流产后关爱对药物流产者不良心理及避孕知识影响

The influence of post abortion care on the adverse psychology and contraceptive knowledge of women experienced medical abortion

目的:探讨流产后关爱对药物流产者不良心理及避孕知识影响。方法:选择2017年9月—2018年8月本院接诊的药物流产妇女60例,以随机数表法分为观察组(n=31)和对照组(n=29),对照组使用常规健康教育,观察组采用流产后关爱。比较两组干预后避孕知识优良率、不良心理评分、避孕知识掌握情况及再次流产发生情况。结果:干预后,两组避孕知识优良率观察组(93.6%)高于对照组(48.3%),不良心理评分均比干预前下降,且观察组评分(31.1±1.4分、25.8±1.5分)低于对照组(39.1±1.9分、37.7±1.7分),观察组避孕方法掌握情况(96.7%)高于对照组(69.0%),再次流产发生(3.2%)低于对照组(20.7%)(均P<0.05)。结论:对药物流产后妇女使用流产后关爱效果显著,可有效改善妇女不良心理及避孕知识掌握程度。

Objective:To explore the influence of post abortion care(PAC)on the adverse psychology and contraceptive knowledge of women who experienced medical abortion.Methods:60 women who experienced medical abortion were selected and divide into the observation group(n=31)and the control group(n=29)by random number table method from September 2017 to August 2019.The women in the control group were treated by routine health education,and the women in the observation group were treated by PAC.The effect after intervention,the adverse psychological score,the situation of contraceptive knowledge,and the incidence of abortion because of unwanted pregnancy again of women were compared between the two groups.Results:After the intervention,the rate of efficient after intervention(93.6%)in the observation group was significant higher than that(48.3%)in the control group(P<0.05).The adverse psychological score of all women had significantly decreased after intervention,and that[(31.1±1.4)and(25.8±1.5)]of women in the observation group the was significant lower than that[(39.1±1.9)and(37.7±1.7)]of women in the control group(P<0.05).The rate of mastery contraceptive knowledge of women(96.7%)in the observation group was significant higher than that(69.0%)of women in the control group(P<0.05).the incidence of abortion because of unwanted pregnancy again of women(3.2%)in the observation group was significant lower than that(20.7%)of women in the control group(P<0.05).Conclusion:If the women are treated by PAC after medical abortion,it has significant effectiveness,which can effectively alleviate adverse psychology of women and promot their contraceptive knowledge levels.