多学科联合流产后关爱服务对女性避孕方式及避孕效果影响

Effects of multi-discipline post-abortion care services on female contraceptive measures and efficacy

目的分析实施人工流产术后关爱(PAC)服务的女性避孕知识掌握及高效避孕方法运用情况。方法选取2017年6月至2018年6月于该院行人工流产术并完成随访的女性11880例,分为试验组(n=5984)及对照组(n=5896),成立多学科管理小组,试验组开展多学科联合PAC服务,对照组进行常规护理指导。人工流产术前和术后采用避孕知识调查表评价患者避孕知识知晓情况,对患者进行为期1年的术后随访,比较两组避孕措施及避孕效果。结果试验组在干预后对避孕知识的知晓情况有明显提升(P<0.001)。试验组有63.3%的患者采用高效避孕措施,非意愿妊娠的发生率为4.3%,而对照组仅45.7%的患者采用高效避孕措施,非意愿妊娠发生率高达12.6%。两组术后1年采用高效避孕措施情况、非意愿妊娠发生率比较,差异均有统计学意义(P<0.001)。结论对人工流产术后患者开展多学科联合PAC服务可促进患者对避孕知识的掌握,有效预防再次非意愿妊娠,避免重复人工流产,保障女性生殖健康。

Objective To analyze the knowledge of female contraception and the implementation of high-efficiency contraceptive measures after conducting multi-discipline post-abortion care(PAC)services.Methods A total of 11880 women who underwent artificial abortion in this hospital from June 2017 to June 2018 and completed follow-up were selected and divided into the experimental group(n=5984)and the control group(n=5896).Multidisciplinary management group was established.The experimental group received PAC services with multidisciplinary management group,and the control group received routine nursing guidance.The self-made contraceptive knowledge questionnaire was used to evaluate the patients′awareness of contraceptive knowledgebefore and after abortion.The patients were followed up for one year,and the contraceptive measures and contraceptive effects of the two groups were compared.Results The knowledge of contraception in the experimental group was significantly improved after the intervention(P<0.001).In the experimental group,63.3%of patients used high-efficiency contraceptive measures,and the incidence of unplanned pregnancy was 4.3%,while in the control group,only 45.7%of patients used high-efficiency contraceptive measures,and the incidence of unplanned pregnancy was up to 12.6%.There were statistically significant differences in the use of high-efficiency contraceptive measures and the incidence of unplanned pregnancy between the two groups one year after surgery(P<0.001).Conclusion Multidisciplinary association PAC services for patients after abortion can promote patients′knowledge of contraception,effectively prevent the recurrence of unplanned pregnancy and repeated abortion,and ensure female reproductive health.