PDF(Pubmed)
Abstract：
The discomfort and anxiety associated with the intrauterine device (IUD) insertion process is a significant barrier to its adoption as a form of contraception despite its high efficacy. This study aimed to classify and identify methods for minimizing pain and anxiety in IUD implantation in women below the age of 49. A search of publications from online databases, PubMed and Google Scholar, revealed 14 articles that met the inclusion criteria. An analysis of the selected studies showed that several pharmacological and non-pharmacological measures effectively minimized patient discomfort associated with IUD insertion. Of the 14 studies, 12 evaluated pharmacological methods for pain management in IUD insertion, while two studies assessed non-pharmacological methods. The results showed that although the IUD is more effective than other forms of contraceptives, fear of pain related to the insertion process is one of the most significant barriers to the use of an IUD among women. Most studies identified pharmacological methods of pain management for IUD insertion, highlighting a need for more research on non-pharmacological methods to improve patient experiences and reduce associated fears.
摘要：
与宫内节育器（IUD）插入过程相关的不适和焦虑是其作为避孕形式采用的重要障碍，尽管其功效很高。这项研究旨在对49岁以下妇女在宫内节育器植入中减少疼痛和焦虑的方法进行分类和确定。从在线数据库中搜索出版物，PubMed和谷歌学者，披露了14篇符合纳入标准的文章。对选定研究的分析表明，几种药理学和非药理学措施有效地将与IUD插入相关的患者不适降至最低。在14项研究中，12评估了IUD插入疼痛管理的药理学方法，而两项研究评估了非药理学方法。结果表明，尽管宫内节育器比其他形式的避孕药更有效，对与插入过程相关的疼痛的恐惧是妇女使用宫内节育器的最重要障碍之一。大多数研究确定了IUD插入疼痛管理的药理学方法，强调需要对非药物方法进行更多研究，以改善患者体验并减少相关恐惧。
