临床护理路径在人工流产术后随访工作中的应用

Application of clinical nursing pathway in followed-up after abortion

目的:探讨临床护理路径(CNP)在人工流产术后随访中的应用效果。方法:选取2016年11月—2017年6月因意外妊娠自愿行人工流产且年龄<46岁妇女1200例,按随机数字分组法分为对照组(600例)与观察组(600例)。对照组给予常规随访,观察组给予CNP随访,均随访12个月,比较两组效果。结果:观察组随访依从性(78.8%)、对服务满意度(95.8%)、生殖健康与避孕知识得分优良率(93.5%)及高效避孕率(72.9%)均优于对照组(47.2%,80.6%,53.9%,25.0%);不安全避孕率(3.2%)及未避孕率(1.1%)、不良情绪评分及并发症和重复流产率(4.1%)低于对照组(46.4%,14.6%,26.9%)(P<0.05)。结论:CNP应用于人工流产术后随访可有效提高随访依从性及服务满意度,增长妇女生殖健康与避孕知识,提升自我管理能力,增加有效避孕,改善不良情绪,减少术后并发症和重复流产率。

Objective: To explore the effect of clinical nursing pathway (CNP) application in the followed-up after abortion. Methods: A total of 1200 women less than 46 years old who had voluntary induced abortion due to unwanted pregnancy from November 2016 to June 2017 were included and randomly divided into control group and observation group (600 cases in each group). The women in the control group were given routine treatment in followed-up for 12 months, while the women in the observation group were given CNP in followed-up for 12 months. The clinical effect was compared between the two groups. Results: The rate of compliance, service satisfaction degree, and rate of effective contraception used, and the levels of reproductive health and contraceptive knowledge of women in the observation group were significant higher than those of women in the control group ( P <0.05). The rates of unsafe contraception used and no contraception used, complications, and repeated abortion, and adverse mood score of women in the observation group were significant lower than those of women in the control group ( P <0.05). Conclusion: The application of CNP in the followed-up after induced abortion can effectively improve the compliance and service satisfaction degree, increase reproductive health and contraceptive knowledge, enhance self-management ability on contraception, increase effective contraception used, alleviate bad mood of women, and can reduce rates of complications and repeated abortion.