重复人流的影响因素与流产后服务(PAC)的效果评价
发布时间:2018-07-17 06:34
【摘要】:目的:了解人流女性基本情况,分析其重复人流的影响因素,对调查对象进行流产后服务(post abortion care PAC)干预研究,并对其效果进行评价,从而为提高人工流产后女性的有效避孕率,降低重复人工流产、减少意外妊娠等措施的改进提供科学依据。方法:以欧盟“将人工流产后计划生育服务与中国现有的医院内人工流产医疗服务相结合项目”(INPAC)为基础设计调查问卷对2011年8月-2012年7月在湖南省妇幼保健院计划生育门诊确诊妊娠并要求终止妊娠的部分女性进行影响因素调查及基线调查,并随机分为研究组与对照组,对研究组进行1年PAC干预后调查随访,将获取的信息录入数据库,对定性和等级指标进行数量化处理和统一编码后用SPSS16.0进行统计分析。 结果:①影响因素调查有效问卷685例,有效率为93.96%。其中初次流产者487名,占71.1%;重复人工流产者198名,占28.9%。②对照组基线调查获得有效问卷337份,有效随访303例,随访率为89.9%。研究组基线调查获得有效问卷348份,有效随访322例,随访率为92.5%。③人流女性及男性伴侣年龄主要分布在20-25岁,文化程度集中在中专及大专学历的居多,所从事的职业主要是公司职员、学生和个体户。④人流女性对避孕知识的了解程度较差,占40.9%,对人工流产并发症掌握较差,占56.9%。⑤研究发现人流女性文化程度、职业、对避孕知识的了解程度、对人流并发症的了解程度、性伴侣的文化程度及对避孕的态度6个因素对重复人流有影响。⑥PAC干预后,研究组的避孕知识得分及采取有效避孕措施得分均高于对照组,非意愿妊娠率及重复流产率均低于对照组。 结论:1.本次影响因素调查重复人流率占人流女性者28.9%。 2.人流女性文化程度、职业、对避孕知识的了解程度、对人流并发症的了解程度、性伴侣的文化程度及对避孕的态度6个因素对重复人流影响有统计学意义。具体表现为:人流女性及伴侣文化程度越低,重复人流概率越高;对避孕知识、人流并发症了解越少重复人流概率越高;性伴侣采取避孕措施越不积极,重复人流概率越高;公司职员、服务员重复人流概率高于其他职业。 3.PAC干预可提高人流女性对避孕知识的知晓率,提高避孕措施的有效率。 4.PAC干预可降低非意愿妊娠率;可减少重复流产的发生。
[Abstract]:Objective: to understand the basic situation of female abortion, to analyze the influencing factors of repeated abortion, to study the intervention of post-abortion service (post abortion care, and to evaluate its effect in order to improve the effective contraceptive rate of women after induced abortion. The improvement of reducing repeated abortion and reducing accidental pregnancy provides scientific basis. Methods: a questionnaire was designed based on the European Union (EU) project "combining family planning services after abortion with medical services of in-hospital abortion in China" (INPAC) from August 2011 to July 2012 in Hunan Provincial Maternal and Child Health Hospital. Some of the women who confirmed pregnancy and asked for termination of pregnancy in the family planning clinic conducted investigation on the influencing factors and baseline survey. The study group was randomly divided into two groups: the study group and the control group. The study group was followed up after one year of PAC intervention. The obtained information was entered into the database, the qualitative and grade indexes were processed by quantification and unified coding, and the statistical analysis was carried out by SPSS 16.0. Results the effective questionnaire was 685 cases, the effective rate was 93.96%. 487 cases (71.1%) were primary abortion, 198 cases (28.9.2%) were repeated induced abortion, 337 effective questionnaires were obtained in the control group, 303 cases were followed up effectively, the follow-up rate was 89.9%. In the study group, 348 valid questionnaires were obtained and 322 effective follow-up cases were followed up. The follow-up rate was 92.5.3 the age distribution of female and male partners was mainly 20-25 years old. The major occupations engaged in were company employees, students and self-employed females, whose knowledge of contraception was poor (40.9%), poor knowledge of complications of induced abortion (56.9.5%), and 56.9.5% (56.9.5). The level of knowledge about contraception, the degree of understanding of complications of abortion, the education level of sexual partners and the attitude to contraception had influence on repeated abortion. 6PAC intervention. The scores of contraceptive knowledge and effective contraception in the study group were higher than those in the control group, and the rates of unwanted pregnancy and repeated abortion were lower than those in the control group. Conclusion 1. In this survey, the rate of repeat abortion was 28. 9%. 2. 2. The educational level, occupation, knowledge of contraception, the degree of understanding of complications of abortion, the education level of sexual partners and the attitude towards contraception had significant effects on repeated abortion. The specific manifestations are as follows: the lower the educational level of abortion women and partners, the higher the probability of repeat abortion; the lower the knowledge of contraception, the less knowledge of abortion complications, the higher the probability of repeat abortion, the less active sexual partners take contraceptive measures, the higher the probability of repeat abortion. The probability of repeated abortion of staff and waiters was higher than that of other occupations. 3. PAC intervention could improve the awareness rate of contraceptive knowledge and the effective rate of contraception. 4. PAC intervention could reduce the rate of unwanted pregnancy. Can reduce the occurrence of repeated abortion.
