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目的探讨流产后关爱(PAC)在女性有效避孕中的临床应用。方法选取2012年1月—2012年6月因计划生育于我院行人工流产的患者857例为实施PAC前的对照组,其中621人完成术后1年回访;选取2012年7月—2012年12月人工流产患者904例为实施PAC后的研究组,其中867人完成术后1年回访。对比分析她们1年避孕效果。结果干预1年后对照组避孕知识知晓评分(4.24±0.86),知晓率31.24%;研究组避孕知识知晓评分(8.28±1.62),知晓率97.92%,两组差异有统计学意义(P<0.05)。对照组正确使用避孕方法者134例(占21.58%),再次意外妊娠者173例(占27.86%);研究组正确使用避孕方法者676例(占77.97%),再次意外妊娠者46例(占6.80%),两组差异有统计学意义(P<0.05)。结论 PAC服务通过向人工流产术后女性宣传避孕知识,及时落实有效的避孕方法,避免重复流产的发生。
Objective To investigate the clinical application of post-abortion care (PAC) in women’s effective contraception. Methods From January 2012 to June 2012, 857 cases of induced abortion due to family planning in our hospital were selected as the control group before implementation of PAC. Among them, 621 completed the one-year postoperative follow-up; and selected from July 2012 to 2012 904 cases of induced abortion in December were the research group after the implementation of PAC, of which 867 completed one year after the visit. Comparative analysis of their 1 year contraceptive effect. Results The awareness of contraceptive knowledge (4.24 ± 0.86) and the awareness rate of 31.24% in control group after one year intervention were significantly higher than those in control group (8.28 ± 1.62, 97.92%, respectively) ). In the control group, 134 cases (21.58%) were contraceptive methods correctly, 173 cases (27.86%) again were unexpected pregnancies, 676 cases (77.97%) were correct contraception methods and 46 cases 6.80%), the difference between the two groups was statistically significant (P <0.05). Conclusions The PAC service aims to avoid contraceptive abortion by promoting contraceptive knowledge to women after induced abortion and implementing effective contraception methods in time.