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目的探讨改良流产后服务(post abortion care,PAC)护理对未婚低龄流产患者避孕知识和行为的影响。方法选取2015年1月至2016年11月在厦门市妇幼保健院计划生育科门诊自愿行人工流产术的617例未婚低龄孕妇为研究对象,用随机数字表法分为观察组299例与对照组318例,对照组采用规范PAC服务流程,观察组采用改良PAC服务,即规范PAC服务流程加以人文关怀,比较两组1、3、6月失访率、高效避孕措施落实率和重复流产率。结果观察组未婚低龄妇女人工流产后对避孕知识认知度明显提高,高效避孕率明显上升,重复流产率和失访率明显降低,差异有统计学意义(P<0.05)。结论改良PAC服务对普及女性避孕知识、落实有效避孕措施及降低重复流产率的效果明显,应在临床上推广实施。
Objective To explore the effect of improved post abortion care (PAC) on contraception knowledge and behavior of unmarried young abortion patients. Methods From January 2015 to November 2016, 617 unmarried young pregnant women undergoing involuntary abortion in family planning department of Xiamen MCH were selected as the research objects. Random number table was divided into observation group (299 cases) and control group 318 cases. The control group adopted the standardized PAC service flow. The observation group adopted the improved PAC service, which is to standardize the PAC service process with humanistic care. The rate of lost follow-up in January, March and June and the contraceptive effective rate and repeat abortion rate were compared between the two groups. Results The awareness of contraceptive knowledge among unmarried young women in observation group was significantly improved after the abortion, the contraceptive rate increased significantly, the rate of repeat abortion and the rate of loss of follow-up significantly decreased (P <0.05). Conclusion The improved PAC service has obvious effect on popularizing female contraceptive knowledge, implementing effective contraception and reducing repeated abortion rate, and should be popularized and implemented clinically.