个性化护理对大宫腔妇女使用宫内节育器效果的影响

发布时间：2017-12-27 19:02

本文关键词：个性化护理对大宫腔妇女使用宫内节育器效果的影响　出处：《中国计划生育学杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的:探讨个性化护理对大宫腔妇女使用宫内节育器(IUD)效果的影响。方法:400例要求放置IUD的大宫腔妇女随机分为两组(各200例),对照组行一般护理,观察组行个性化护理,所有对象均放置含吲哚美辛硅橡胶的固定式IUD(天津和杰医疗有限公司),并随访36个月。评价对象术中配合度、服务满意度、放置IUD累计终止率和续用率。结果:在术中配合度上观察组明显优于对照组(P0.05);术中、术后3、6、12个月的满意度观察组明显优于对照组(P0.05);放置IUD12、24和36个月累积脱落率、带器妊娠率两组差异无统计学意义(P0.05);24、36个月随访时观察组因症取出率低于对照组,差异有统计学意义(χ~2=7.43,P0.05;χ~2=5.03,P0.05);放置12、24和36个月观察组续用率高于对照组(χ~2=4.23,P0.05;χ~2=3.93,P0.05;χ~2=4.35,P0.05)。结论:个性化护理可提高大宫腔妇女放置固定式IUD的术中配合度和服务满意度,提高IUD的续用率。
[Abstract]:Objective: To investigate the effect of individualized nursing using IUD for women (IUD) palace cavity effect. Methods: 400 cases of palace cavity women were randomly divided into two groups: the requirements placed IUD (200 cases), the control group received general nursing, the observation group received individualized nursing care, all the objects were placed fixed IUD indomethacin containing silicone rubber (Tianjin and Jay Medical Co.), and were followed up for 36 months. The degree of coordination, service satisfaction, the cumulative termination rate of IUD and the rate of continued use were evaluated. Results: in the surgery with the degree of the observation group was significantly better than the control group (P0.05); postoperative, 3, 6, 12 months of satisfaction in the observation group than the control group (P0.05); IUD12, 24 place and 36 months cumulative loss rate, the pregnancy rate with no significant difference between the two groups (P0.05); 24 and 36 months follow-up observation group for moval rate lower than the control group, the difference was statistically significant (x ~2=7.43, P0.05 x ~2=5.03, P0.05;); 12, 24 and placed 36 months of observation group continuation rate higher than that of the control group (x ~2=4.23, P0.05 x ~2=3.93, P0.05;; X ~2=4.35, P0.05). Conclusion: the degree of satisfaction with the service and personalized nursing can improve the placement of fixed IUD women palace cavity operation, improve the continuous using rate of IUD.
【作者单位】：深圳市计划生育服务中心;深圳市宝安区人口和计划生育服务中心;深圳市龙华妇幼保健院;
【分类号】：R473.71
【正文快照】： 放置宫内节育器(IUD)是一种安全、高效、简便、经济、可逆的节育措施,宫腔深度9cm是放置禁忌证[1]。放置宫腔较大、宫颈口松弛的妇女可选择固定式IUD作为避孕方法[2]。为确保宫腔较大妇女放置IUD手术的顺利进行,提高IUD使用效果,可对其实施个性化护理。本研究探讨其个性化护

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