循环改进健康教育对人工流产患者术后生殖保健及创伤后成长的影响  

Effects of improved circulatory health education on postoperative reproductive health care and post-traumatic growth of patients with induced abortion

作　　者：冒文盈 鲁南 MAO Wenying;LU Nan(The Clinical Center for Reproductive Medicine,The First Affiliated Hospital with Nanjing Medical University,Nanjing,Jiangsu 210029,China)

机构地区：[1]南京医科大学第一附属医院生殖中心,江苏南京210029

出　　处：《中国临床研究》2024年第9期1448-1452,共5页Chinese Journal of Clinical Research

基　　金：江苏省卫生健康委科研项目(M2022056)。

摘　　要：目的探讨对进行人工流产的患者使用循环改进健康教育是否可以改善其创伤后恢复状况及生殖保健结局。方法选取2022年2月至12月南京医科大学第一附属医院收治的人工流产患者144例作为研究对象,用数字随机法将患者分为研究组(n=72)和对照组(n=72),对照组患者采用常规健康教育方法,研究组在对照组护理方案的基础上接受PDCA循环改进健康教育方法,比较两组患者干预后创伤后成长评定量表(PTGI)评分情况、并发症发生情况、术后重复流产率及术后备孕成功率,分析循环改进健康教育方法的重要性。结果干预后,与对照组比较,研究组患者PTGI量表中新的可能性、个人力量、精神变化和对生活的欣赏四个维度评分及总分,以及术后6个月长效可逆避孕措施使用率增高(P<0.05),术后辅助生殖就诊率增高(95.24%vs 72.73%,χ^(2)=7.990,P=0.005),新发不孕症率降低(50.00%vs 84.38%,χ^(2)=9.268,P=0.002)。结论PDCA循环改进健康教育能够有效改善人工流产患者生殖保健意识、改善创伤后成长,减少不孕不育的发生,有较高的应用价值。Objective To investigate whether the use of improved circulatory health education in patients undergoing abortion can improve their post-traumatic recovery and reproductive health outcomes.Methods A total of 144 patients with induced abortion admitted to the First Affiliated Hospital with Nanjing Medical University from February to December 2022 were selected as the study subjects,and they were divided into the study group(n=72)and the control group(n=72)by a numerical random method.The routine health education was performed in the control group,while the improved PDCA cycle health education on the basis of control group was performed in the study group.After intervention,the post-traumatic growth inventory(PTGI)scores,incidence of complications,postoperative recurrent miscarriage rate,and postoperative pregnancy success rate of patients were compared between two groups.The importance of improved circulatory health education method was analyzed.Results After intervention,the scores of four dimensions(new possibility,personal strength,mental change and appreciation of life)and total scores of PTGI scale elevated in the study group compared to the control group(P<0.05).The utilization rate of long-acting reversible contraceptive measures in the six months after operation increased(P<0.05),the rate of assisted reproductive consultation after operation increased(95.24%vs 72.73%,χ^(2)=7.990,P=0.005),while the rate of new infertility decreased(50.00%vs 84.38%,χ^(2)=9.268,P=0.002)in the study group compared to the control group.Conclusion The improved PDCA circulatory health education health education can effectively improve the awareness of reproductive health care,improve post-traumatic growth and reduce the incidence of infertility in patients with induced abortion.

关 键 词：生殖保健 人工流产 PDCA循环 健康教育 创伤后成长 

分 类 号：R473.71[医药卫生—护理学]