人工流产后服务模式在门诊手术室中的应用

Application evaluation of post abortion care （PAC） on the outpatient operation room

目的 探讨人工流产后服务模式在门诊手术室的应用效果.方法 选择2012年6-7月行人工流产术的患者分为对照组462例和观察组425例,对照组采取给人工流产患者发术前、术后健康处方,告知相关注意事项并解答患者提出的问题的方式进行护理服务,观察组在原有流产服务模式的基础上加入人工流产后服务模式内容,即强化“立即避孕”的意识、知情选择合适的避孕方法、立即落实避孕措施及指导坚持正确的使用4个方面,比较两组患者避孕措施应用情况和术后避孕措施坚持情况.结果 患者避孕措施应用情况比较,对照组使用人数435例（94.2％）、使用口服避孕药的有32例（6.9％）,使用节育器的有25例（5.4％）,而观察组使用人数为425例（100.0％）,使用口服避孕药的有61例（14.4％）,使用节育器的有228例（53.7％）,避孕措施使用率对照组为94.2％,观察组为100％,两组比较差异有统计学意义（P＜0.01）；两组患者术后避孕措施坚持情况比较,术后1个月避孕落实人次对照组为319例（69.9％）,观察组为413例（98.5％）；术后3个月避孕落实人次对照组为195例（50.0％）,观察组为306例（81.0％）;术后半年避孕落实人次对照组为107例（36.4％）,观察组为190例（66.7％）,两组比较差异有统计学意义（P＜0.01）.结论 实施人工流产后服务模式可以促进有效避孕,降低重复流产率,是优质护理服务在门诊手术室的具体体现.

Objective To explore the effect of Post Abortion Care （PAC） on the outpatient operation room.Methods A total of 462 cases with unplanned pregnancy who asked for induced abortion in the outpatient department from June to July in 2012 were chosen as control group and they were provided health prescription before and after the operation as well as informed of related issues.A total of 425 cases were selected as observation group that received PAC besides routine service mode such as strengthening the awareness of practicing contraception immediately,choosing appropriate contraceptive methods,guiding the correct usage of contraceptive.The applications of contraceptives after abortion were compared between the two groups.Results Significant differences were found between the two groups：the rate of cases who applied contraceptive was 94.2％ （n =435） in control group and 100％ （n =425） in observation group,（P ＜ 0.01） ; the rate of cases who continued the contraceptive one month after abortion was 69.9％ （n =319）in control group and 98.5％ （n =413） in observation group,P ＜ 0.01 ; the rate three months after abortion was 50.0％ （n =195）in control group and 81.0％ （n =306） in observation group （P ＜ 0.01） ; the rate six months after abortion was 36.4％ （n =107） in control group and 66.7％ （n=190） in observation group（P ＜ 0.01）.Conclusions The application of PAC mode can increase effective contraception and reduce recurrent abortion,which demonstrates high-quality nursing care in outpatient operation room.