【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。更多还原

【Abstract】 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 daily-used 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 pre-operative 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 is 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.更多还原