流产后关爱服务对未婚初次人工流产女性心理健康状况的影响

Study of Post-abortion Care impacting on mental health condition of unmarried women with first artificial abortion

目的:分析流产后关爱(PAC)服务对未婚初次人工流产女性心理健康状况的影响。方法:采用非随机对照方法,选取沈阳军区总医院计划生育门诊未婚初次人工流产女性200例,其中接受PAC服务妇女100例为PAC组,接受常规人工流产服务妇女100例为对照组。选用症状自评量表(SCL-90)分别测量PAC组、对照组在接受不同服务模式前及接受服务后的心理健康状况。结果:接受服务及手术前PAC组、对照组、中国常模3组间比较,7个因子有统计学差异;术后2h与术前相比,PAC组有5个,对照组有2个阳性因子水平显著降低;术后2hPAC组、对照组间比较有6个因子存在统计学差异。结论:未婚初次人工流产女性的心理健康水平低于正常人群,PAC服务模式能有效缓解该类人群的心理压力,与传统人工流产服务模式相比,更有利于改善心理健康水平,具有积极意义。

Objective： To analysis Post-abortion Care （PAC） impacting on mental health condition for unmarried women with first artificial abortion. Methods.. The study was a non randomized controlled trial. 200 unmarried women with first artificial abortion from department of Obstetrics and Gynecology of Shenyang Military Region General Hos- pital were recruited and assigned to two groups. Group A： 100 women received additional PAC service; Group B： 100 women received routine artificial abortion only. SCL-90 was used to measure mental health level of women before or af ter artificial abortion in both groups. And the results were also compared with the data of Chinese norm. Results： Com- pare to Group A,B and the Chinese norm： 7 factors had significant differences. When the result of two hours after arti- ficial abortion was compared to that of operation before, 5 factors of Group A and 2 factors of Group B declined, which had significant difference ; group A compared to group B after artificial abortion two hours, there were 6 factors signif- icant differences. Conclusion： Mental health level of unmarried women with first artificial abortion is significantly lower than that of normal people. Compared to routine artificial abortion only, additional PAC can effectively alleviate psy- chological pressure and will improve mental health level of unmarried women with first artificial abortion t.