护理干预对降低人工流产患者术后意外妊娠率的效果观察

Clinical effect of nursing interference on reducing the unplanned pregnancy after the artificial abortion

目的分析护理干预对于人工流产患者术后意外妊娠率的影响效果。方法选取2010年5月-2013年5月在广东省深圳市人民医院进行人工流产手术的患者4000例，分为实验组（n=2000）和对照组（n=2000），分别使用护理干预与普通护理，观察两组的意外妊娠发生率、避孕知识和生殖健康知识掌握程度。结果实验组的术后意外妊娠发生率为10．35％，明显低于对照组的患者（36．45％），实验组的避孕套、避孕药、安全期避孕、紧急避孕药、宫内节育器、绝育术、阴道环、皮下埋植、女用避孕套和避孕药膜的知晓率分别为91.25％、90．60％、53．20％、47．95％、42．15％、24．70％、22．60％、15-45％、8．80％和7．65％，高于对照组患者（分别为84．05％、81．15％、37．35％、34．40％、31．95％、16．85％、15．95％、9．55％、5．30％、3．20％）；实验组中经期知识、避孕及人工流产知识、生殖健康知识整体水平、性传播疾病知识和获得性免疫缺乏综合症（AIDS）知识得分分别为（21．29±4．89）、（25．62±6．19）、（98．79±12．15）、（11．63±2．43）分和（42．46±5．49）分，高于对照组，分别为（12．16±5．82）、（15．83±7．36）、（62．35±18．36）、（7．45±3．16）分和（26．39±8．69）分（P〈0．05）。结论护理干预能够有效地降低人工流产患者术后意外妊娠率，提高妇女的生殖健康。

[A Objective To analyze the clinical effect of nursing interference on reducing the unplanned pregnancy after the ar- tificial abortion. Methods 4000 patients after artificial abortion in Shenzhen People＇s Hospital from May 2010 to May 2013 were selected for this study. The patients were randomly divided into two groups of experiment group （n = 2000） and control group （n = 2000）. The patients were conducted nursing interference and routine nursing, the morbidity of unplanned pregnancy, the master degree of knowledge of contraception and reproductive health. Results The morbidity of unplanned pregnancy in experiment group （10.35%） was lower than that in the control group （36.45%）, the master degree of knowledge of condom, con- traceptive, safe period contraception, emergency contraception, intrauterine device, sterilization, pessulum, hypodermicimplan- tation, female condom, contraceptive film were 91.25% 90.60%, 53.20%, 47.95%, 42.15%, 24.70%, 22.60%, 15.45%, 8.80% and 7.65% in experiment group, which were higher than that in the control group （84.05%, 81.15%, 37.35%, 34.40%, 31.95%, 16.85%, 15.95%, 9.55%, 5.30%, 3.20% respectively, the scores of kownledge of menstrual periods, contraception and artificial abortion, reproductive health, sexually transmitted disease and AIDS were （21.29±4.89）, （25.62±6.19）, （98.79±12.15）, （11.63±2.43） points and （42.46±5.49） points, which were higher tahn the group of control [（12.16±5.82）, （15.83±7.36）, （62.35± 18.36）, （7.45±3.16）, （26.39±8.69） points respectively] （P 〈 0.05）. Conclusion Nursing interference can effectively reduce the unplanned pregnancy after the artificial abortion.