微课程在流产后妇女生殖健康服务中应用.docVIP

微课程在流产后妇女生殖健康服务中应用 　　【基金项目】河北省沧州市科技局课题项目(1123143ZD)。 　　【第一作者简介】张秀芬（1973-），女，教授、硕士，主要从事生殖健康临床与研究工作 　　【摘要】目的:探索微课程在流产后服务工作中应用的具体方法，并分析效果。方法:制作微课程资料，提供给研究对象，在家里完成自学，并记录学习中存在的问题。流产后1周随访，医生指导妇女落实流产后的避孕措施；手术前和随访时完成问卷调查。结果:人工流产手术前、后的患者，对易孕期的判断、多种常用避孕方法的比较、人工流产术的危害等方面的认知均有差别。比较其问题回答得分情况，施术前、后有明显的差别（P=0??000）；施术后74??64%的妇女知道人流后1个月内妊娠的可能性，62??32%的妇女不会轻松看待无痛人流。结论:微课程可以尝试应用在人工流产后计划生育咨询服务工作中。 　　【关键词】微课程；生殖健康；人工流产；问卷调查 　　Application of microlecture in the reproductive health service for women received artificial abortionZHANG Xiufen1, SUN Jinbao2, ZHANG Jing2, PANG Yange2, CUI Na2. 1. Department of Gynecology and Obstetrics, Cangzhou Medical Junior College, Cangzhou 061001, China； 2. Department of Gynecology and Obstetrics, Cangzhou People’s Hospital, Cangzhou 061001, China 　　【Abstract】Objectives: To explore concrete application methods of microlecture in post-abortion care, and analyze the effect. Methods: Microlecture were made and provided to research objects for their self-study at home. Problems encountered in the learning were recorded. In the follow-up a month after the abortion, doctors instructed women on the implementation of contraception methods, and questionnaires were completed in both pre-operation and follow-up. Results: The judgment about ovulatory period, comparison of several common contraception methods and cognition of risks of artificial abortion were different before and after the operation. Comparing patient’s grades before and after operation, the difference was significant (P=0.000). 74.64% of the research objects knew the pregnant ability within a month post abortion and 62.32% of them took painless artificial abortion seriously. Conclusion: Trial application of microlecture in the reproductive health service for women received artificial abortion may be conducted. 　　【Key words】Microlecture; Reproductive health; Artificial abortion; Questionnaire 　　【中图分类号】R169.42【文献标志码】A 　　 　　目前在我国的各大城市都开展了比较规范的流产后计划生育服务，我国每年有700～800万例人工流产手术实施\[1\]，重复流产占相当大的比