The investigation of artificial abortion of adolescents and nursing countermeasures in our city
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摘要: 目的 调查某市青少年人工流产现状,寻找影响人工流产的主要原因,探讨青少年人工流产后的护理对策。 方法 在浙江省某市选择3家不同等级且有资质行人工流产术的医院的13~24岁未婚怀孕青少年2 100例,对被调查者进行问卷调查,并对行人工流产手术者随机分为护理观察组及未护理对照组。 结果 有效问卷调查为2 019份,有效率为96.14%,有效调查对象的平均年龄(18.25±2.36)岁,首次性行为年龄<16岁的青少年占28.38%,未婚同居者占37.54%,多性伴侣者占30.96%。63.55%的青少年选择避孕。首次性行为年龄低、非在读青少年、未婚同居和多性伴侣是青少年人工流产的独立危险因素(OR值分别为:0.53、0.33、3.05、1.83)。行人工流产的护理观察组成员,其心理状态较好,术后下腹痛、炎性疾病和再次行人工流产比例显著降低,与未护理对照组相比,差异有统计学意义(P<0.05)。 结论 首次性行为年龄较低、非在读青少年、未婚同居和多性伴等是青少年行人工流产手术的危险因素,加强护理能够有效降低术后相应并发症,并能降低再次人工流产的几率。Abstract: Objective To investigate and understand the status of abortion in our city youth,looking mainly due to the impact of abortion,and explore the nursing countermeasures after artificial abortion. Methods The data of 2 100 cases of artificial abortion from three different levels of hospitals which can be artificial abortion in our city,they were unmarried pregnant teenagers from 13 to 24 years old,anonymous questionnaire survey was used to collect data among them and grouping nursed. Results Two thousand and nineteen questionnaire was available,the effective rate accounted for 96.14 percent,the effective average age of subjects (18.25±2.36) years old,first sex aged<16 years old accounted for 28.38 percent. Unmarried cohabitants accounted for 37.54 percent,and more sexual partners accounted for 30.96 percent.63.55 percent of the young people choose contraception low age of first sex,non-reading adolescent,unmarried cohabitation and multiple sexual partners were independent risk factors(OR values were 0.53,0.33,3.05,1.83).In nursing group,the members had better mental state,the lower abdominal pain after surgery,inflammatory diseases and again induced abortion were significantly reduced,compared with non-nursing group,the difference was statistically significant(P<0.05). Conclusion The low age of first sex,non-reading adolescent,unmarried cohabitation and multiple sexual partners are independent risk factors of artificial abortion of adolescents,enhance the nursing can effectively reduce the corresponding postoperative complications and the chance of abortion again.
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Key words:
- Adolescents /
- Artificial abortion /
- Nursing
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