规范化人工流产后服务对女性避孕行为的影响

The influence of normalized postoperative abortion services on contraceptive behavior of women

目的研究规范化人工流产后服务对女性避孕行为的影响。方法选择2014年1—6月在北京大学深圳医院妇产科门诊1200例接受人工流产手术患者,将研究对象随机分为实验组和对照组各600例。实验组实施规范化人工流产服务,对照组采用常规宣教措施。两组患者分别于术后当天调查避孕措施立即落实情况,并于术后3个月、6个月、12个月随访调查是否坚持采用避孕措施。结果实验组术后避孕措施立即落实率为95.33%;术后3个月、6个月、12个月避孕措施续用率分别为85.67%、70.82%和52.83%。对照组术后避孕措施立即落实率为4.67%;术后3个月、6个月、12个月的避孕措施续用率分别为56.83%、45.33%和29.00%。两组患者避孕措施的立即落实率及续用率比较均存在显著差异(P<0.05),对照组中未婚女性、初中及以下文化程度、职业为工人或服务业、及平均收入<3000元的人群坚持避孕行为薄弱,差异均具有统计学意义(P<0.05)。结论规范化人工流产后服务能有效提高女性避孕药措施的落实率,人工流产后服务的重点人群是收入低、文化程度低的未婚流动人群。

Objective To study the impact of standardizing post- abortion services on women ＇s contraceptive behavior. Methods The 1200 women,those who received abortion in Shenzhen hospital affiliated to Peking university during January 2014 and June 2014,were enrolled in this study. They were randomly divided into experimental group and control group,600 cases in each group. Women in experimental group were given standardizing post- abortion service, however, the women in control group were given routine education measures. The patients were surveyed immediately on contraceptive use（ one day post- procedure）,and followed- up to understand use of contraception persistently at 3 months,6 months and 12 months after the operation.Results The rate of contraceptive use at different time point in experimental group were 95. 33%,85. 67%,70.82% and 52. 83% respectively,which were significantly higher than those of the control group（ 4. 67%,56.83%,45. 33% and 29. 00%）,the differences were statistically significant（ P〈0. 05）. In the control group,unmarried women,those with junior high school education or less,factory or service workers,and those with an average income less than 3000 yuan had fewer consistent contraceptive use, differences were statistically significant（ P〈0. 05）. Conclusions Standardized abortion services can improve the implementation rate of female contraceptives use,and post- abortion service efforts should be focused on low income,low education level and unmarried transient population.