| 医院内流产后服务模式改进的效果评价分析 |
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| 引用本文： | 晏菱,翁艳香,傅晓华,邢莉莉,舒静.医院内流产后服务模式改进的效果评价分析[J].生殖与避孕,2011(6):380-384. |
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| 作者姓名： | 晏菱 翁艳香 傅晓华 邢莉莉 舒静 |
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| 作者单位： | 浙江大学医学院附属邵逸夫医院妇产科;浙江大学医学院; |
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| 基金项目： | 2007年浙江省人口和计划生育科技项目 |
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| 摘 要： | 目的:探讨医院内流产后服务(post abortion care,PAC)模式改进的可行性和有效性。方法:对医护人员进行PAC培训并在原流产服务流程中增加PAC内容来改进服务模式。将患者随机分为对照组和干预组,对照组维持原流产服务流程,干预组在原流产服务基础上进一步对人工流产后妇女进行生殖保健服务;干预前、后对患者和医护人员进行基线及干预满1年后的问卷调查。结果:1年后干预组避孕知识得分增值和有效避孕措施使用率均高于对照组,非意愿妊娠率低于对照组。干预组增加服务时间6.0±2.5 min/人。74.5%的医护人员赞同对原流程进行细节优化,70.6%的医护人员认为当患者>16人/d时PAC负荷过重,宜设专岗。结论:医院内PAC能有效降低重复流产率,对现有流产流程在细节上渗入PAC内容是目前改进医院内PAC的一种可行方法。
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| 关 键 词： | 流产后服务(PAC) 人工流产 重复流产 |
Evaluation of the Improvement in In-hospital Post Abortion Care |
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| Ling YAN,Yan-xiang WENG,Xiao-hua FU,Li-li XING,Jing SHU.Evaluation of the Improvement in In-hospital Post Abortion Care[J].Reproduction and Contraception,2011(6):380-384. |
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| Authors: | Ling YAN Yan-xiang WENG Xiao-hua FU Li-li XING Jing SHU |
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| Institution: | Ling YAN1,Yan-xiang WENG1,Xiao-hua FU2,Li-li XING2,Jing SHU1(1.Department of Gynecology and Obstetrics,Medical School of Zhejiang University Affiliated with Sir Run Run Shaw Hospital,Hangzhou,310016)(2.Medical School of Zhejiang University,310016) |
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| Abstract: | Objective: To investigates the feasibility and effectiveness of improving service pattern for in-hospital post abortion care(PAC).Methods: The patients were divided into the interventional group(n=474) and control group(n=462) randomly.The control was received the original abortion service procedure,interventional group was received adding PAC concept into the original abortion service procedure.Baseline questionnaires were conducted for patients and medical staff before the application of abortion service.... |
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| Keywords: | post abortion care(PAC) abortion recurrent abortion |
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