摘要
目的:探索基于品管圈的流产后关爱服务对高危人工流产妇女生殖健康知识认知、自我感受负担和避孕方式的影响。方法:2019年3月-2020年3月前瞻性分析252例人工流产女性,根据分层区组随机法分为两组,对照组41例采用常规服务干预,观察组43例采用基于品管圈的流产后关爱服务,对比干预后两组女性对生殖健康知识认知了解度、避孕方式选择以及干预后1个月和2个月自我感受负担量表(SPBS)评分、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、心理弹性量表评分,随访6个月了解重复流产率和正确使用高效避孕、坚持每次避孕率。结果:观察组干预后1个月和2个月的SPBS评分、SDS评分、SAS评分以及未采取避孕措施率(0)均低于对照组(14.6%)(P<0.05),乐观维度、力量维度、坚韧维度、心理弹性量表评分以及对生殖健康知识认知了解度的优良率均高于对照组(P<0.05)。随访6个月,观察组正确使用高效避孕、坚持每次避孕率均高于对照组,重复流产率低于对照组(P<0.05)。结论:人工流产妇女进行基于品管圈的流产后关爱服务,可改善女性自我感受负担状态,提高高效避孕方法使用率。
Objective:To explore the influence of post-abortion care services based on quality control circles on the knowledge of reproductive health,self-perceived burden,and contraceptive methods of women with high-risk abortion.Methods:252 women with high-risk abortion were prospectively analyzed between March 2019 and March 2020.These women were divided into two groups according to the stratified block random method.41 women in the control group were given routine service intervention,and 43 women in the observation group were given post-abortion care services in the quality control circle.The degree of reproductive health knowledge and choice of contraceptive methods of the women after the intervention,and self-perceived burden scale(SPBS)scores,and self-evaluation of depression scale(SDS)score,self-rating anxiety scale(SAS)score,and psychological resilience scale score in 1 and 2 months after intervention of the women were compared between the two groups.After the women were followed up for 6 months,the rates of repetitive abortion,the high-efficiency contraception used correctly,and the persistence contraception used in per sex life of the women were analyzed.Results:The SPBS score,SDS score,and SAS score of the women in the observation group in 1 and 2 months after intervention were significantly lower than those of the women in the control group,and the rate of non-contraceptive used(0%)of the women in the observation group was significantly lower than that(14.6%)of the women in the control group(P<0.05).The excellent rates of the optimism dimensionality,the strength dimensionality,the tenacity dimensionality,the score by mental resilience scale,and the degree of reproductive health knowledge of the women in the observation group were significantly higher than those of the women in the control group(P<0.05).During the 6 months of followed up,the rate of high effective contraception used correctly and contraception used in every sex life of the women in the observation group were significantly higher than those of the women in the control group,and the rate of repeated abortion of the women in the observation group was significantly lower(P<0.05).Conclusion:Providing post-abortion care services based on quality control circles for women with high-risk abortions can improve their self-perceived burden and increase the use of high efficient contraception.
作者
黄灵坚
陈晓娟
王洁
罗誉川
邱秀容
陈晓燕
HUANG Lingjian;CHEN Xiaojuan;WANG Jie;LUO Yuchuan;QIU Xiurong;CHEN Xiaoyan(Longhua District People's Hospital of Shenzhen, Guangdong Province, 518109)
出处
《中国计划生育学杂志》
2021年第11期2321-2325,2331,共6页
Chinese Journal of Family Planning
关键词
人工流产
流产后关爱服务
品管圈干预
生殖健康知识
自我感受负担
避孕选择
Iuduced abortion
Post-abortion care service
Quality control circle intervention
Knowledge of reproductive health
Self-perceived burden
Contraception choice
