个性化护理对大宫腔妇女使用宫内节育器效果的影响

The influence of personalized care on effects of intrauterine device using for women with big uterine cavity

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(P<0.05);术中、术后3、6、12个月的满意度观察组明显优于对照组(P<0.05);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(P>0.05);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,P<0.05;χ~2=5.03,P<0.05);放置12、24和36个月观察组续用率高于对照组(χ~2=4.23,P<0.05;χ~2=3.93,P<0.05;χ~2=4.35,P<0.05)。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。

Objective： To explore the influence of personalized care on effects of intrauterine device using for women with big uterine cavity. Methods：400 healthy women with big uterine cavity wanted to insert intrauterine device （IUD） were randomly divided into 2 groups（each group 200 cases）, which included personalized care group（group P） and control group（group C）. All the included women were inserted fixed IUD with indomethacin, and had been followed up for 36months.The degree of cooperation of women during operation, satisfaction of women, pregnancy rate with IUD in situ, rate of removing due to symptom, rate of IUD cumulative loss, the rate of continuous use, pain rate of the waist and abdomen, rate of abnormal menstrual of women were compared between the two groups. Results.. Cooperation of women during operation in group P was significantly higher than that of women in group C （P 〈 0.05）.Satisfaction of women during operation and when 3,6,12 months postoperative followed up were significantly higher than those of women in group C （P 〈 0.05）. There were no significant difference of pregnancy rate with IUD in situ and rate of IUD cumulative loss of women when 12,24 and 36 months postoperative followed up between the two groups （P 2〉0.05）. The rate of removing due to symptom of women when 24,36 months postoperative followed up in group P was signifi cantly lower than that of women in group C（x^2 = 7.43,P〈0.05; x^2 = 5.03,P〈0.05）The rate of continuous use of women when 12,24,36 months postoperative followed up in group P was significantly higher than that of women in group C （x^2 = 4.23, P 〈0.05 ;x^2 = 3.93, P〈0.05 ; x^2 = 4.35, P〈0.05）.Conclusion： Personalized care can increase operative cooperation and satisfaction for women with big uterine cavity, decrease the rate of removing due to symptom, and improve the rate of IUD continuous.