医院流产后计划生育服务干预效果分析

Analysis of Post-Abortion Family Planning Service Intervention in Hospitals

目的:分析和评价对年轻人工流产妇女开展两种不同流产后计划生育服务干预的效果。方法:采用流行病学社区干预试验研究方法,随访调查在基线调查6个月后进行。结果:干预前组、基本干预组、全面干预组流产妇女调查人数分别为992、672、705,随访人数分别为590、476、519;干预前组、基本干预组、全面干预组流产妇女年龄分别为21.8±1.77、21.75±1.86、21.9±1.77岁;避孕知识得分分别为7.11±2.73、6.77±3.04、8.27±2.40分(F=58.96,P<0.001);流产后第一次性生活避孕措施使用率分别为76.3%、94.6%、90.1%(x2=76.08,P<0.01);流产后半年内有效避孕措施使用率分别为94.0%、83.2%、99.1%(x2=79.32,P<0.05);流产后性生活每次都使用避孕套的分别为22.7%、28.7%、36.1%(x2=73.37,P<0.01);流产后性生活正确使用避孕套的分别为20.3%、26.6%、53.2%(x2=331.35,P<0.01);流产后再次妊娠率分别为9.96%、10.3%、6.4%(x2=5.18,P<0.01);流产后非意愿妊娠率分别为18.8%、15.91%、0(x2=8.67,P<0.05)。结论:干预对改变流产后妇女避孕知识、态度和行为等方面都有一定的效果,全面干预效果更优。应在医院全面开展流产后计划生育服务。

Objective ： To analyze the effects of two kinds of post - abortion family planning service （ PAF- PS） interventions on young women in hospitals. Methods： Community -intervention test of epidemiology was used. Follow - up surveys were performed in 6 months after baseline investigation. Results： The amounts of abortion women enrolled in the pre - intervention group, basic intervention group and comprehensive intervention group were 992,672 and 705, respectively. 590,476 and 519 women were followed up in the three groups. The age of abortion women in the pre - intervention group, basic intervention group and comprehensive intervention group were respectively 21.8 ± 1.77, 21. 75 ± 1. 86, and 21.9 ± 1.77 years old. The scores of contraception knowledge in different groups were 7.11 ± 2.73, 6.77 ± 3.04, and 8.27± 2.40, respectively （ F = 58.96, P 〈 0.001 ）. The usage rates of contraceptive methods during the first coition after abortion were respectively 76.3%, 94.6% and 90.1% （x^2 = 76.08, P 〈 0.01 ）. The usage rates of effective contraceptive methods in half a year after abortion were 94.0%, 83.2% and 99.1%, respectively （x^2 = 79.32, P 〈 0.05）. The rates of consistent condom usage were respectively 22.7%, Z8.7% and 36.1% （x^2 =73.37, P 〈0.01 ）. The rates of correct condom usage were respectively 20.3%, 26.6% and 53.2% （x^2 =331.35, P 〈0.01 ）. The rates of pregnancy after abortion were respectively 9.96%, 10.3% and 6.4% （x^2 = 5.18, P 〈 0.01 ）. And the rates of unexpected pregnancy after abortion were 18.8 %, 15.91% and 0%, respectively （x^2 = 8.67, P 〈 0.05）. Conclusion： The intervention measures have positive effects on the improving of contraception knowledge, attitude and behavior of abortion women, and the comprehensive intervention has a more excellent effect. The PAFPS should be carried out in hospitals.