医院内规范化流产后服务模式探讨

目的:探讨医院内规范化流产后服务模式。方法:选择2009年10月～2010年10月到本院妇科门诊进行人工流产妇女为研究对象,随机分为研究组和对照组,对照组为常规的流产服务模式,研究组则设有专门的场所和经过专门培训的医护人员,在原流产服务模式基础上增加了对妇女及其伴侣的一对一咨询服务,同时进行集体宣教,术后在对象知情同意、自愿选择的前提下即时落实避孕措施,在干预后1年内调查随访。结果:研究组与对照组的随访率分别为89.33%和75.63%,立即落实避孕措施的比率为97.3%和1.6%,差异有统计学意义(P<0.05)。流产后1年研究组有效避孕措施的采用率明显高于对照组(90.8%和57.7%),而再次意外妊娠、重复流产及重复流产后并发症的发生率明显低于对照组(3.2%和21.3%、3.0%和16.4%、1.4%和5.6%),差异有统计学意义(P均<0.05)。结论:一对一咨询-集体宣教-落实避孕措施-电话预约随访的规范化医院内流产后服务模式可有效降低重复流产率,改善女性生殖健康,是一种行之有效的方法。

Study on hospital standardized model of post-abortion care

Objective ： To explore the hospital standardized model of post - abortion care. Methods ： Women with unintended pregnancy and seeking for induced abortion （ including medical abortion and manual vacuum aspiration） between October 2009 d October 2010 were recruited and randomly divided into the study group and the control group. Women in the control group were provided with regular abortion services and those in the study group with additional one - to - one consulting service in a special place and by specially trained medical providers, and contraceptive measure immediately after an induced abortion. Women were followed up within one year after intervention. Results ： The follow - up rates of the two groups were 89.33% and 75.63% , and the rates of contraceptive method use immediately after induced abortion were 97.3% and 1.6% respectively, showing significant differences between the two groups （P 〈 0.05）. The contraceptive method user one year after induced abortion in the study group was significantly more than that in the control group, while the recurrent abortion rate and the incidence of complications associated with the recurrent abortion were lower （ P all 〈 0.05 ）. Conclusion ： The hospital standardized model of post - abortion care mentioned above can reduce the recurrent abortion rate effectively and improve women＇s reproductive health. It maybe a viable and effective method for promoting post - abortion care.