中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
13期
245-247
,共3页
流产%计划生育服务%干预
流產%計劃生育服務%榦預
유산%계화생육복무%간예
Abortion%Family planning services%Intervention
目的：探讨基层医院人工流产后计划生育服务的实施效果。方法选择2012年6月~2014年1月在本院要求人工流产者共2000名,采用编码单双号的方式随机分为两组,干预组1000例实施流产后计划生育服务干预,对照组1000例给予常规流产后处理,1年期满后,并比较两组的效果。结果两组患者在随访结束后再进行一次问卷调查,将失访者与计划妊娠者排除,有效问卷回收则是对照组为983例占49.15%(983/2000),干预组为984例占48.20%(984/2000),共计回收1967例,回收率为98.35%(1967/2000)；干预组患者干预之后明显高于对照组(P<0.05),干预组干预后主动采取避孕措施占78.05%明显高于对照组的51.90%(P<0.05),而干预组的体外射精、安全期、紧急避孕、避孕套、避孕药物、放置IUD方面均高于对照组(均P<0.05),干预组1年内非意愿妊娠占9.50%,再次人工流产率为3.50%分别明显低于对照组的22.10%、11.30%(均P<0.05)。结论基层医院人工流产后计划生育服务的干预能提高育龄女性避孕节育相关知识的掌握水平,提高避孕措施使用比例,有效地降低非意愿妊娠和人工流产率,提高生殖健康水平。
目的：探討基層醫院人工流產後計劃生育服務的實施效果。方法選擇2012年6月~2014年1月在本院要求人工流產者共2000名,採用編碼單雙號的方式隨機分為兩組,榦預組1000例實施流產後計劃生育服務榦預,對照組1000例給予常規流產後處理,1年期滿後,併比較兩組的效果。結果兩組患者在隨訪結束後再進行一次問捲調查,將失訪者與計劃妊娠者排除,有效問捲迴收則是對照組為983例佔49.15%(983/2000),榦預組為984例佔48.20%(984/2000),共計迴收1967例,迴收率為98.35%(1967/2000)；榦預組患者榦預之後明顯高于對照組(P<0.05),榦預組榦預後主動採取避孕措施佔78.05%明顯高于對照組的51.90%(P<0.05),而榦預組的體外射精、安全期、緊急避孕、避孕套、避孕藥物、放置IUD方麵均高于對照組(均P<0.05),榦預組1年內非意願妊娠佔9.50%,再次人工流產率為3.50%分彆明顯低于對照組的22.10%、11.30%(均P<0.05)。結論基層醫院人工流產後計劃生育服務的榦預能提高育齡女性避孕節育相關知識的掌握水平,提高避孕措施使用比例,有效地降低非意願妊娠和人工流產率,提高生殖健康水平。
목적：탐토기층의원인공유산후계화생육복무적실시효과。방법선택2012년6월~2014년1월재본원요구인공유산자공2000명,채용편마단쌍호적방식수궤분위량조,간예조1000례실시유산후계화생육복무간예,대조조1000례급여상규유산후처리,1년기만후,병비교량조적효과。결과량조환자재수방결속후재진행일차문권조사,장실방자여계화임신자배제,유효문권회수칙시대조조위983례점49.15%(983/2000),간예조위984례점48.20%(984/2000),공계회수1967례,회수솔위98.35%(1967/2000)；간예조환자간예지후명현고우대조조(P<0.05),간예조간예후주동채취피잉조시점78.05%명현고우대조조적51.90%(P<0.05),이간예조적체외사정、안전기、긴급피잉、피잉투、피잉약물、방치IUD방면균고우대조조(균P<0.05),간예조1년내비의원임신점9.50%,재차인공유산솔위3.50%분별명현저우대조조적22.10%、11.30%(균P<0.05)。결론기층의원인공유산후계화생육복무적간예능제고육령녀성피잉절육상관지식적장악수평,제고피잉조시사용비례,유효지강저비의원임신화인공유산솔,제고생식건강수평。
Objective To explore intervention effect of family planning service after abortion in grass-roots hospital.Methods There were 2000 patients for abortion from June 2012 to January 2012 in our hospital, with the method of coding and odd number were randomly divided into two groups, intervention group, 1000 cases of the implementation of family planning services after miscarriage intervention. Control group, 1000 cases were treated to conventional post-processing of abortion, after the expiration of one year, and compare the effect of the two groups.Results Two groups of patients at the end of the follow-up to conduct a questionnaire survey, the elimination of the pregnancy will lose visitors and plan, recycling effective questionnaire is a control group of 983 cases was 49.15% (983/2000), intervention group of 984 cases was 48.20% (984/2000), a total of 1967 cases, recovery was 98.35% (1967/2000); Patients after intervention in intervention group was obviously higher than that of controls(P<0.05), intervention group after the intervention actively using contraception(78.05%) were significantly higher than those in the control group 51.90% (P<0.05), while the intervention group in vitro ejaculation, safety period, emergency contraception, condoms, birth control pills, placing IUD were higher than that in control group (allP<0.05), an unwanted pregnancy(9.50%), intervention group 1 year again abortion rate was 3.50%, significantly lower than the control group were 22.10%, 11.30% respectively (P<0.05).Conclusion Basic-level hospitals after artificial abortion family planning service intervention can improve the control level of contraception knowledge of women of childbearing age, improve the proportion of using contraception, effectively reduce an unwanted pregnancy and abortion rate and improve the level of reproductive health.
