文章摘要
万小琴.认知行为干预结合流产后关爱服务对重复人工流产女性心理弹性、负性情绪和避孕依从性的影响[J].实用中西医结合临床,2024,24(21):
认知行为干预结合流产后关爱服务对重复人工流产女性心理弹性、负性情绪和避孕依从性的影响
Effect of cognitive behavioral intervention combined with post-abortion care service on psychological resilience, negative emotion and contraceptive compliance of women with repeated abortion
投稿时间:2024-06-05  修订日期:2024-10-05
DOI:
中文关键词: 重复流产  人工流产术  产后关爱服务  认知行为干预  依从性
英文关键词: Repeated abortion  Artificial abortion  Postpartum care services  Cognitive behavioral intervention  Compliance
基金项目:
作者单位E-mail
万小琴* 江西省妇幼保健院 1364187137@qq.com 
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中文摘要:
      目的:探讨认知行为干预结合流产后关爱服务(PAC)对重复人工流产女性心理弹性、负性情绪和避孕依从性的影响。方法:选取2020年2月~2023年1月于本院计划生育门诊接受人工流产手术的86例女性为研究对象。将患者随机分为对照组和观察组,每组各43例。对照组实施常规PAC流产服务,观察组实施认知行为干预结合PAC流产服务。比较两组术前及术后心理弹性水平[心理弹性量表(CD-RISC)]及负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)],随访6个月,记录两组避孕措施实施情况、意外妊娠及重复流产率。结果:术后,两组CD-RISC总分及各维度评分均上升,且观察组更高(P<0.05)。术后,两组SAS及SDS量表评分均下降,且观察组更低(P<0.05)。随访半年,观察组未避孕率为2.34%,低于对照组的18.60%(P<0.05)。观察组意外妊娠率低于对照组(P<0.05),两组重复流产率无显著差异(P>0.05)。结论:对重复人工流产患者实施认知行为干预结合PAC可有效改善患者心理弹性水平及负性情绪,帮助患者有效避孕,减少意外妊娠的发生。
英文摘要:
      Objective: To explore the effect of cognitive behavioral intervention combined with post-abortion care (PAC) on psychological resilience, negative emotion and contraceptive compliance of women with repeated induced abortion. Methods: 86 women who underwent artificial abortion in the family planning clinic of our hospital from February 2020 to January 2023 were selected as the research objects. The patients were randomly divided into control group and observation group, 43 cases in each group. The control group was given routine PAC abortion service, and the observation group was given cognitive behavioral intervention combined with PAC abortion service. The levels of psychological resilience [Connor-Davidson Resilience Scale (CD-RISC)] and negative emotions [self-rating anxiety scale (SAS) and self-rating depression scale (SDS)] before and after operation were compared between the two groups. The patients were followed up for 6 months. The implementation of contraceptive measures, accidental pregnancy and repeated abortion rate were recorded in the two groups. Results: After operation, the total score of CD-RISC and the scores of each dimension in the two groups increased, and those in the observation group were higher (P<0.05). After operation, the scores of SAS and SDS in the two groups decreased, and those in the observation group were lower(P<0.05). After half a year of follow-up, the non-contraceptive rate in the observation group was 2.34 %, which was lower than 18.60 % in the control group(P<0.05). The rate of accidental pregnancy in the observation group was lower than that in the control group(P<0.05), and there was no significant difference in the rate of repeated abortion between the two groups (P>0.05). Conclusion: Cognitive behavioral intervention combined with PAC can effectively improve the psychological resilience and negative emotions of patients with repeated abortion, help patients to effectively avoid pregnancy and reduce the occurrence of accidental pregnancy.
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