流产后关爱服务对人工流产女性心理健康影响的调查研究

Survey and Study on Post Abortion Care Services for Psychological Health of Women with Induced Abortion

目的探讨流产后关爱服务(post abortion care,PAC)对人流患者的心理影响,评价优化PAC服务流程。方法选取2020年1月—2021年1月本院门诊400例人流患者为研究对象,随机分为PAC组和对照组,对两组患者对PAC了解情况、重要性、获取途径及PAC对其心理状态的影响等进行问卷调查,并采用SAS量表和SDS量表评定焦虑状态和抑郁状态。结果73.5%的调查对象对PAC完全不了解或了解很少,79.0%认为PAC对女性生殖健康重要,83.5%认为PAC对其心理状态重要或非常重要。人流术前超过60.0%的女性存在焦虑症状,约60.0%存在抑郁症状。接受PAC能显著降低调查对象焦虑或抑郁症状,两组间差异有统计学意义(P<0.001)。结论为人工流产的女性实施PAC服务,能够有效缓解其流产后的焦虑和抑郁情绪,从而保障患者的心理健康。此服务在临床实践中具有显著成效,值得广泛推广和应用,以进一步提高患者的生活质量。

Objective To explore psychological effect of post abortion care(PAC)on patients with induced abortion,and evaluate optimized PAC service process.Methods The paper chose 400 patients with induced abortion in outpatient department of our hospital from January 2020 to January 2021 as research subjects,and divided them into PAC group and control group randomly.A questionnaire survey was carried out on understanding,importance,acquisition methods and effect of PAC on psychological status of two groups,anxiety and depression was evaluated with SAS and SDS scales.Results 73.5%of surveyed subjects had no or little understanding on PAC,79.0%believed that PAC was important for female reproductive health,and 83.5%believed PAC was important or very important for psychological state.More than 60.0%of women before abortion experienced anxiety symptoms,and about 60.0%experienced depression symptoms.Accepting PAC could significantly reduce anxiety or depression symptoms of surveyed subjects,difference between two groups was statistically significant(P<0.001).Conclusion PAC services can effectively alleviate anxiety and depression of women after induced abortion,ensure their psychological health,which have significant effect in clinical practice and is worthy of widespread promotion and application to further improve life quality of patients.