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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。
OBJECTIVE: To understand the psychological status of women with IUD removal and to explore the impact of regulating family planning services on women’s psychological status. Methods: IUD in our country was selected as representative study site of medical service in 6 provinces as the research site, randomly selected intervention group and control group by lottery method. The intervention group underwent IUD removal surgery according to standard operating procedures, and the control group was performed according to the routine operation techniques of each collaboration center. Nine hundred and seventy healthy volunteers who took IUD surgery and voluntarily participated in this study from 2008 to 2009 to the collaborating center in this study were assessed with SCL-90 before and 1 month after surgery. Psychological evaluation. Results: The preoperative score of each factor in the study group was higher than that in the postoperative (P <0.05). The score of each factor in the intervention group was lower than that of the control group (P <0.05). Conclusion: The standardized removal of IUD operation has a certain effect on improving the mental health status of women.