Fathizadeh Nahid, Abdi Fatemeh, Savabi Mitra
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2011 Fall;16(4):304-8.
Irregular population growth is considered as a serious threat to the international community and is also a major obstacle for nations' social and economic development. Thus, one of the ways to have a healthy community is to control the population and provide safe and effective contraceptive methods. Hormonal contraceptives are the most effective method of birth spacing. The present study aimed to determine and compare satisfaction from hormonal contraceptives including depot medroxyprogesterone acetate (DMPA), Cyclofem and LD in women referred to selected health care centers of Isfahan in 2010.
This was a descriptive-comparative study with cross-sectional data collection method from 26 April 2010 to 28 October 2010. Simple non-probability sampling was used to select 150 individuals (divided into three groups of 50) among the females who referred to 8 selected health care centers in Isfahan to receive DMPA, Cyclofem, or LD for the first time, and/or those who had used contraceptives for three months. To assess satisfaction rate and its related factors, the standard ORTHO Birth Control Satisfaction Assessment Tool (BC-SAT) was completed three months after medicine consumption through interviewing. Data was analyzed using descriptive and inferential statistics (Fisher's exact, chi-square, ANOVA, and LSD tests).
There were no significant differences in terms of mean score of satisfaction between the three groups. Cyclofem (192.2) and DMPA (188.1) gained the highest and lowest mean satisfaction scores, respectively. Although the mean satisfaction score in areas of ease of use/appropriateness, interference in menstruation pattern, acceptance and continuation of the method had significant differences in three groups, no statistically significant difference was observed in lifestyle, confidence to the method, side effects, concerns about future pregnancies and total satisfaction.
Generally, there was no difference in satisfaction from the three studied hormonal contraceptives.
人口增长不均衡被视为对国际社会的严重威胁，也是各国社会经济发展的主要障碍。因此，拥有健康社会的方法之一是控制人口并提供安全有效的避孕方法。激素避孕是最有效的生育间隔方法。本研究旨在确定并比较2010年转诊至伊斯法罕选定医疗中心的女性对包括醋酸甲羟孕酮长效注射剂（DMPA）、复方孕二烯酮炔雌醇片（Cyclofem）和左炔诺孕酮片（LD）在内的激素避孕方法的满意度。
这是一项描述性比较研究，采用2010年4月26日至2010年10月28日的横断面数据收集方法。采用简单非概率抽样，从转诊至伊斯法罕8家选定医疗中心首次接受DMPA、Cyclofem或LD治疗的女性，和/或已使用避孕药三个月的女性中选取150名个体（分为每组50人的三组）。为评估满意度及其相关因素，在服药三个月后通过访谈完成标准的ORTHO避孕满意度评估工具（BC - SAT）。使用描述性和推断性统计（Fisher精确检验、卡方检验、方差分析和LSD检验）对数据进行分析。
三组之间的平均满意度得分无显著差异。Cyclofem（192.2）和DMPA（188.1）分别获得最高和最低的平均满意度得分。尽管在使用方便性/适用性、对月经模式的干扰、方法的接受度和持续使用方面的平均满意度得分在三组中有显著差异，但在生活方式、对方法的信心、副作用、对未来怀孕的担忧和总体满意度方面未观察到统计学显著差异。
总体而言，三种研究的激素避孕方法的满意度没有差异。
