CAJ | 학술논문

目的：探究建立建设规范有效的生殖健康咨询服务在流产后计划生育优质服务（PAC）项目中的意义。方法2013年1月我院妇产科开始在流产后计划生育优质服务（post abortion care，PAC）项目中，根据指南，实践规范化生殖健康咨询服务，以2013年1月前进入研究并随访有效的妇女319例作为对照组，以2013年1～6月进入研究并随访有效的妇女283例作为干预组。对纳入研究的对象在到诊时、首次随访及12个月后随访，进行问卷调查，了解女性对生殖健康知识及避孕知识的了解情况，有效避孕措施的选择情况，以及1年内再次妊娠，特别是无计划再次妊娠及重复人工流产的情况。结果在术后首次随访和1年后随访，干预组得分显著高于对照组得分（P＜0.05）。首次随访，干预组选择可靠避孕措施的妇女人数显著高于对照组，也显著高于术前干预组（P＜0.05）；1年后随访干预组选择可靠避孕措施的妇女人数显著高于对照组，也显著高于术前干预组（P＜0.05）；且对照组1年内非计划再次妊娠人数显著高于干预组，对照组1年内重复流产人数显著高于干预组（P＜0.05）。结论生殖健康咨询服务在PAC中发挥着至关重要的作用，能够提高妇女对生殖健康知识有效安全避孕节育知识的知晓率，提高人工流产后女性安全有效避孕率，降低重复人工流产，流产一年内的再次人工流产现象，是提高女性生殖健康及人口素质的重要环节。
목적：탐구건립건설규범유효적생식건강자순복무재유산후계화생육우질복무（PAC）항목중적의의。방법2013년1월아원부산과개시재유산후계화생육우질복무（post abortion care，PAC）항목중，근거지남，실천규범화생식건강자순복무，이2013년1월전진입연구병수방유효적부녀319례작위대조조，이2013년1～6월진입연구병수방유효적부녀283례작위간예조。대납입연구적대상재도진시、수차수방급12개월후수방，진행문권조사，료해녀성대생식건강지식급피잉지식적료해정황，유효피잉조시적선택정황，이급1년내재차임신，특별시무계화재차임신급중복인공유산적정황。결과재술후수차수방화1년후수방，간예조득분현저고우대조조득분（P＜0.05）。수차수방，간예조선택가고피잉조시적부녀인수현저고우대조조，야현저고우술전간예조（P＜0.05）；1년후수방간예조선택가고피잉조시적부녀인수현저고우대조조，야현저고우술전간예조（P＜0.05）；차대조조1년내비계화재차임신인수현저고우간예조，대조조1년내중복유산인수현저고우간예조（P＜0.05）。결론생식건강자순복무재PAC중발휘착지관중요적작용，능구제고부녀대생식건강지식유효안전피잉절육지식적지효솔，제고인공유산후녀성안전유효피잉솔，강저중복인공유산，유산일년내적재차인공유산현상，시제고녀성생식건강급인구소질적중요배절。
Objective To explore the significance of establishing normative and effective reproductive health advisory services in Post Abortion Care (PAC) project.MethodsThe department of Obstetrics and Gynecology of our hospital practiced normative reproductive health advisory services according to the guide of PAC since January 2013. 319 women who were in the research and were effectively followed-up before January 2013 were selected as control group, and 283 women who were in the research and were effectively followed-up from January 2013 to June 2013 were selected as intervention group. Questionnaire survey was conducted to research subjects at first diagnosis, first follow-up and 12 months' follow-up to learn women's knowing of knowledge of reproductive health and contraceptive knowledge, their choice of effective contraceptive measures, and repeated pregnancy in one year, especially unplanned repeated pregnancy and repeat abortion.Results Scores of intervention group at first follow-up and 1 year's follow-up after surgery were significantly higher than those of control group, and were also significantly higher than those of intervention group before surgery (P<0.05). The number of women who chose effective contraceptive measures of intervention group at the first follow-up was significantly larger than that of control group, and was significantly larger than that of intervention group before surgery (P<0.05). The number of women who had unplanned repeated pregnancy in a year of control group was significantly larger than that of intervention group, and the number of women who had repeat abortion was significantly larger than that of intervention group (P<0.05).Conclusion Reproductive health advisory services plays a significant role in PAC, which can increase the awareness rate of women's reproductive health knowledge and effective safe contraceptive knowledge, increase rate of safe and effective contraception after abortion, so as to decrease the rate of repeated abortion and repeated abortion within one year. It is an important link to improve female's reproductive health and quality of population.