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目的:探讨改进流产后关爱措施对高危流产妇女避孕方式选择和心理弹性的影响。方法:将156例高危流产妇女随机分为对照组和观察组各78例。对照组给予常规流产后关爱模式，观察组采用改进流产后关爱措施。流产术后1、3、6、12个月随访2组避孕方法的选择、再次妊娠率和重复流产率，分别于干预前和干预后采用《心理弹性量表》评价妇女心理弹性水平。结果:术后6个月、12个月观察组高效避孕方式使用率、坚持每次避孕率分别为93.2%（68/73）、94.5%（64/20）、94.5%（69/73）、92.9%（65/70），明显高于对照组的81.9%（51/72）、76.1%（54/71）、83.3%（60/72）、80.4%（57/71）；术后12个月观察组再次妊娠率为2.9%（2/70），明显低于对照组的12.7%（9/71），差异有统计学意义（n χ2值为4.187~6.102，n P<0.05）。干预后观察组坚韧、力量、乐观维度得分及心理弹性总分分别为（36.34 ± 6.65）、（25.86 ± 4.32）、（14.57 ± 2.83）、（76.77 ± 8.72）分，明显高于对照组的（32.08 ± 5.58）、（23.17 ± 3.09）、（12.34 ± 2.20）、（67.62 ± 6.72）分，差异有统计学意义（n t值为4.123~6.984，n P<0.01）。n 结论:改进流产后关爱措施有助于提高高危流产妇女高效避孕方法的使用率，改善妇女的心理弹性水平。“,”Objective:To investigate the effect of improved post-abortion care measures on contraceptives and resilience in high-risk induced abortion women.Methods:A total of 156 high-risk induced abortion women were randomly divided into observation group and control group, each of 78 cases. The control group received routine post-abortion care model, the observation group was carried out improved post-abortion care measures. Follow-up their usage of contraceptive, repeat pregnancy rate and abortion rate in 1, 3, 6 and 12 months after abortion. Meanwhile, the scores of resilience were assessed by Connor-Davidson Resilience Scale before and after intervention.Results:The rate of effective contraceptive use and contraception willing rate was significantly higher in the observation group compared to the control group (94.5%, 92.9%, 94.5%, 92.9% n vs 81.9%, 76.1%, 83.3%, 80.4%) at 6- and 12-month follow-up, the repeat pregnancy rate was significantly lower in the observation group compared to the control group (2.9% n vs 12.7%) at 12-month follow-up, the difference is statistically significant (n χ2=4.187, 4.621, 6.102, 4.781, 4.725, n P<0.05). After intervention, the scores of tenacity, power, optimism and total resilience scores were significantly increased in the observation group compared to the control group [(36.34±6.65) pionts, (25.86±4.32) pionts,(14.57±2.83) pionts,(76.77±8.72) piontsn vs (32.08±5.58) pionts,(23.17±3.09) pionts, (12.34±2.20) pionts, (67.62±6.72) pionts], the difference is statistically significant (n t=4.123, 4.244, 5.243, 6.984, n P<0.01).n Conclusion:Post-abortion care new pathway can promote effective contraceptive use and improve psychological resilience of high-risk induced abortion women.