规范知情选择对宫内节育器使用效果的影响

The clinic effectiveness of standardized informed choice on IUD use

目的：探讨规范知情选择对放置宫内节育器（IUD）使用效果的影响,为改进服务提供科学依据。方法：对2011年10月～2012年9月在本服务站放置IUD的650例育龄妇女由医生进行规范知情选择（术前咨询、术后健康教育、术后1、3、6、12个月定期随访）,并以一上年度在本站放置IUD的645例育龄使用情况进行对比,观察放置IUD术后感染率、因症取出率、脱落率、带器妊娠率及续用率。结果：术后复诊率、因症就诊率增加,因症取出率减少,续用率提高。结论：规范知情选择,可提高服务对象的依从性,减少IUD的因症取出率,提高IUD的使用率。

Objective： To investigate the impact of standardized informed choice on the use of intrauterine device （IUD） in order to provide scientific basis for improving service quality. Methods.. From October 2011 to September 2012, 650 women with IUD insertion were served standardized informed choices by doctors （including preoperative counseling, postoperative health education and regular follow up 1, 3, 6, 12 months after the operation）. And 645 women with IUD insertion （October 2010 to September 2011） at the same station were as the control. The infection rate after IUD insertion, removal rate due to side effects, the expulsion rate, pregnancy rate and continuation rate were evaluated. Re- sults： Postoperative initiative follow-up rates increased, the removal rate due to bleeding significantly reduced, and the cumulative continuation rate improved significantly. Conclusion： Standardized informed choice can improve the client＇s compliance, reduce the removal rate of IUD due to side effects, and increase the cumulative continuation rates.