)、(14.57±2.83)、(76.77±8.72)分,明显高于对照组的(32.08±5.58)、(23.17±3.09)、(12.34±2.20)、(67.62±6.72)分,差异有统计学意义(t值为4.123~6.984,P<0.01)。结论改进流产后关爱措施有助于提高高危流产妇女高效避孕方法的使用率,改善妇女的心理弹性水平。Objective To investigate the effect of improved post-abortion care measures on contraceptives and resilience in high-risk induced abortion women.Methods A total of 156 high-risk induced abortion women were randomly divided into observation group and control group,each of 78 cases.The control group received routine post-abortion care model,the observation group was carried out improved post-abortion care measures.Follow-up their usage of contraceptive,repeat pregnancy rate and abortion rate in 1,3,6 and 12 months after abortion.Meanwhile,the scores of resilience were assessed by Connor-Davidson Resilience Scale before and after intervention.Results The rate of effective contraceptive use and contraception willing rate was significantly higher in the observation group compared to the control group(94.5%,92.9%,94.5%,92.9%e us 81.9%,76.1%,83.3%,80.4%)at 6-and 12-month follow-up,the repeat pregnancy rate was significantly lower in the observation group compared to the control group(2.9%vs 12.7%)at 12-month follow-up,the difference is statistically significant(χ^2=4.187,4.621,6.102,4.781,4.725,P<0.05).After intervention,the scores of tenacity,power,optimism and total resilience scores were significantly increased in the observation group compared to the control group[(36.34±6.65)pionts,(25.86±4.32)pionts,(14.57±2.83)pionts,(76.77±8.72)pionts vs(32.08±5.58)pionts,(23.17±3.09)pionts,(12.34±2.20)pionts,(67.62±6.72)pionts],the difference is statistically significant(t=4.123,4.244,5.243,6.984,P<0.01).Conclusion Post-abortion care new pathway canpromote effective con traceptive use and improve psychological resilience of high-risk induced abortion women.

关 键 词：流产后关爱 改进措施 人工流产 高危人群 心理弹性 

分 类 号：R473.71[医药卫生—护理学]