微信网络平台强化健康教育对人工流产后重复流产率的影响  

作　　者：王丽霞 高磊磊 

机构地区：[1]杭州市余杭区第一人民医院,311100 [2]浙江省人民医院,310014

出　　处：《浙江临床医学》2023年第10期1490-1492,共3页Zhejiang Clinical Medical Journal

基　　金：杭州市医药卫生科技项目(B20210399);国家自然科学基金青年项目(82001539);浙江省自然科学基金青年项目(LQ19H040006)。

摘　　要：目的利用微信网络平台强化健康教育和随访对人工流产术后短期内重复流产率的影响。方法选择2020年2月至2022年3月在浙江省人民医院及杭州市余杭区第一人民医院行人工流产术患者共1,000例,根据随机数字法分为两组,对照组:应用传统方法实施健康教育和随访,观察组:利用微信网络平台强化健康教育和随访,术后1个月、3个月、6个月和12个月再次随访,分别进行重复流产率、非意愿妊娠率及术后避孕措施情况的调查。结果与对照组比较,观察组患者对避孕知识的掌握“优良”率更高,差异具有统计学意义(P<0.001);术后3个月,两组重复流产率(P=0.133)与非意愿妊娠率(P=0.129)比较,差异均无统计学意义(P>0.05);术后6个月和12个月,观察组中重复流产率和非意愿妊娠率均低于对照组,差异均具有统计学意义(P<0.001)。术后观察组采取高效避孕措施的比例高于对照组,采取非高效避孕方式以及未避孕的比例低于对照组,差异均具有统计学意义(P<0.001);两组采用避孕套避孕的比例差异无统计学意义(P=0.380)。结论利用微信网络平台对人工流产术患者采取强化健康教育和随访,能提高患者对避孕知识的掌握,促进避孕措施的正确选用,降低重复流产和非意愿妊娠率,利于提高生殖健康水平。Objective To investigate the impact of strengthened health education and follow-up by using wechat network platform on the prevention of short-term repeated abortion post-surgical abortion.Methods 1,000 patients with surgical abortion in Zhejiang Provincial People's Hospital and Yuhang District First People's Hospital from February 2020 to March 2022 were selected.The Control group was given routine health education and follow-up.The observation group used WeChat network platform to strengthen health education and follow-up.At 1,3,6 and 12 months after operation to investigate the rate of repeated abortion,the rate of unwanted pregnancy and the situation of postoperative contraceptive measures.Results Compared with the control group,"good score"ratio for contraceptive knowledge was very significantly higher in the observation group(P<0.001).The rates of both repeated abortion(P=0.133)and unplanned pregnancy(P=0.129)were comparable between the two groups at 3 months post-operation,there was no statistically significant difference(P>0.05).While the two rates were very significantly lower in the observation group compared with the control group at 6 months and 12 months post-operation,the difference was statistically significant(P<0.001).The proportion of high-efficiency contraceptives such as oral contraceptives and contraceptives in the observation group was higher than that in the control group,and the proportion of safe period contraception,extracorporeal ejaculation and non-contraception were lower than that in the control group,the differences were statistically significant(P<0.001).There was no significant difference in the proportion of condoms between the two groups(P=0.380).Conclusion Strengthened health education and follow-up by using wechat network platform are effective for reinforcement of contraceptive knowledge,promotion of correct choice of contraceptive methods,decrement of repeated abortion and unplanned pregnancy,and promotion of reproduction health.

关 键 词：微信网络平台 强化健康教育 随访 重复流产 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]