宫内节育器取出技术操作对妇女心理状态影响的临床观察  

Effect of operating procedure of intrauterine device removal on the psychological status of women

作　　者：楚光华[1,2] 邹燕[2] 吴尚纯[2] 速存梅 田爱萍[4] 黄紫蓉[5] 方爱华[6] 王晓晔[7] 王翠萍 刘静 丁悦虹 张珏[11] 张洪雁[12] 栗翠萍 

机构地区：[1]北京协和医学院研究生院,100730 [2]国家人口计生委科学技术研究所 [3]云南省人口和计划生育科学技术研究所 [4]成都中医药大学四川省计划生育科研所 [5]复旦大学附属妇产医院 [6]上海交通大学医学院附属国际和平妇幼保健院 [7]北京大学第三医院妇产科 [8]青岛市计划生育科研所 [9]山东省计划生育科学技术研究所 [10]浙江省计划生育科学技术研究所 [11]天津医科大学第二医院 [12]吉林省人口生命科学技术研究院 [13]陕西省计划生育技术指导所

出　　处：《中国计划生育学杂志》2012年第11期757-761,共5页Chinese Journal of Family Planning

基　　金：国家"十一五"科技支撑计划课题(编号:2006BA115B10)

摘　　要：目的:了解取出宫内节育器(IUD)妇女的心理状态,探讨规范计划生育服务对妇女心理状态的影响。方法:选取我国IUD使用有代表性的6个省的医疗服务机构作为研究现场,以抽签的方法随机决定干预组和对照组。干预组按照标准操作程序进行IUD取出手术,对照组则按照各协作中心日常的操作技术进行。对2008～2009年到本研究的各协作中心进行取出IUD手术并自愿参加本项研究的970例健康研究对象在手术前和手术后1个月随访时进行症状自评量表(SCL-90)的心理测评。结果:研究对象术前各因子评分均高于术后(P<0.05);干预组量表中各因子评分均低于对照组(P<0.05)。结论:规范取出IUD操作对提高取器妇女的心理健康状态有一定的作用。Objective ： To study the psychological and mental health status of women of reproductive age at the removal of intrauterine device （IUD）, and explore the effect of the standardized surgical operation on women＇s psychological state. Methods： A comparative, multicenter clinical observational study was performed. The representative sample was selected from six provinces＇medical institutions. In each province one provincial health service center and four county -level family planning service stations were selected by the random cluster method, and randomly assigned to intervention and control groups. In intervention group the IUD was removed with the standard operating procedures, while in control group the surgical operation was the dailynsed technique in each individual institution. A total of 970 eligible women were recruited from 2008 to 2009. Women underwent psychological evaluation with symptom checklist 90 （SCL -90） before intrauterine device removal and at post- operative follow- up one month later, respectively. Results： The preoperative scores of SCL- 90 of the studied women were all higher than the post - operative ones （ P 〈 0.05 ）. The post - operative scores of SCL - 90 of the women in the intervention group were lower than those of the control group （ P 〈 0.05 ）. Conclusion ： The procedure of IUD removal ts safe, simple, effective, reversible and acceptable, but it, as a source of stress, could have some effect on the psychological state of women. Standardized surgical operation could have a positive effect on the mental health status of women.

关 键 词：宫内节育器取出 育龄妇女 症状自评量表 心理状态 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]