人工流产后计划生育干预对妇女避孕知识和措施落实的影响

Effect of post abortion family planning service provided on knowledge of contraception and implementation of contraception of women

目的:观察人工流产后计划生育干预措施对避孕的影响效果。方法:选择本院收治的126例行人工流产术者,根据掷币随机法分为观察组(予以计划生育干预措施)、对照组(予以常规服务),每组各63例,观察两组术后不同时间段节育知识以及避孕措施落实情况,并在干预前、随访结束时观察不良情绪及生活质量。结果:流产术前两组节育知识与避孕措施实施情况比较无差异(P>0.05);在术后1、3、6个月随访,观察组的节育知识得分与避孕措施实施情况均较对照组升高(P<0.05),且术后1个月时最高;术后6个月,观察组抑郁、焦虑情绪得分低于对照组,人际间关系、营养/健康责任以及总分均高于对照组(P<0.05)。结论:人工流产后实施计划生育干预措施可提高育龄妇女的节育知识水平,提高避孕措施的实施率,改善其生活质量。同时应加强远期随访服务工作,降低重复流产发生。

Objective： To observe the effect of post abortion family planning service （PAFPS） provided on contraception. Methods： A total of 126 women seeking for induced abortion were recruited from Qing Jiangpu district maternal and child health center. And all women were divided into two groups according to the random method as throwing coin （63 cases in each group）. Women in observation group were given family planning intervention, and women in control group were given routine intervention. Contraceptive knowledge and implementation of contraception of women at different time after abortion were compared. And the mood and quality of life of all women were observed before and after abortion. Results： There were no significant difference in contraceptive knowledge and implementation of contraception before abortion between the two groups （P〉0.05）. At 1, 3, 6 month follow up after abortion, compared with those of women in control group, the score of contraceptive knowledge and the implementation of contraception of women in observation group had increased significantly（P〈0.05）, and the score of women in observation group at 1 month follow up after abortion was the highest. At 6 month follow up after abortion, the scores of depression and anxiety of women in observed group were significantly lower than those of women in control group, but the scores of interpersonal relationship, nutrition/health responsibility and total score were significantly higher than those of women in control group（P〈0.05）. Conclusion： After abortion, PAFPS can enhance contraceptive knowledge of women, can increase the implement of contraception of women, and can improve life quality of women. Follow up after abortion should be strengthen in order to decreasing abortion again.