CAJ | 학술논문

目的：调查我院开展人工流产后服务（ post abortion care ， PAC）的工作现状，为进一步改进基层医院PAC提供依据。方法：对我院开展PAC前（2011年1月～12月）及开展PAC后（2013年1月～12月）在本院行人工流产术的8273例女性进行基本情况登记（2013年流产女性增加问卷调查），并对结果进行统计分析。结果：经比较，2011年及2013年人流女性在年龄、文化程度、婚姻状况、重复流产情况及本次妊娠原因等情况方面，差异均有统计学意义（ p＜0．05）；非意愿妊娠原因中2011年及2013年人流女性均因避孕失败导致人流的比例最高，其次为未避孕（ p＞0．05）；开展PAC后，2013年人流女性的重复流产率明显低于2011年人流女性（ p＜0．05）。结论：基层医院人流患者特点为年龄偏小，未婚、未产率高，文化程度偏低，计划生育知识欠缺，有效避孕措施使用率低，医院内开展PAC能明显提高人流女性关于避孕和生殖健康知识的了解、掌握，使其更积极地采取有效避孕措施，从而显著降低再次流产率。因此应根据人流女性的人口学特点有针对性的加强 PAC，特别是提供贯穿流产全程的计划生育知识宣教及充分咨询。
목적：조사아원개전인공유산후복무（ post abortion care ， PAC）적공작현상，위진일보개진기층의원PAC제공의거。방법：대아원개전PAC전（2011년1월～12월）급개전PAC후（2013년1월～12월）재본원행인공유산술적8273례녀성진행기본정황등기（2013년유산녀성증가문권조사），병대결과진행통계분석。결과：경비교，2011년급2013년인류녀성재년령、문화정도、혼인상황、중복유산정황급본차임신원인등정황방면，차이균유통계학의의（ p＜0．05）；비의원임신원인중2011년급2013년인류녀성균인피잉실패도치인류적비례최고，기차위미피잉（ p＞0．05）；개전PAC후，2013년인류녀성적중복유산솔명현저우2011년인류녀성（ p＜0．05）。결론：기층의원인류환자특점위년령편소，미혼、미산솔고，문화정도편저，계화생육지식흠결，유효피잉조시사용솔저，의원내개전PAC능명현제고인류녀성관우피잉화생식건강지식적료해、장악，사기경적겁지채취유효피잉조시，종이현저강저재차유산솔。인차응근거인류녀성적인구학특점유침대성적가강 PAC，특별시제공관천유산전정적계화생육지식선교급충분자순。
Objective:To investigate the work status of our hospital carrying out the post abortion service ( post abortion care , PAC) , and to provide the basis for Further improving PAC of grass -roots hospital.Methods:Before our hospital carrying out PAC (2011January to December) and after our hospital carrying out PAC (2013 January ~December),we checked in the basic registration of 8273 female patients who Induced abortion in our hospital ( abortion women in 2013 increased questionnaire ) , and the results were statistically ana-lyzed.Results:By comparison, women who induced abortion in 2011 and 2013,their age, culture degree, marriage status, repeated abor-tion and the pregnancy reasons , the differences were statistically significant ( p<0.05 ); the unwanted pregnancy reasons of abortion women in 2011 and 2013 are mainly due to contraceptive failure ,followed by nocontraceptive ( p>0.05);after carrying out PAC , repeat-ed abortion was significantly lower (p<0.05).Conclusion:The characteristics of abortion women in grassroots hospital are younger , un-married, not high yield, low educational level, be deficient in family planning knowledge , effective contraceptive use rate should be low , by carrying out PAC ,hospital could significantly improve the abortion women on the knowledge of contraception and reproductive health , encourage them to take effective contraceptive measures more actively , thus significantly reducing the rate of abortion .So we should ac-cording to demographic characteristics of abortion women to strengthen PAC , especially the full consultation about family planning knowl-edge throughout the whole process of abortion .