摘要
【目的】探索流产后关爱（post‐abortion care ，PAC）服务有效方式及其效果。【方法】982名自愿行人工流产的女性随机分成对照组和研究组（各491例），对照组采用普通常规服务方式；研究组采用PAC服务方式，即在普通常规服务方式基础上增加PAC服务内容，术后12个月评估两组服务效果。【结果】对照组与研究组术后12个月随访率分别为83．10％、88．39％。术后12个月对照组与研究组有效避孕措施落实率分别为19．70％与83．40％，差异有统计学意义（ P ＜0．01）；对照组与研究组生殖健康知识及避孕知识平均得分分别为（19．4±1．3）、（26．7±1．8）分，差异有统计学意义（P ＜0．01）；研究组意外妊娠、重复流产及术后并发症发生率显著低于对照组，差异有统计学意义（均 P ＜0．05）。【结论】普通常规服务方式基础上增加PAC服务内容，能有效降低重复流产率，保护女性生殖健康。
[Objective] To explore the effective means and outcomes of post‐abortion care （PAC） services .[Methods] A total of 982 women of voluntary abortion were randomly divided into control and study groups . The control group received normal routine services while the study group PAC services .The PAC services were based on ordinary routine mode .And two groups were evaluated during a follow‐up period of 12 months .[Results] For control and study groups ,the follow‐up rates were 83 .10% and 88 .39% respectively .After 12 months ,both groups implemented effective contraceptive measures （19 .70% vs 83 .40% ,P 〈 0 .01）;the scores of reproductive health and contraceptive knowledge score were 19 .4 ± 1 .3 and 26 .7 ± 1 .8 points .And there was statistical significance （ P〈0 .01） .And the rates of unintended pregnancy ,repeat abortion and the incidence of postoperative complications were significantly lower in study group than those in control group （ P〈0 .05） .[Conclusion] The PAC services may effectively lower the rate of repeated abortion and protect women＇s reproductive health .
出处
《医学临床研究》
CAS
2015年第3期433-435,共3页
Journal of Clinical Research
基金
湖南省科技厅科技计划项目（2013FJ6057
2014KP0094）
关键词
流产
人工/护理
生殖健康服务
随机对照试验
Abortion,Induced/NU
Reproductive Health Services
Randomized Controlled Trial
