CAJ | 학술논문

目的探讨人工流产后服务模式在门诊手术室的应用效果.方法选择2012年6-7月行人工流产术的患者分为对照组462例和观察组425例,对照组采取给人工流产患者发术前、术后健康处方,告知相关注意事项并解答患者提出的问题的方式进行护理服务,观察组在原有流产服务模式的基础上加入人工流产后服务模式内容,即强化“立即避孕”的意识、知情选择合适的避孕方法、立即落实避孕措施及指导坚持正确的使用4个方面,比较两组患者避孕措施应用情况和术后避孕措施坚持情况.结果患者避孕措施应用情况比较,对照组使用人数435例(94.2％)、使用口服避孕药的有32例(6.9％),使用节育器的有25例(5.4％),而观察组使用人数为425例(100.0％),使用口服避孕药的有61例(14.4％),使用节育器的有228例(53.7％),避孕措施使用率对照组为94.2％,观察组为100％,两组比较差异有统计学意义(P＜0.01)；两组患者术后避孕措施坚持情况比较,术后1个月避孕落实人次对照组为319例(69.9％),观察组为413例(98.5％)；术后3个月避孕落实人次对照组为195例(50.0％),观察组为306例(81.0％);术后半年避孕落实人次对照组为107例(36.4％),观察组为190例(66.7％),两组比较差异有统计学意义(P＜0.01).结论实施人工流产后服务模式可以促进有效避孕,降低重复流产率,是优质护理服务在门诊手术室的具体体现.
목적 탐토인공유산후복무모식재문진수술실적응용효과.방법 선택2012년6-7월행인공유산술적환자분위대조조462례화관찰조425례,대조조채취급인공유산환자발술전、술후건강처방,고지상관주의사항병해답환자제출적문제적방식진행호리복무,관찰조재원유유산복무모식적기출상가입인공유산후복무모식내용,즉강화“립즉피잉”적의식、지정선택합괄적피잉방법、립즉락실피잉조시급지도견지정학적사용4개방면,비교량조환자피잉조시응용정황화술후피잉조시견지정황.결과 환자피잉조시응용정황비교,대조조사용인수435례(94.2％)、사용구복피잉약적유32례(6.9％),사용절육기적유25례(5.4％),이관찰조사용인수위425례(100.0％),사용구복피잉약적유61례(14.4％),사용절육기적유228례(53.7％),피잉조시사용솔대조조위94.2％,관찰조위100％,량조비교차이유통계학의의(P＜0.01)；량조환자술후피잉조시견지정황비교,술후1개월피잉락실인차대조조위319례(69.9％),관찰조위413례(98.5％)；술후3개월피잉락실인차대조조위195례(50.0％),관찰조위306례(81.0％);술후반년피잉락실인차대조조위107례(36.4％),관찰조위190례(66.7％),량조비교차이유통계학의의(P＜0.01).결론 실시인공유산후복무모식가이촉진유효피잉,강저중복유산솔,시우질호리복무재문진수술실적구체체현.
Objective To explore the effect of Post Abortion Care (PAC) on the outpatient operation room.Methods A total of 462 cases with unplanned pregnancy who asked for induced abortion in the outpatient department from June to July in 2012 were chosen as control group and they were provided health prescription before and after the operation as well as informed of related issues.A total of 425 cases were selected as observation group that received PAC besides routine service mode such as strengthening the awareness of practicing contraception immediately,choosing appropriate contraceptive methods,guiding the correct usage of contraceptive.The applications of contraceptives after abortion were compared between the two groups.Results Significant differences were found between the two groups:the rate of cases who applied contraceptive was 94.2％ (n =435) in control group and 100％ (n =425) in observation group,(P ＜ 0.01) ; the rate of cases who continued the contraceptive one month after abortion was 69.9％ (n =319)in control group and 98.5％ (n =413) in observation group,P ＜ 0.01 ; the rate three months after abortion was 50.0％ (n =195)in control group and 81.0％ (n =306) in observation group (P ＜ 0.01) ; the rate six months after abortion was 36.4％ (n =107) in control group and 66.7％ (n=190) in observation group(P ＜ 0.01).Conclusions The application of PAC mode can increase effective contraception and reduce recurrent abortion,which demonstrates high-quality nursing care in outpatient operation room.