流产后关爱服务对人工流产后重复流产率的影响

摘要

Objective To explore the effect of post-abortion care (PAC) on repeated abortion rate after abortion.Methods 792 patients undergoing artificial abortion at the hospital affiliated to our college from August,to December,2016 were selected.According to the operation dates,the patients taking abortion on even dates were set as an experimental group and the ones taking abortion on odd dates a control group.The control group were routinely cared before and after the abortion and the experimental group received post-abortion care,including setting up a PAC team,targeted pre-and post-operative care instruction by professional staff,and postoperative care services such as telephone follow-up guidance project.Both groups were followed up 3,6,and 12 months after the abortion through telephone to know the incidences of repeated abortion.Results The repeated abortion rates 6 and 12 month after the operation were 1.77％ and 2.53％ in the experimental group and were 4.28％ and 5.29％ in the control group,with statistical differences (x 2=4.245,P=0.039;x 2=4.005,P=0.045).Conclusion Post-abortion care can effectively reduce postoperative repeated abortion rate and is beneficial to the women's physical and mental health.%目的 探讨流产后关爱服务(PAC)对人工流产术后重复流产率的影响.方法 选择2016年8月至12月在本校附属医院接受人工流产术的患者792例,按手术日期,双日分为试验组,单日分为对照组.对照组采用人工流产术前、术后常规护理方法,试验组采用人工流产后关爱服务,包括成立PAC小组,由专业人员对人工流产女性进行针对性术前及术后关爱指导,术后进行电话随访指导等关爱服务项目.电话随访术后3个月、6个月、1年内非意愿妊娠重复流产发生率情况.结果 试验组在人工流产术后非意愿妊娠重复流产发生率6个月内为1.77％、1年内为2.53％,对照组6个月内为4.28％、1年内为5.29％,差异具有统计学意义(x2=4.245,P=0.039;x 2=4.005,P=0.045).结论 流产后关爱服务可有效降低人工流产术后重复流产率,有益于女性身心健康.