Objective: To explore the psychological and mental health status of women at reproductive age before intrauterine device (IUD) insertion, in order to provide a theoretical and practice basis for better family planning and contraceptive quality service. Methods: Women underwent psychological evaluation with symptom checklist 90 (SCL -90) , selfrating anxiety scale (SAS) and selfrating depression scale (SDS) before intrauterine device insertion. Results; There was no significant difference between the score of SCL - 90 of these women and that of the national norm in somatization and psychosis (P > 0.05 ) , while scores of other factors were even lower than those of the national norm ( P < 0. 05 ). The score of SDS was lower than that of -the national norm ( P < 0.05 ). And the score of SAS was higher than that of the national norm ( P < 0.05 ). Conclusion: IUD insertion was a safe, simple, effective, reversible and acceptable contraceptive measure. While it could induce symptoms of mild anxiety because of the operation may act as a stress source.%目的:了解放置宫内节育器(IUD)育龄妇女的精神症状及心理卫生状况,为更好地开展避孕节育优质服务提供理论和实践依据.方法:对2008年3月～2009年12月在广州市人口和计划生育科学研究所放置IUD的妇女行症状自评量表(SCL-90)、焦虑自评量表(SAS)和抑郁自评量表(SDS)心理测评.结果:SCL-90与全国常模相比,除躯体化、精神病性因子无明显差异外,其余各因子评分均低于全国常模(P<0.05);SDS分值亦低于全国常模(P<0.05);SAS分值则高于全国常模(P<0.05).结论:放置IUD是一个安全、简单、有效、可逆的避孕措施,但作为一项手术,可能成为一个应激源,引发置器妇女的轻度焦虑症状.
展开▼
