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| Influence of post-abortion care services based on quality control circles on the knowledge of reproductive health, self-perceived burden, and contraceptive methods of women with induced abortion |
| Longhua District People's Hospital of Shenzhen, Guangdong Province, 518109 |
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Abstract To explore the influence of post-abortion care services based on quality control circles on the knowledge of reproductive health, self-perceived burden, and contraceptive methods of women with high-risk abortion. Methods: 252 women with high-risk abortion were prospectively analyzed between March 2019 and March 2020. These women were divided into two groups according to the stratified block random method. 41 women in the control group were given routine service intervention, and 43 women in the observation group were given post-abortion care services in the quality control circle. The degree of reproductive health knowledge and choice of contraceptive methods of the women after the intervention, and self-perceived burden scale(SPBS) scores, and self-evaluation of depression scale(SDS) score, self-rating anxiety scale（SAS) score, and psychological resilience scale score in 1 and 2 months after intervention of the women were compared between the two groups. After the women were followed up for 6 months, the rates of repetitive abortion, the high-efficiency contraception used correctly, and the persistence contraception used in per sex life of the women were analyzed. Results: The SPBS score, SDS score, and SAS score of the women in the observation group in 1 and 2 months after intervention were significantly lower than those of the women in the control group, and the rate of non-contraceptive used(0%) of the women in the observation group was significantly lower than that(14.6%) of the women in the control group(P<0.05). The excellent rates of the optimism dimensionality, the strength dimensionality, the tenacity dimensionality, the score by mental resilience scale, and the degree of reproductive health knowledge of the women in the observation group were significantly higher than those of the women in the control group(P<0.05). During the 6 months of followed up, the rate of high effective contraception used correctly and contraception used in every sex life of the women in the observation group were significantly higher than those of the women in the control group, and the rate of repeated abortion of the women in the observation group was significantly lower(P<0.05). Conclusion: Providing post-abortion care services based on quality control circles for women with high-risk abortions can improve their self-perceived burden and increase the use of high efficient contraception.
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