發(fā)布時間：2017-12-27 19:02

  本文關鍵詞：個性化護理對大宮腔婦女使用宮內(nèi)節(jié)育器效果的影響　出處：《中國計劃生育學雜志》2017年03期 　論文類型：期刊論文

  更多相關文章： 個性化護理 大宮腔 配合程度 滿意度 宮內(nèi)節(jié)育器失敗率

【摘要】：目的:探討個性化護理對大宮腔婦女使用宮內(nèi)節(jié)育器(IUD)效果的影響。方法:400例要求放置IUD的大宮腔婦女隨機分為兩組(各200例),對照組行一般護理,觀察組行個性化護理,所有對象均放置含吲哚美辛硅橡膠的固定式IUD(天津和杰醫(yī)療有限公司),并隨訪36個月。評價對象術中配合度、服務滿意度、放置IUD累計終止率和續(xù)用率。結(jié)果:在術中配合度上觀察組明顯優(yōu)于對照組(P0.05);術中、術后3、6、12個月的滿意度觀察組明顯優(yōu)于對照組(P0.05);放置IUD12、24和36個月累積脫落率、帶器妊娠率兩組差異無統(tǒng)計學意義(P0.05);24、36個月隨訪時觀察組因癥取出率低于對照組,差異有統(tǒng)計學意義(χ~2=7.43,P0.05;χ~2=5.03,P0.05);放置12、24和36個月觀察組續(xù)用率高于對照組(χ~2=4.23,P0.05;χ~2=3.93,P0.05;χ~2=4.35,P0.05)。結(jié)論:個性化護理可提高大宮腔婦女放置固定式IUD的術中配合度和服務滿意度,提高IUD的續(xù)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.
【作者單位】： 深圳市計劃生育服務中心;深圳市寶安區(qū)人口和計劃生育服務中心;深圳市龍華婦幼保健院;
【分類號】：R473.71
【正文快照】： 放置宮內(nèi)節(jié)育器(IUD)是一種安全、高效、簡便、經(jīng)濟、可逆的節(jié)育措施,宮腔深度9cm是放置禁忌證[1]。放置宮腔較大、宮頸口松弛的婦女可選擇固定式IUD作為避孕方法[2]。為確保宮腔較大婦女放置IUD手術的順利進行,提高IUD使用效果,可對其實施個性化護理。本研究探討其個性化護

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