流产后关爱服务对改善未婚女性人工流产患者心理和生殖健康的效果评价

Effect Evaluation of Post-abortion Care in the Improvement of Psychological State and Reproductive Health in Unmarried Women with Artificial Abortion

目的:探讨流产后关爱服务(PAC)对未婚女性人工流产患者心理和生殖健康的改善效果。方法:将我院计划生育科接受人工流产手术的未婚女性200例随机分为PAC组和对照组各100例。对照组采用常规人工流产服务模式,PAC组按照标准化流程进行PAC服务,包括信息采集、咨询服务、集体宣教及术后随访,比较两组的焦虑抑郁情绪、生殖健康知识认知度及避孕效果。结果:时间因素对汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分均存在主效应(F=4.67,5.69;P<0.05),干预因素(PAC组)对HAMD、HAMA评分也均存在主效应(F=79.13,107.25;P<0.05),干预因素和时间因素对HAMD、HAMA评分存在交互作用(F=6.11,8.20;P<0.05)。术后1个月,PAC组生殖健康知识的认知度,显著优于术前、对照组(U=4.58,2.99;P<0.05)。与对照组比较,PAC组即时避孕落实率、术后1年重复流产率均明显降低(χ~2=77.38,6.79;P<0.05)。结论:PAC服务模式能够有效改善未婚女性人工流产术后的心理状态,提高避孕知识,降低重复流产率的发生。

Objective：To investigate the effect of post abortion care（ PAC） in the improvement of psychological state and reproductive health in unmarried women with artificial abortion.Methods： A total of 200 unmarried women who received in the department of family planning in our hospital were randomly divided into two groups. Control group （n = 100） was given conventional artificial abortion service mode, PAC group （n = 100） was given PAC service according to standard process,including information collection, consulting services, collective education and postoper ative follow--up, the anxiety and depression, awareness of reproductive health knowledge, and effect of birth control were compared between two groups.Results：The time factor had a main effect on the HAMD, HAMA seores（F = 4.67,5.69 ;P〈0.05）,the interference factor（PAC group）also had a main effect on the HAMD, HAMA scores（F= 79.13,107.25;P〈0.05）,the interference factor and time factor existed interaction effect on the HAMD, HAMA scores（F = 6.11,8.20 ; P 〈 0.05 ）. At 1 month after operation, the recognition of reproductive health knowledge in PAC group was significantly better than before operation and control group（U= 4.58,2.99, P〈0.05）.Compared with control group, the rate of contraceptive application iramediately after induced abortion and repeated abortion within 1 year in PAC group were significantly decreased（Z2 =77.38,6.79 ;P〈0.05）.Conclusion：PAC service model can effectively improve the psychological status and contraceptive knowledge, reduce the occurrence of repeated abor- tion in unmarried women with artificial abortion.