臺灣地區婦女使用子宮內避孕器（樂普、銅T、母體樂）後，自覺副作用之研究

A Study on the Self-Perceptive Side Effects of Users of Intra-Uterine Devices in Taiwan Area

姜錦燁(C. Y. Chiang) ； 林文龍(W. L. Lin)

《中華民國公共衛生學會雜誌》 7卷2期 (1987/09) Pp. 20-36

https://doi.org/10.6288/JNPHARC1987-07-02-03

摘要

故意取出是婦女停換用子宮內避孕器的首要原因，而副作用是故意取出的主要原因。本研究針對台灣地區裝置樂普、銅T和母體樂的婦女，分析其各種副作用的發生比率並討副作用種類、嚴重度、持續時間與避孕器種類、繼續使用狀況、婦女之避孕偏好和其它特性的關係。
研究資料取自台灣省家庭市計畫研究所民國七十三年「台灣地區各種避孕方法接受者追踪調查」資料。除了各種資料本身代表著實際的可能狀況作，它們亦浮現出下到幾種可能的關係：1．自覺有副作用的比率佔所有使用婦女的46.6%，且其中至少一半以上最後會因副作用而取出避孕器。2．副作用的發生與避孕器種類無統計相關，而對使用期間長短和對以彼避孕方法的偏好有影響性。3．婦女將無關的不適歸罪於避孕器的情形可能是存在的。4．使用避孕器經驗不適者，更易鼓勵從使其接受結紮。5．自覺副作用比率以在私立醫院診所裝置者爲最低。

並列摘要

Removal is the most important reason for terminating the use of IUDs, and side effect is the main reason for removing IUDs. This paper estimated the occurrence rates of side effects perceived by users of IUDs and studied the relationships between side effects and types of IUDs, results of use and preferences for contraceptives.
Data were drawn from ”the Follow-up Survey of Contraceptive users” conducted by Taiwan Provincial Institute of Famiy Planning in 1985. Besides the result showed form the descriptive data, it appeared some possible relationships: (1) 46.6% of the users perceived to have side effects and at least half of them terminating the use of IUDs for the side effects. (2) There was no relationship between side effects and types of IUDs. But side effects had influences on the duration of use and future preferences for contraceptives. (3) It may be true that IUDs were sometimes blamed for the complaints which were not relative to IUDs. (4) Users with uncomfortable experience in IUDs may be persuaded to accept ligation more easily. (5) Occurrence rate of self-perceptive side effects was lowest while IUDs were inserted by private hospitals or clinics.

並列關鍵字

IUDs ； side effect ； self-perception ； seriousness degree ； duration ； preference for contraception