护士对宫内节育器放置的随访：一项前瞻性纵向研究。
Follow-up of copper intrauterine device insertion by nurses: a prospective longitudinal study.
作者信息
Trigueiro Tatiane Herreira, Ferrari Jerferson Cleiton, Souza Silvana Regina Rossi Kissula, Wall Marilene Loewen, Barbosa Rute
机构信息
Universidade Federal do Paraná. Curitiba, Paraná, Brazil.
出版信息
Rev Bras Enferm. 2020 Nov 11;73(suppl 4):e20200156. doi: 10.1590/0034-7167-2020-0156. eCollection 2020.
OBJECTIVE
to assess the complications, acceptability and causes of discontinuation of women who inserted copper intrauterine devices at a usual risk maternity for one year.
METHODS
a longitudinal-prospective study, lasting 12 months. Eighty-three women who received the device by a doctor or nurse in a maternity hospital between September and October 2017 participated. Data were collected at one, six and 12 months after insertion and underwent descriptive analysis.
RESULTS
most were inserted by nurses and 71 continued with the device. Women chose IUD use because there is no risk of forgetfulness, it is non-hormonal and effective. The 12 who discontinued use reported dysmenorrhea, menorrhagia, irregular bleeding, fall out, and endometrium perforation.
CONCLUSION
the method was continued by most of participants and the complications found are common to the literature. There is a need to expand nursing training to increase the offer to the population.
目的
评估在普通风险产科置入铜宫内节育器一年的女性的并发症、可接受性及停用原因。
方法
一项为期12个月的纵向前瞻性研究。2017年9月至10月间在一家产科医院由医生或护士为83名女性置入了该装置。在置入后1个月、6个月和12个月收集数据并进行描述性分析。
结果
大多数由护士置入，71名女性继续使用该装置。女性选择使用宫内节育器是因为不存在遗忘风险、非激素且有效。12名停用者报告了痛经、月经过多、不规则出血、脱落及子宫内膜穿孔。
结论
大多数参与者继续采用该方法，所发现的并发症与文献报道相符。有必要扩大护理培训以增加对人群的服务。
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