CAJ | 학술논문

目的：针对人工流产患者展开服务模式的对比研究，了解改进流产后服务(post abortion care，PAC)对患者情绪以及预后的影响。方法选取2012年1~10月在广州市白云区石井人民医院门诊行人工流产术的育龄妇女共200例，将其随机分为对照组及干预组，每组各100例。对照组采用常规服务模式，干预组采用改进服务模式。比较两组患者的情绪状态以及预后。结果干预组再次意外妊娠及再次人工流产发生率明显低于对照组(6.5%比15.9%；1.1%比7.9%)，差异有统计学意义(P<0.05)；干预组患者PAC总有效率均明显高于对照组(100%比72%)，差异有统计学意义(P<0.05)。结论 PAC能够有效帮助患者减轻流产对心理造成的负面影响，稳定情绪，同时通过有效的预后让患者提升对避孕相关知识的知晓程度，从而减少重复人流率，提高女性生殖健康和生活质量，因此开展PAC是实行生殖健康优质服务的重要方向。
목적：침대인공유산환자전개복무모식적대비연구，료해개진유산후복무(post abortion care，PAC)대환자정서이급예후적영향。방법선취2012년1~10월재엄주시백운구석정인민의원문진행인공유산술적육령부녀공200례，장기수궤분위대조조급간예조，매조각100례。대조조채용상규복무모식，간예조채용개진복무모식。비교량조환자적정서상태이급예후。결과간예조재차의외임신급재차인공유산발생솔명현저우대조조(6.5%비15.9%；1.1%비7.9%)，차이유통계학의의(P<0.05)；간예조환자PAC총유효솔균명현고우대조조(100%비72%)，차이유통계학의의(P<0.05)。결론 PAC능구유효방조환자감경유산대심리조성적부면영향，은정정서，동시통과유효적예후양환자제승대피잉상관지식적지효정도，종이감소중복인류솔，제고녀성생식건강화생활질량，인차개전PAC시실행생식건강우질복무적중요방향。
Objective To investigate the effects of post abortion care (PAC) on the moods and prognosis in patients, aim at the comparative studies of service model for abortion patients. Methods 200 women who were induced abortion from January to October 2012 in the Baiyun District Shijing People's Hospital were randomly divided into control group and intervention group, with 100 cases in each group. The control group was given the regular service model, the interven-tion group was given the PAC. The moods and prognosis of patients were compared between the two groups. Results The rates of unexpected pregnancy and abortion again in the intervention group were less than those of the control group (6.5%v s 15.9%;1.1%v s 7.9%), the differences were statistically significant (P<0.05);the total effective rate of PAC in the intervention group were higher than that of the control group (100%v s 72%), the difference was statistically significant (P< 0.05). Conclusion PAC can mitigate the negative impacts of abortion on mental and stable emotion. Effective prognosis can promote the contraception knowledge, reduce the rates of recurrent abortion, and improve the women's reproductive health and quality of life. Therefore, promote the PAC is an important direction to implement re-productive health services.