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目的比较药物流产和手术流产患者流产前后短期生存质量(quality of life,QOL)的变化,为妇女选择流产方法提供参考,为医务工作者临床决策分析提供证据。方法收集194例自愿要求以药物或手术流产方式终止妊娠的妇女入选本研究,采用SF-36量表对患者流产前基线和流产后1周内的QOL进行评价,对相关数据进行统计分析。结果 194例流产患者中,手术组占43.3%(84例),药物组占56.7%(110例);流产前后患者QOL评分比较显示,健康总体自评(GH)和心理健康总评(MCS)受损差异有统计学意义(P<0.05)。不同流产方式患者QOL评分比较显示,手术组患者在躯体疼痛、精力和精神健康三个维度评分低于药物组患者,差异有统计学意义(P<0.05)。结论患者流产前后短期生存质量明显下降,同药物流产患者相比,手术流产患者在躯体疼痛和心理健康方面受损更为严重。
Objective To compare the changes of short-term quality of life (QOL) between medical abortion and surgical abortion before and after abortion, to provide references for women to choose abortion method and to provide evidence for clinical decision analysis of medical workers. Methods Ninety-four women who voluntarily requested termination of pregnancy by drug or surgical abortion were enrolled in this study. The SF-36 scale was used to evaluate the pre-abortion baseline and QOL within 1 week after abortion, and the data were statistically analyzed. Results Among 194 cases of abortion, the operation group accounted for 43.3% (84 cases) and the drug group accounted for 56.7% (110 cases). The QOL scores of patients before and after abortion showed that the overall health self-assessment (GH) and mental health assessment The difference was statistically significant (P <0.05). The QOL scores of different abortion patients showed that the patients in the operation group scored lower in the three dimensions of physical pain, mental energy and mental health than those in the drug group, with significant difference (P <0.05). Conclusion The short-term quality of life of patients before and after abortion significantly decreased. Compared with medical abortion patients, surgical abortion patients suffered more severe physical pain and mental health impairment.