流产后关爱措施对非意愿妊娠女性人工流产后健康行为的影响  

Application effects of post-abortion care service in induced abortion of women with unintended pregnancy

作　　者：潘啸天 胡玉萍 姚红叶 章云燕 吴婷婷 PAN Xiaotian;HU Yuping;YAO Hongye;ZHANG Yunyan;WU Tingting(Department of Gynecology,First People s Hospital of Jiashan County,Jiashan 314100,China)

机构地区：[1]嘉善县第一人民医院妇科,浙江嘉善314100

出　　处：《健康研究》2024年第5期539-542,共4页Health Research

基　　金：浙江省医药卫生科技计划项目(2023KY1230);嘉善县科技计划项目(2021A56)。

摘　　要：目的 观察流产后关爱(post-abortion care,PAC)措施对非意愿妊娠女性人工流产后心理健康和避孕行为的影响。方法 426例非意愿妊娠且自愿行人工流产手术的女性随机分为2组各213例,对照组接受常规医疗咨询,观察组接受PAC措施,分析2组术后的焦虑情况、高效避孕依从性、健康自我管理能力、术后3个月内并发症情况和1年内再次妊娠率。结果 干预后,观察组的焦虑自评量表、自我管理能力评分均低于对照组,差异有统计学意义(均P<0.05)。术后1年,观察组高效避孕行为的依从比例(92.96%)高于对照组(86.85%),术后3个月并发症发生率(3.76%)、1年内再次妊娠率(2.35%)低于对照组(8.92%、7.51%),差异均有统计学意义(χ^(2)=4.372、4.785、6.061,均P<0.05)。结论 流产后关爱措施可促进女性术后心理健康,提高术后健康自我管理能力,降低术后并发症与重复流产率。Objective To investigate the impact of post-abortion care(PAC)on the mental health and contraceptive behavior of women who have undergone induced abortion for unintended pregnancies.Methods A total of 426 women who underwent voluntary abortions due to unwanted pregnancies were randomly assigned to either the control group or the observation group,with 213 cases in each group.The control group received routine medical consultation without PAC,while the observation group received comprehensive PAC services.The postoperative anxiety levels,compliance with high-efficiency contraception,self-management abilities,complications within three months after the procedure,and one-year re-pregnancy rate were analyzed for both groups.Results After the intervention,the anxiety self-assessment scale scores and self-management ability scores of the observation group were significantly lower than those of the control group(both P<0.05).One year after the operation,the adherence rate to efficient contraceptive behavior in the observation group(92.96%)was higher than that in the control group(86.85%),and the incidence of complications within three months after the operation(3.76%)and the rate of re-pregnancy within one year(2.35%)were lower than those in the control group(8.92%,7.51%),with all differences being statistically significant(χ^(2)=4.372,4.785,6.061,all P<0.05).Conclusions Post-abortion care measures can promote postoperative mental health in women,enhance their postoperative self-management abilities,and reduce the rates of postoperative complications and repeat abortions.

关 键 词：流产后关爱 非意愿妊娠 心理健康 健康行为 

分 类 号：R715.2[医药卫生—妇产科学]