论文部分内容阅读
目的探讨基层机构人工流产后计划生育服务的实施效果。方法在海阳市妇幼保健计划生育服务中心选择240名行人工流产妇女在流产术前进行初始问卷调查。然后将其随机分为干预组(流产后计划生育服务组)和对照组(常规流产后处理组),对干预组进行流产后计划生育服务措施干预,对照组常规处理;1年期满后,对所有的研究对象采用与初始问卷相同的问卷再次进行问卷调查,重点调查避孕节育相关知识知晓情况,避孕措施实施情况,及再次非意愿妊娠情况。结果随访1年后,收回有效问卷213份,其中干预组107人,对照组106人。干预组和对照组的避孕相关知识得分分别为干预组和对照组得分(9.28、6.15),差异有统计学意义(T=12.14,P<0.01)。干预组采取主动避孕措施的比例(79.44%)高于对照组(64.15%),差异有统计学意义(χ~2=23.51,P<0.01)。干预组与1年前相比,采取较为可靠的避孕措施(避孕套、避孕药、放置IUD)的比例更高(χ~2=16.49,P<0.01)。干预组1年内非意愿妊娠占8.41%(9/107),对照组为21.70%(23/106),两组差异有统计学意义(χ~2=46.49,P<0.01);干预组1年内再次人工流产率为2.80%(3/107),对照组12.26%(13/106),两组差异有统计学意义(χ~2=70.78,P<0.01)。结论流产后计划生育服务对育龄女性避孕节育相关知识的掌握,提高避孕措施使用比例,降低非意愿妊娠和人工流产率,提高育龄女性生殖健康水平有一定的作用。
Objective To explore the implementation effect of family planning services after abortion in grass-roots institutions. Methods A total of 240 women with induced abortion were selected in the maternal and child health family planning service center of Haiyang City to conduct an initial questionnaire before abortion. Then they were randomly divided into intervention group (family planning service group after abortion) and control group (conventional abortion group), intervening family planning service intervention after abortion, the control group routinely treated; after the expiration of 1 year, All respondents used the same questionnaire as the initial questionnaire to survey again, focusing on the knowledge of contraception and contraception, the implementation of contraception, and the situation of unwanted pregnancy again. Results One year after the follow-up, 213 valid questionnaires were retrieved, of which 107 were intervention group and 106 were control group. Contraceptive knowledge scores of intervention group and control group were respectively scores of intervention group and control group (9.28,6.15), the difference was statistically significant (T = 12.14, P <0.01). The intervention group took active contraception (79.44%) higher than the control group (64.15%), the difference was statistically significant (χ ~ 2 = 23.51, P <0.01). Compared with a year ago, the intervention group had more reliable contraceptives (condoms, contraceptives and IUD placement) (χ ~ 2 = 16.49, P <0.01). In the intervention group, unwanted pregnancy accounted for 8.41% (9/107) within one year and 21.70% (23/106) in the control group, with significant difference between the two groups (χ ~ 2 = 46.49, P <0.01) The rate of induced abortion was 2.80% (3/107) and that of the control group (12.26%, 13/106) respectively. The difference was statistically significant (χ ~ 2 = 70.78, P <0.01). Conclusions The post-abortion family planning services have a certain effect on mastery of contraceptive knowledge among women of childbearing age, improving the proportion of contraceptive use, reducing the rate of unwanted pregnancies and abortion, and raising the reproductive health of women of childbearing age.