[1]谭周敏*,何华,罗晓菊,等.人工流产后关爱微信平台随访模式应用及影响因素的研究[J].中国计划生育和妇产科,2020,(9):33-36.
 TAN Zhoumin*,HE Hua,LUO Xiaoju,et al.Application of WeChat platform in followup of postabortion care and its influencing factors[J].Chinese Journal of Family Planning & Gynecotokology,2020,(9):33-36.
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人工流产后关爱微信平台随访模式应用及影响因素的研究
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2020年9期
页码:
33-36
栏目:
论著与临床
出版日期:
2020-09-25

文章信息/Info

Title:
Application of WeChat platform in followup of postabortion care and its influencing factors
作者:
谭周敏* 何华罗晓菊李芹常姝蕾钟兆玮董珍君
四川省妇幼保健院门诊部
Author(s):
TAN Zhoumin*HE HuaLUO XiaojuLI QinCHANG ShuleiZHONG ZhaoweiDONG Zhenjun
Outpatient Department,Sichuan Provincial Maternity and Child Health Care Hospital, Chengdu Sichuan 610051, P.R.China
关键词:
人工流产后关爱微信随访平台电话随访影响因素
Keywords:
postabortion care (PAC)Wechat followup platformtelephone followupinfluencing factors
分类号:
R 1691
摘要:
目的探讨人工流产后关爱(post abortion care,PAC)微信平台随访模式的应用及影响因素。方法选择2019年1月在四川省妇幼保健院行人工流产并接受PAC服务的200例女性为研究对象,以单独咨询的先后排序确定单双号,单号微信扫码关注随访平台为观察组(100例),随访平台根据研究对象入组和手术时间自动推送术前、术后注意事项和术后1月、3月和6月随访表单,自动统计建立随访电子档案;双号电话随访入对照组(100例),随访人员在术后1月、3月和6月进行电话随访并建立随访档案。比较两组术后1、3、6月的有效随访率,并分析有效随访率的影响因素。结果两组对象术后1月有效随访率比较(8500 % vs 8200 %),差异无统计学意义(P> 005),术后3、6月观察组有效随访率(7300 %、6700 %)均高于对照组(5700 %、3200 %),差异有统计学意义(P<005)。两组随访对象随时间延长,有效随访率降低,随访平台投入人力时间优于电话随访。影响有效随访的因素中电话随访受随访时间、场所的限制;随访平台受平台的完善模式、信息覆盖、随访对象的保健意识以及年龄等因素影响。结论PAC术后随访应人工与信息化相结合,既节约人力,又能使微信随访平台作用最大化。
Abstract:
ObjectiveTo explore the application of WeChat platform in followup of postabortion care (PAC) and its influencing factors.Methods200 women who underwent induced abortion and received PAC services in Sichuan Provincial Maternity and Child Health Care Hospital in January 2019 were selected. Single and double numbers were determined in the order of individual consultations, the single number using WeChat platform was set as the observation group, the followup platform automatically pushed preoperative and postoperative precautions and followup forms for 1 month, 3 months, and 6 months after surgery, automatically established followup electronic files. The doublenumber using telephone followup was entered into the control group. The followup personnel conducted telephone followup 1 month, 3 months, and 6 months after surgery, and established followup files. The effective followup rates were compared between the two groups 1, 3, and 6 months after surgery, and the influencing factors of the effective followup rates were analyzed.ResultsComparison of effective followup rates at 1 month after surgery (8500 % vs 8200 %) between the two groups, with no significant difference (P>005). Effective followup rates of the observation group at 3 and 6 months after surgery (7300 %, 6700 %) both were higher than the control group (5700 %, 3200 %), and the differences were statistically significant (P<005), the effective followup rate of the two groups decreased with the time prolonged. The time spent on the followup platform was better than telephone followup. Among the factors affecting effective followup, telephone followup was limited by the followup time and place; the followup platform was affected by the platform's perfect model, information coverage, health awareness of the followup object, and age.ConclusionThe postoperative followup of PAC should be combined with manual and informatization, which not only saves manpower, but also maximizes the role of WeChat followup platform.

参考文献/References:

[1] Huber D,Curtis C,Irani L,et al. Postabortion care:20 years of strong evidence on emergency treatment ,family planning,and other programming components [J] .Glob Health Sci Pract,2016,4(3):481494 . [2]韦秀英. 人工流产现状的分析及流产后计划生育服务探讨 [J].实用妇科内分泌杂志 ( 电子版 ) ,2016,3(17):6,8. [3] 赵温,周钰,邹晓璇,等. 计划生育技术服务机构人工流产状况及服务能力分析 [J] .中国妇幼健康研究,2013,24(5):748749,759 . [4] 杜二球,高霞,李咏梅,等. 610 例育龄期女性非意愿妊娠人工流产的临床分析 [J] .中国妇幼健康研究,2017,28(4):439440 ,463 . [5]Gerdts C ,Dobkin L ,Foster D G ,et al .Side effects,physical health consequences,and mortality associated with abortion and birth after an unwanted pregnancy [J] . Womens Health Issues,2016,26(1):5559 . [6] 刘芯如,林卫. 流产后关爱随访工作现状及探索 [J] .中国计划生育学杂志,2017,5(25):358359. [7]Moore A M,Gebrehiwot Y,Fetters T,et al. The estimated incidence of induced abortion in Ethiopia,2014 :changes in the provision of services since 2008 [J] . Int Perspect Sex Reprod Health,2016 ,42(3) :111120 . [8]Ushie B A,Izugbara C O,Mutua M M,et al .Timing of abortion among adolescent and young women presenting for postabortion care in Kenya :a crosssectional analysis of nationallyrepresentative data [J] .BMC Womens Health,2018,18(1) :41 . [9]中华医学会计划生育学分会.人工流产后计划生育服务指南 [J].中华妇产科杂志,2011,46(4):319320. [10]武倩,赵庆华,肖明朝,等.我国出院患者随访现状及对策 [J].中国护理管理,2015,12(4):8891.

备注/Memo

备注/Memo:
四川省卫生和计划生育委员会2018年科研课题(项目编号:15PJ240)
更新日期/Last Update: 2020-09-25