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目的:探讨流产后关爱服务(PAC)对未婚女性人工流产患者心理和生殖健康的改善效果。方法:将我院计划生育科接受人工流产手术的未婚女性200例随机分为PAC组和对照组各100例。对照组采用常规人工流产服务模式,PAC组按照标准化流程进行PAC服务,包括信息采集、咨询服务、集体宣教及术后随访,比较两组的焦虑抑郁情绪、生殖健康知识认知度及避孕效果。结果:时间因素对汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分均存在主效应(F=4.67,5.69;P<0.05),干预因素(PAC组)对HAMD、HAMA评分也均存在主效应(F=79.13,107.25;P<0.05),干预因素和时间因素对HAMD、HAMA评分存在交互作用(F=6.11,8.20;P<0.05)。术后1个月,PAC组生殖健康知识的认知度,显著优于术前、对照组(U=4.58,2.99;P<0.05)。与对照组比较,PAC组即时避孕落实率、术后1年重复流产率均明显降低(χ~2=77.38,6.79;P<0.05)。结论:PAC服务模式能够有效改善未婚女性人工流产术后的心理状态,提高避孕知识,降低重复流产率的发生。
Objective: To explore the effect of post-abortion Care Service (PAC) on the psychological and reproductive health of unmarried women with induced abortion. Methods: 200 unmarried women who underwent artificial abortion underwent family planning in our hospital were randomly divided into PAC group (n = 100) and control group (n = 100). The control group adopted the conventional abortion service mode. The PAC group carried out the PAC service according to the standardized procedure, including information collection, counseling services, group mission and postoperative follow-up. The anxiety and depression, reproductive health awareness and contraceptive effect were compared between the two groups. Results: The time effect had the main effect on the HAMD and HAMA scores (F = 4.67,5.69; P <0.05) There was a main effect (F = 79.13, 107.25; P <0.05). There was interaction between HAMD and HAMA scores by intervention and time factors (F = 6.11 and 8.20; P <0.05). One month after operation, the awareness of reproductive health knowledge in PAC group was significantly better than that in preoperative and control groups (U = 4.58, 2.99; P <0.05). Compared with the control group, the implementation rate of immediate contraception in PAC group and the rate of repeat abortion at 1 year after operation were significantly decreased (χ ~ 2 = 77.38,6.79; P <0.05). Conclusion: PAC service model can effectively improve the psychological status of unmarried women after induced abortion, improve their knowledge of contraception and reduce the incidence of repeat abortion.