Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Sci Rep. 2023 Jul 13;13(1):11316. doi: 10.1038/s41598-023-38521-y.
Legal abortion has adopted many beneficial measures to prevent the birth of fetuses with congenital anomalies and maintain the health of high-risk mothers. However, abortion has its own complications and, thus, most mothers need care in this regard. The aim of this study was to determine the effect of self-management model on behaviors related to the reproductive health of mothers after legal abortion. This clinical trial study was conducted on 72 women who had legal abortion with the permission from Isfahan forensic medicine. The intervention was conducted using the 5A self-management model. The control group received the usual health system cares. Data collection tool was a researcher-made questionnaire of behaviors related to reproductive health, which was completed before and two months after the intervention by the two groups. The total mean score of the behavior (P < 0.001) and its dimensions (Prevention of post-abortion complications with P = 0.01, Prevention of sexually transmitted infections, satisfactory sexual function and family planning with P < 0.001) in the intervention group two months after the outset of the intervention was significantly higher than before the intervention. The total mean score of the behavior (P < 0.001) and its dimensions (Prevention of post-abortion complications with P = 0.002, Prevention of sexually transmitted infections, satisfactory sexual function and family planning with P < 0.001) two months after the outset of the intervention in the intervention group was significantly higher than the control group. Based on the results, this educational model can be emphasized to promote reproductive health behaviors of women after abortion.Clinical trial protocol link: https://www.irct.ir/user/trial/55184/view .
合法堕胎采取了许多有益的措施来预防先天畸形胎儿的出生，并维护高危母亲的健康。然而，堕胎本身也有其并发症，因此大多数母亲在这方面需要护理。本研究旨在确定自我管理模式对合法堕胎后母亲生殖健康相关行为的影响。这项临床试验研究是在伊斯法罕法医许可下对 72 名合法堕胎的妇女进行的。干预措施采用了 5A 自我管理模式。对照组接受常规的卫生系统护理。数据收集工具是一份关于生殖健康相关行为的研究者自制问卷，两组在干预前和干预后两个月完成。干预两个月后，干预组的行为总平均分（P<0.001）及其维度（预防堕胎后并发症，P=0.01；预防性传播感染、满意的性功能和计划生育，P<0.001）显著高于干预前。干预两个月后，干预组的行为总平均分（P<0.001）及其维度（预防堕胎后并发症，P=0.002；预防性传播感染、满意的性功能和计划生育，P<0.001）显著高于对照组。基于这些结果，本教育模式可强调用于促进堕胎后妇女的生殖健康行为。临床试验方案链接：https://www.irct.ir/user/trial/55184/view。
