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《压力应对支持干预(START)在接受人工流产的中国妇女中的应用:一项随机对照试验方案》。

The STress-And-Coping suppoRT Intervention (START) for Chinese Women Undergoing Abortion: A Randomized Controlled Trial Protocol.

机构信息

School of Nursing and Midwifery, Gold Coast Campus, Griffith University, Parklands Drive, Gold Coast, QLD 4215, Australia.

School of Nursing, Capital Medical University, 10 Xitoutiao Road, Fengtai District, Beijing 100069, China.

出版信息

Int J Environ Res Public Health. 2022 May 28;19(11):6611. doi: 10.3390/ijerph19116611.

DOI:10.3390/ijerph19116611
PMID:35682201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9180830/
Abstract

BACKGROUND

Although undergoing an abortion is stressful for most women, little attention has been given to their psychological wellbeing. This protocol aims to assess the feasibility, acceptability, and primary effects of a complex intervention to promote positive coping behaviors and alleviate depression symptoms among Chinese women who have undergone an abortion.

METHODS

A two-arm randomized controlled trial design will be used. Participants will be recruited at their first appointment with the abortion clinic and randomly allocated to receive either the Stress-And-Coping suppoRT (START) intervention (in addition to standard abortion care) or standard care only. All participants will be followed-up at two- and six-weeks post-abortion. Approval has been granted by local and university ethics committees. This research was supported by an Australian Government Research Training Program Scholarship.

DISCUSSION

The results will assist refinement and further evaluations of the START intervention, contribute to improved abortion care practices in China, and enrich the evidence on improving women's psychological well-being following abortion in China.

TRIAL REGISTRATION

Registered at the Chinese Clinical Trials.gov: ChiCTR2100046101. Date of registration: 4 May 2021.

摘要

背景

尽管堕胎对大多数女性来说是有压力的,但很少有人关注她们的心理健康。本方案旨在评估一种复杂干预措施的可行性、可接受性和主要效果,该措施旨在促进积极应对行为,并减轻中国堕胎女性的抑郁症状。

方法

将采用两臂随机对照试验设计。参与者将在堕胎诊所的首次预约时招募,并随机分配接受应激和应对支持(START)干预(除标准堕胎护理外)或仅接受标准护理。所有参与者将在堕胎后两周和六周进行随访。该研究已获得当地和大学伦理委员会的批准。这项研究得到了澳大利亚政府研究培训计划奖学金的支持。

讨论

研究结果将有助于完善和进一步评估 START 干预措施,促进中国堕胎护理实践的改进,并丰富中国堕胎后改善妇女心理健康的证据。

试验注册

在中国临床试验注册中心注册:ChiCTR2100046101。注册日期:2021 年 5 月 4 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d80/9180830/f01876add8a4/ijerph-19-06611-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d80/9180830/85648f6a46ef/ijerph-19-06611-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d80/9180830/f01876add8a4/ijerph-19-06611-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d80/9180830/85648f6a46ef/ijerph-19-06611-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d80/9180830/f01876add8a4/ijerph-19-06611-g002.jpg

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Reprod Health. 2022 Mar 9;19(1):64. doi: 10.1186/s12978-022-01366-1.
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The experiences of nurses and midwives who provide surgical abortion care: A qualitative systematic review.护士和助产士提供外科流产护理的体验:定性系统评价。
J Adv Nurs. 2021 Sep;77(9):3644-3656. doi: 10.1111/jan.14853. Epub 2021 Apr 14.
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Nonpharmacological interventions to improve the psychological well-being of women accessing abortion services and their satisfaction with care: A systematic review.
非药物干预措施对改善接受堕胎服务的女性的心理健康及其对护理满意度的影响:系统评价。
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Emotions and decision rightness over five years following an abortion: An examination of decision difficulty and abortion stigma.堕胎后五年的情绪和决策正确性:决策困难和堕胎污名的考察。
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