【摘要】 目的:探讨流产后关爱(PAC)服务模式对未婚女性流产术后心理与生殖健康的影响。方法:选取2017年1—6月在本院门诊行人工流产术的未婚女性220例,根据入院先后顺序分为常规组和PAC组各110例,分别实施常规术后服务模式、PAC模式。比较两组手术前后90项症状自评量表(SCL-90)评分,评价术后避孕知识认知度,随访统计术后避孕措施落实情况及术后1年重复流产情况。结果:术后1个月,PAC组SCL-90量表中躯体化、强迫症状、负性情绪(焦虑、抑郁、敌对、恐怖)、精神病性等评分均低于常规组,而生殖健康知识掌握度、避孕措施落实率均高于常规组(P<0.05);术后6个月、1年,PAC组的重复流产率(1.0%、2.3%)低于常规组(6.9%、15.5%)(P<0.05)。结论:PAC服务模式有利于改善未婚人工流产女性术后心理健康状况,提高生殖健康知识掌握度及避孕措施落实率,降低重复流产率。更多还原

【Abstract】 Objective:To investigate the effect of post abortion care(PAC)service pattern on mental and reproductive health of unmarried women after induced abortion.Methods:220 unmarried women who underwent induced abortion in Wuxi maternal and child health care hospital from January to June 2017 were selected and divided into control group and observation group according to the order of admission to hospital(110 cases in each group).Women in observation group received service of PAC pattern,and women in control group received routine post abortion service.The scores of 90 symptom self rating scale(SCL-90)were compared between the two groups before and after abortion,the knowledge of contraceptive of women were evaluated also,and the rate of implementation of postoperative contraceptive,and the rate of repeated abortion in 1 year after abortion were followed.Results:1 month after abortion,the scores on somatization,obsessive compulsive symptoms,negative emotions(anxiety,depression,hostility,horror)and psychoticism of the SCL-90 of women in observation group were significant lower than those of women in control group(P<0.05),but the mastery situation of reproductive health knowledge and rate of implementation contraceptive of women in observation group were significantly higher than those of women in control group(P<0.05).In 6 months or 1 year after abortion,the repeated abortion rate of women in observation group was 1.0%and 2.3%,which significant lower than those(6.9%,15.5%,respectively)of women in control group(P<0.05).Conclusion:PAC service pattern is helpful to improve the mental health status of unmarried women after artificial abortion,can improve the acceptation of reproductive health knowledge and the implementation of contraceptive,and can reduce the repeated abortion of unmarried women.更多还原