放置宫内节育器对育龄妇女心理的影响

Impact of intrauterine device insertion on the psychological status of childbearing age women

目的探讨放置宫内节育器(intrauterine device,IUD)对育龄妇女心理状态的影响并分析其影响因素。方法采用多中心临床观察的方法于2015年9月至2017年8月在苏中、苏南、苏北地区的妇幼保健计划生育服务中心选取要求放置IUD的育龄妇女269例,分别采用抑郁自评量表和焦虑自评量表对其在IUD放置术前和术后1、3个月的心理状况进行测评,分析比较其手术前后心理状态的变化情况。结果共262例育龄妇女完成了IUD放置术前和术后1、3个月心理测评量表。术后妇女心理焦虑和抑郁程度明显低于术前,差异有统计学意义(P<0.05)。高危、职业、文化程度、首次使用可能是妇女术后心理恢复的影响因素(P<0.05)。结论 IUD放置术对妇女的心理状态无不利影响,对于高危、文化程度低、首次使用以及农村妇女在手术前后需要格外关注其心理状况。

Objective To investigate the impact of intrauterine device(IUD)insertion on the psychological status of childbearing age women and related risk factors.Methods From September 2015 to August 2017,a multicenter clinical observational study was performed.Totally 269 women were selected from 3 maternal and child health family planning service centers among southern Jiangsu,central Jiangsu and northern Jiangsu to analyze the changes of women’s mental state before and 1,3 months after surgery by SDS and SAS questionnaires.Results A total of 262 women of childbearing age completed the psychological assessment scale before and 1 or 3 months after IUD placement.The degree of anxiety and depression in women after surgery was statistically significance lower than that before(P<0.05).High risk,rural women,low educational level and first use might be factors influencing women’s postoperative psychological recovery(P<0.05).Conclusions IUD insertion surgery has no adverse effect on women’s mental state.Women with high risk,low education,first use,living in country require more of our attention to their mental state before and after surgery.