【学位授予单位】:中南大学
【学位级别】:硕士
【学位授予年份】:2013
【分类号】:R169.42
本文编号:2129419
[Abstract]:Objective: to understand the basic situation of female abortion, to analyze the influencing factors of repeated abortion, to study the intervention of post-abortion service (post abortion care, and to evaluate its effect in order to improve the effective contraceptive rate of women after induced abortion. The improvement of reducing repeated abortion and reducing accidental pregnancy provides scientific basis. Methods: a questionnaire was designed based on the European Union (EU) project "combining family planning services after abortion with medical services of in-hospital abortion in China" (INPAC) from August 2011 to July 2012 in Hunan Provincial Maternal and Child Health Hospital. Some of the women who confirmed pregnancy and asked for termination of pregnancy in the family planning clinic conducted investigation on the influencing factors and baseline survey. The study group was randomly divided into two groups: the study group and the control group. The study group was followed up after one year of PAC intervention. The obtained information was entered into the database, the qualitative and grade indexes were processed by quantification and unified coding, and the statistical analysis was carried out by SPSS 16.0. Results the effective questionnaire was 685 cases, the effective rate was 93.96%. 487 cases (71.1%) were primary abortion, 198 cases (28.9.2%) were repeated induced abortion, 337 effective questionnaires were obtained in the control group, 303 cases were followed up effectively, the follow-up rate was 89.9%. In the study group, 348 valid questionnaires were obtained and 322 effective follow-up cases were followed up. The follow-up rate was 92.5.3 the age distribution of female and male partners was mainly 20-25 years old. The major occupations engaged in were company employees, students and self-employed females, whose knowledge of contraception was poor (40.9%), poor knowledge of complications of induced abortion (56.9.5%), and 56.9.5% (56.9.5). The level of knowledge about contraception, the degree of understanding of complications of abortion, the education level of sexual partners and the attitude to contraception had influence on repeated abortion. 6PAC intervention. The scores of contraceptive knowledge and effective contraception in the study group were higher than those in the control group, and the rates of unwanted pregnancy and repeated abortion were lower than those in the control group. Conclusion 1. In this survey, the rate of repeat abortion was 28. 9%. 2. 2. The educational level, occupation, knowledge of contraception, the degree of understanding of complications of abortion, the education level of sexual partners and the attitude towards contraception had significant effects on repeated abortion. The specific manifestations are as follows: the lower the educational level of abortion women and partners, the higher the probability of repeat abortion; the lower the knowledge of contraception, the less knowledge of abortion complications, the higher the probability of repeat abortion, the less active sexual partners take contraceptive measures, the higher the probability of repeat abortion. The probability of repeated abortion of staff and waiters was higher than that of other occupations. 3. PAC intervention could improve the awareness rate of contraceptive knowledge and the effective rate of contraception. 4. PAC intervention could reduce the rate of unwanted pregnancy. Can reduce the occurrence of repeated abortion.
【学位授予单位】:中南大学
【学位级别】:硕士
【学位授予年份】:2013
【分类号】:R169.42
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