基于微信随访的流产后关爱服务对重复人工流产患者避孕依从性的影响及满意度评价

Effect and satisfaction evaluation of post-abortion care service based on Wechat follow-up on contraceptive compliance of repetitive induced abortion patients

目的探讨基于微信随访的流产后关爱服务对多次人工流产患者避孕依从性的影响,评价接受PAC服务的患者满意度效果。方法采用类实验研究方法,利用便利抽样选取2018年3月至2019年3月在首都医科大学附属北京妇产医院东院区接受人工流产手术的患者150例作为研究组,2018年3月至2019年3月在首都医科大学附属北京妇产医院西院区接受人工流产手术的患者150例为对照组。对照组接受常规护理及基于电话随访的流产后关爱服务,研究组在常规护理的基础上接受基于微信随访的流产后关爱服务,比较2组患者手术后失访情况、避孕方式的选择,调查2组患者术后一年内是否再次出现意外妊娠,评价2组患者随访依从性及护理满意度情况。结果研究组患者对人工流产手术危害知晓度90.4%(120/135),高于对照组的77.5%(88/111),差异有统计学意义(χ2值为9.128,P=0.010),2组术后立即避孕意识分别为99.3%(134/135)、94.6%(105/135),差异无统计学意义(χ2值为3.256,P=0.071),研究组患者术后1、3、6、12个月失访人数与对照组相比,差异有统计学意义(χ2值为13.664,P=0.003),73.3%(99/135)研究组患者选择高效避孕方式,与对照组19.8%(22/111)相比,差异有统计学意义(χ2值为69.795,P<0.01),研究组患者一年内无再次意外妊娠的发生,与对照组6.3%(7/111)相比,差异有统计学意义(χ2值为6.630,P=0.003),研究组随访患者的参与调查率为(95.37±12.29)%,高于对照组(90.77±16.49)%,差异有统计学意义(t值为2.438,P<0.05),研究组总体满意度得分(26.55±2.80)分,高于对照组(23.66±3.32)分,差异有统计学意义(t值为7.285,P<0.01)。结论基于微信随访的流产后关爱服务有助于提高患者的依从性及满意度,指导患者选择正确的避孕方式,降低重复流产率,促进女性生殖健康。

Objective To explore the effect of post-abortion care service based on Wechat follow-up on contraceptive compliance of multiple induced abortion patients,and to evaluate the satisfaction with PAC service.Methods A quasi-experimental method was adopted.A total of 300 cases of induced abortion were selected in Beijing Obstetrics and Gynecology Hospital affiliated to Capital Medical University from March 2018 to March 2019,with 150 cases from eastern branch in the experimental group and 150 cases from western branch in the control group.The control group received routine nursing care and post-abortion care service based on telephone follow-up,while the experimental group received routine nursing care and post-abortion care service based on Wechat follow-up.The missing rate of follow-up,the contraceptive method and the occurrence of unexpected pregnancy within one year after operation were collected in the two groups.Patients′follow-up compliance and nursing satisfaction were evaluated.Results The awareness of the risk of induced abortion in the experimental group was 90.4%(120/135)higher than that in the control group 77.5%(88/111),and the difference was statistically significant(χ2 value was 9.128,P=0.010).The contraceptive consciousness of the two groups was 99.3%(134/135)and 94.6%(105/135),respectively,and the difference was not statistically significant(χ2 value was 3.256,P=0.071).There was a statistically significant difference in the missing rate of follow-up between the two groups in January,March,June,and December(χ2 value was 13.664,P=0.003).Compared with 19.8%(22/111)in the control group,73.3%(99/135)patients in the study group chose high-efficiency contraception,the difference was statistically significant(χ2 value was 69.795,P<0.01).There were no recurring pregnancies in the experimental group within one year,compared with 6.3%(7/111)in the control group,the difference was statistically significant(χ2 value was 6.630,P=0.003).In the experimental group,the participation rate of the follow-up were(95.37±12.29)%,which were higher than that in the control group(90.77±16.49)%.The difference was statistically significant(t value was 2.438,P<0.05).The overall satisfaction score of the experimental group was 26.55±2.80,which was higher than that of the control group(23.66±3.32).The difference was statistically significant(t value was 7.285,P<0.01).Conclusion Post-abortion care service based on Wechat follow-up could enhance patients′compliance and satisfaction,guide patients to choose the right contraceptive methods,reduce the rate of repeated abortion and promote female reproductive health.