[1]王金莲,罗振宇*,李君,等.改良流产后服务护理对未婚低龄流产患者的应用价值[J].中国计划生育和妇产科,2017,(11):74-78.
　WANG Jin-lian,LUO Zhen-yu*,LI Jun,et al.The value of improved post - abortion care in unmarried young womenafter abortion[J].Chinese Journal of Family Planning & Gynecotokology,2017,(11):74-78.
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改良流产后服务护理对未婚低龄流产患者的应用价值
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年11期
页码:
74-78
栏目:
论著与临床
出版日期:
2017-11-25

文章信息/Info

Title:
The value of improved post - abortion care in unmarried young women after abortion
作者:
王金莲; 罗振宇*; 李君; 柴冬宁
厦门市妇幼保健院护理部
Author(s):
WANG Jin-lian; LUO Zhen-yu*; LI Jun; CHAI Dong-ning
Nursing Department，Xiamen Maternal and Child Health Hospital，Xiamen Fujian 361003，P.R.China
关键词:
人工流产; 流产后关爱; 人文关怀; 随访
Keywords:
induced abortion;  post-abortion care;  humane care nursing;  follow-up
分类号:
R 7152
摘要:
目的探讨改良流产后服务(post abortion care，PAC)护理对未婚低龄流产患者避孕知识和行为的影响。方法选取2015年1月至2016年11月在厦门市妇幼保健院计划生育科门诊自愿行人工流产术的617例未婚低龄孕妇为研究对象，用随机数字表法分为观察组299例与对照组318例，对照组采用规范PAC服务流程，观察组采用改良PAC服务，即规范PAC服务流程加以人文关怀，比较两组1、3、6月失访率、高效避孕措施落实率和重复流产率。结果观察组未婚低龄妇女人工流产后对避孕知识认知度明显提高,高效避孕率明显上升,重复流产率和失访率明显降低,差异有统计学意义(P<005)。结论改良PAC服务对普及女性避孕知识、落实有效避孕措施及降低重复流产率的效果明显,应在临床上推广实施。
Abstract:
ObjectiveThis study is intended to evaluate the impact and effectiveness of improved post-abortion care (PAC) on contraceptive knowledge and practice of unmarried young women after abortion. Methods617 women from Xiamen Maternal and Child Health Hospital were selected from January 2015 to November 2016. They were randomly divided into control group(n=318) and observation group(n=299). The control group were offered standardize PAC service and the observation group were add humanistic care based on PAC service.Compared the two groups of 1 month, 3 months and 6 months of lost follow-up rate, implementation rate of efficient contraceptive measures and repeated abortion rate.ResultsThe awareness of contraceptive knowledge was improved in the unmarried young women in the observation group after abortion. High efficiency contraceptive rate increased significantly, repeated abortion rate and lost follow-up rate was significantly reduced.the differences were statistically significant (P<005).ConclusionImproved PAC service is usefull in the popularization of contraceptive knowledge of women, the implementation of effective contraception and can reduce repeated abortion rate,thus should be implemented in clinical practice.

参考文献/References:

［1］茅群霞，王宏伟，吴尚纯.人工流产对女性心理状况影响的系统分析 ［J］.中国计划生育学杂志，2016，24（1）：11-17. ［2］程利南.中国人工流产的现况及思考 ［J］.中国实用妇科与产科杂志，2012，28（9）：641-642. ［3］ZHANG Y, LUO B, ZHOU Y, et al.A survey of women undergoing nonmedical induced abortions during 2010-2011 in Beijing ［J］. Journal of Chinese Medical Science, 2014, 94(29): 2304-2307. ［4］LUO Zhen-yu, QUAN Song, CHAI Dong-ning, et al.Cohort records study of 19,655 women who received postabortion care in a tertiary hospital 2010-2013 in China: what trends can be observed? ［J］.BioMed Research International, 2016(5): 1-5. ［5］LEONARD A H, WINKLER J.A quality of care framework for abortion care ［J］.Advances in abortion care, 1991, 1(1): 1-4. ［6］LI Jin-ke, TEMMERMAN M, CHEN Qiu-ju, et al.A review of contraceptive practices among married and unmarried women in China from 1982 to 2010 ［J］.European Journal of Contraception and Reproductive Health Care, 2013, 18(3): 148-158. ［7］王小万，刘丽杭.“以病人为中心”医疗服务模式的理念与发展 ［J］.医学与哲学，2002，23（3）：24-27. ［8］埃里克·托普.未来医疗:智能时代的个体医疗革命 ［M］.杭州：浙江人民出版社，2016：53. ［9］格雷.聪明的病人 ［M］.北京：北京大学医学出版社，2006.

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备注/Memo

备注/Memo:
国妇女发展基金会伊爱基金资助项目
更新日期/Last Update: 2017-11-25