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背景和目的虽然宫内避孕装置(IUD)和皮下埋植剂(SDI)是美国妇产医学会向大多数女性推荐的避孕措施,但这些长效可逆性避孕(LARC)措施并未得到充分的利用。相关的问题包括费用、不良反应以及对早取的认知。此研究评估了家庭医学诊所有关LARC的满意度、采用率和早取的原因。方法利用计费数据,将>18岁,采用IUD或SDI避孕法的女性纳入研究,以电话方式调查了对LARC的满意度及其不良反应。从电子病历中提取人口统计学信息。结果 132名反馈者(反馈率61.4%)中,采用IUD的占58.3%、采用SDI的占41.7%。早取率为24.2%,72.7%对选择的避孕方法满意。年纪较轻或未经产女性倾向选择SDI,而年纪较大或经产女性倾向选择IUD。年纪较轻或未经产女性较少发生LARC早取。疼痛(常见于IUD)、出血率增加(常见于SDI)与早取率上升相关。结论大多数女性对选择LARC的避孕方法是满意的,仅1/4的调查对象发生LARC早取。LARC的续用率明显优于其他避孕方法。年纪较轻和未经产女性是采用LARC较理想的人群,与年龄较大和经产女性相比,她们更倾向于长期使用LARC。在IUD使用者中加强关于疼痛的咨询服务以及在SDI使用者中加强关于经血变化的咨询服务,可能会分别改善IUD和SDI的早取。
Background and Objective Although intrauterine devices (IUDs) and subcutaneous implants (SDIs) are contraceptives recommended by the American Board of Obstetrics and Gynecology to most women, these long-term reversible contraceptive (LARC) measures are not well-established use. Related issues include costs, adverse reactions, and cognitive abstinence. This study assesses the satisfaction, adoption rates and early adopters reasons of family medicine clinics about LARC. Methods Using billing data, women> 18 years of age using IUD or SDI contraception were included in the study and their satisfaction with LARC and their adverse reactions were investigated by telephone. Demographic information extracted from electronic medical records. Results Of the 132 respondents (61.4% feedback rate), 58.3% used IUD and 41.7% used SDI. Early take-out rate was 24.2%, 72.7% satisfied with the choice of contraceptive methods. Older or less women tend to choose SDI, while older women or women tend to choose IUD. Older or unexpressed women less premature LARC. Pain (common in IUD), increased bleeding rate (common in SDI) was associated with an increased rate of early withdrawal. Conclusions Most women are satisfied with the method of contraception for selecting LARC, with only one-fourth of the respondents taking LARC early. LARC continued significantly better than other contraceptive methods. Lactic and unproductive women are better candidates for LARC and are more likely to use LARC for longer periods of time than their older counterparts. Strengthening counseling on pain among IUD users and strengthening counseling services on changes in menstrual blood among SDI users may improve IUD and SDI respectively.