“互联网+生殖健康知信行”PAC对未婚女性人工流产后避孕行为及身心健康干预评价  

Evaluation of“Internet+Reproductive health knowledge,belief and action”PAC's evaluation of contraceptive behavior and physical and mental health intervention of unmarried women after induced abortion

作　　者：吴国霞[1] 许美琴[1] Wu Guoxia;Xu Meiqin(Department of Gynecology, Chengzhong District, Changzhou Second People's Hospital, Changzhou Jiangsu, 213000, China)

机构地区：[1]江苏省常州市第二人民医院城中院区妇科,江苏常州213000

出　　处：《中外女性健康研究》2021年第13期7-9,共3页Women＇s Health Research

摘　　要：目的探讨“互联网+生殖健康知信行”流产后关爱服务(PAC)干预对未婚女性人工流产后避孕行为及身心健康的影响。方法选取2017年1月至2020年1月本院妇科门诊行人工流产的未婚女性64例,按照流产后PAC方式不同,分为常规组和“互联网+生殖健康知信行”干预组,每组32例。常规组给予流产后生殖健康宣教和电话回访管理,干预组实施基于“互联网+”的生殖健康知信行跟踪管理。跟踪随访1年,对比两组生殖健康知识认知度、心理健康状态评估及避孕效果。结果实施人工流产术前,以及实施后第1、3、6、12个月,干预组生殖知识认知、避孕方法掌握程度及避孕措施落实的依从性均明显优于常规组(P<0.05);实施人工流产术前、实施后1h及实施后1个月的两组心理健康状况差异明显,干预组得分均低于常规组同时间段的评估得分(P<0.05);随访1年内的干预组重复流产率明显低于常规组(P<0.05)。结论“互联网+生殖健康知信行”PAC干预模式,可明显提高未婚女性流产后对生殖健康知识认知度,改善长效避孕效果,更好的保障女性身心健康。Objective:To explore the effect of“Internet+Reproductive health knowledge,belief and action”on post-abortion care(PAC)intervention on contraceptive behavior and physical and mental health of unmarried women after induced abortion.Methods:A total of 64 unmarried women who underwent an abortion in the gynecology clinic of our hospital from January 2017 to January 2020 were selected.According to the different PAC methods after abortion,they were divided into the routine group and the“Internet+reproductive health knowledge,belief and action”intervention group,each with 32 examples.The routine group was given post-abortion reproductive health education and telephone return visit management,and the intervention group implemented“Internet+”-based reproductive health knowledge,information and behavior tracking management.Follow up for 1 year,and compare the two groups of reproductive health knowledge,mental health assessment and contraceptive effect.Results:Before the implementation of artificial abortion,as well as the 1,3,6,and 12 months after the implementation,the intervention group's knowledge of reproductive,the mastery of contraceptive methods and the compliance of contraceptive measures were significantly better than those of the routine group(P<0.05);The mental health status of the two groups before,1 hour and 1 month after the implementation of artificial abortion was significantly different,and the scores of the intervention group were lower than the evaluation scores of the routine group at the same time period(P<0.05);The rate of repeated miscarriage in the intervention group was significantly lower than that in the routine group with 1 year of follou-up(P<0.05).Conclusion:The“Internet+Reproductive health knowledge,belief and action”PAC intervention model can significantly increase unmarried women's awareness of reproductive health knowledge after abortion,improve the effect of long-term contraception,and better protect women's physical and mental health.

关 键 词：人工流产 未婚女性 互联网+ 生殖健康 知信行 长效避孕 心理健康 

分 类 号：R473.71[医药卫生—护理学]