护理干预对降低人工流产对象重复人流率的研究

Research of nursing intervention of artificial abortion to reduce the rate of repeat abortion

目的通过对人工流产患者进行护理干预，使人工流产的对象认识到人工流产的危害，掌握避孕的方法，降低重复流产率。方法选择2011～2013年在我院接受人工流产术的病例共1140例，将其分成观察组和对照组，在术后1、3、6个月进行随访，比较两组女性对避孕知识掌握情况、是否及时坚持使用避孕方法以及半年内非意愿妊娠致重复流产情况。结果观察组半年内意外妊娠率为0，明显低于对照组意外妊娠16．2％，差异有统计学意义（P〈0．05）；避孕知识掌握率、及时坚持避孕方法使用率分别为98．5％、100％，也明显高于对照组，差异有统计学意义（P〈0．05）。结论通过有效的护理干预，可让妇女身体和心理尽快从人工流产术中恢复正常，及时落实适合的避孕措施，避免再次发生非意愿妊娠，降低重复人流率，同时还可减少患者手术不适及并发症的发生，减轻医生的工作压力，提高患者的满意度。

Objective To realize the danger of abortion, master the methods of contraception, and reduce repeat abortion rate, through the nursing intervention in patients with artificial abortion. Methods Selected from 2011 to 2013 in our hospital accepted abortion surgery of 1140 cases, which were divided into observation group and control group, after 1, 3, 6 months follow-up, compared two groups of women of contraceptive knowledge, whether insisted to use contraceptive method in time and a half years repeated an unwanted pregnancy abortion. Results The accidental pregnancy rate of observation group within a half years was 0, significantly lower than the control group （16.2%）, P 〈 0.05. The rate of contraception knowledge, timely insisted on contraception utilization respectively was 98.5%, 100%, which was significantly higher than the control group, the difference has statistics significance （P 〈 0.05）. Conclusion Through effective nursing intervention, can allow women physically and psychologically from artificial abortion operation back to normal as soon as possible, in a timely manner carry out the appropriate contraception measures, prevent recurrence of an unwanted pregnancy, decrease the rate of repeat traffic, at the same time can reduce patient discomfort and surgery complications and lighten the doctors working pressure, improve patient satisfaction.