知信行模式在青少年女性人工流产术护理干预中的应用

Application of Knowledge Attitude and Behavior Mode in the Nursing Intervention for Female Adolescents with Induced Abortion

目的探讨知信行模式在青少年女性人工流产术护理干预中的应用方法及效果。方法便利抽样法选择2014年7月至2016年10月无锡市妇幼保健院收治的90例行人工流产术的青少年女性,按入院先后将其分为对照组和观察组45例,分别给予常规护理和应用知信行模式的护理干预。评价并比较两组人工流产者于术前2d、手术当天及术后2d的汉密顿抑郁量表(Hamilton depression scale,HAMD)和汉密顿焦虑量表(Hamilton anxiey scale,HAMA)的评分情况,以及两组人工流产者手术当天及术后2d生殖避孕相关知识的掌握情况。结果 90例人工流产者首次性行为及初次妊娠所占比例最大的年龄段均为19~20岁;手术当天,两组人工流产者的HAMD和HAMA的评分差异均无统计学意义(均P>0.05);术前2d和术后2d,观察组人工流产者的HAMD和HAMA评分均低于对照组,差异均有统计学意义(均P<0.05);手术当天,两组人工流产者生殖避孕相关知识掌握情况的差异均无统计学意义(均P>0.05);术后2d,观察组人工流产者生殖避孕相关知识的掌握情况均优于对照组,差异均有统计学意义(均P<0.05)。结论采用知信行模式对行人工流产术的青少年女性进行护理干预,有助于提高人工流产者对生殖知识的认知水平,且能帮助其纠正不恰当的性行为。

Objective To explore the application method and effect of knowledge attitude and behavior mode in the nursing intervention for female adolescents with induced abortion.Methods By convenience sampling,90 cases of female adolescents with induced abortion in our hospital from July,2014 to October,2016 were selected and divided into control group and observation group according to their admission time sequence,with 45 cases in each group,which received routine nursing and knowledge attitude and behavior nursing interventionrespectively.The Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)were used to assess the patients 2 days before abortion,the day of abortion and 2 days after abortion.The birth control knowledge were evaluated on the day of abortion and 2 days after abortion and the scores were compared between two groups.Results The largest proportion of female adolescents had theirfirst sexual behavior and first pregnancy was at 19-20 years old in both two groups.No statistical significance of HAMD and HAMA score on the day of abortion was found in two groups(all P>0.05).However,the HAMD and HAMA scores 2 days before abortion and 2 days after abortion in observation group were significantly lower than those in control group(all P<0.05).No statistical significance of the birth control knowledge score on the day of abortion was found between two groups(all P>0.05),while 2 days after abortion,birth control knowledge mastery in observation group was significantly better than that in control group(all P<0.05).Conclusion The knowledge attitude and behavior intervention program can improve the cognitive level of the birth control knowledge in female adolescent,and also help to correct their inappropriate sexual bevavior.