规范化健康咨询服务模式对产后女性避孕的影响  

Influence of the comprehensive intervention program model for women on their postpartum contraception

作　　者：蔡杰 张玥红 王立娟 王宾红 CAI Jie;ZHANG Yuehong;WANG Lijuan;WANG Binhong(Tongzhou District Maternal and Child Health Care Hospital,Beijing,101100)

机构地区：[1]北京市通州区妇幼保健院,101100

出　　处：《中国计划生育学杂志》2024年第12期2816-2820,2826,共6页Chinese Journal of Family Planning

基　　金：北京市通州区科技计划项目(KJ2023CX069)。

摘　　要：目的:探讨规范化健康咨询服务模式(CIP)对产后女性避孕效果的影响。方法:选取2023年1-3月在本院建档的1234例孕产妇作为研究对象。按照随机数字表法将孕产妇分为对照组(n=617例)和CIP组(n=617例)。对照组接受常规避孕指导,CIP组则在此基础上通过小程序推送避孕知识、一对一咨询及分娩期的技术指导,并提供后续随访和技术服务。比较两组产妇在住院分娩期内的避孕知识知晓率、分娩时、长效避孕落实率,产后3、6和12个月内的非意愿妊娠率、人工流产率及避孕方法使用情况。结果:干预后,CIP组避孕知识知晓率为90.43%,明显高于对照组的82.3%(χ^(2)=17.226,P<0.05)。CIP组高效避孕措施落实率为25.1%,明显高于对照组的16.7%(χ^(2)=13.251,P<0.05)。干预后,CIP组在产后12个月内的非意愿妊娠率为2.3%,显著低于对照组的5.2%(χ^(2)=7.316,P<0.05);CIP组产后1年内的人工流产率(2.3%)较对照组(5.2%)显著降低(χ^(2)=7.316,P<0.05)。干预后,CIP组与对照组在短效口服避孕药、紧急避孕药、输卵管结扎术等的使用率差异无统计学意义(P>0.05)。CIP组避孕套、宫内节育器及皮下埋植剂的使用率明显高于对照组(χ^(2)=16.390,χ^(2)=6.930,χ^(2)=4.460;P<0.05)。对照组未避孕率显著高于CIP组(χ^(2)=26.192,P<0.05)。结论:CIP模式通过系统化干预有效提升了产后女性的避孕知识水平,促进了长效避孕措施的落实,降低了产后1年内的非意愿妊娠率和流产率,显示出良好的临床应用潜力。Objective:To explore the influence of the comprehensive intervention program(CIP)model for women on their postpartum contraception.Methods:From January 2023 to March 2023,1234 pregnant women who were registered in the department of obstetrics of the hospital were selected as the research subjects,According to the random number table method,these women were divided into control group(n=617)and study group(n=617).The women in the two groups had received the routine contraception guidance,and the women in the study group had received the contraceptive knowledge,one-on-one consultation and the technical guidance during delivery by the mini programs,the follow-up and the technical services additionally.The awareness rate of the contraceptive knowledge during hospitalization for delivery,the implementation rate of the long-acting contraception during delivery,the unwanted pregnancy rate and the induced abortion rate within 3 postpartum months,6 months and 12 months,and the contraceptive used rate of the women were compared between the two groups.Results:After the intervention,the awareness rate of the contraceptive knowledge of the women in the study group was 90.4%,which was significantly higher than that(82.3%)of the women in the control group(χ^(2)=17.226,P<0.05).The implementation rate of the effective contraception of the women in the study group was 25.1%,which was significantly higher than that(16.7%)of the women in the control group(χ^(2)=13.251,P<0.05).After the intervention,the unwanted pregnancy rate of the women in the study group within postpartum 12 months was 2.3%,which was significantly lower than that(5.2%)of the women in the control group(χ^(2)=7.316,P<0.05).The induced abortion rate(2.3%)within postpartum 1 year of the women in the study group was significantly lower than that(5.2%)of the women in the control group(χ^(2)=7.316,P<0.05).After the intervention,there were no significant differences in the rates of the combined short-acting oral contraceptives used,the emergency contraceptive pills us

关 键 词：产后避孕 规范化健康咨询服务模式 避孕知识 非意愿妊娠 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]