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The purpose of the overall goal: to understand The Mirena enter China a few years to use satisfaction and consulting, and explore the related factors. Specific objectives include (1) understanding of Mirena use; the the ② Mirena use satisfaction situation and related factors; the ③ Mirena use before and after counseling Xun and related factors; the ④ consulting Mirena use satisfaction The degree of impact. Combination of methods of quantitative research and qualitative research methods. In nearly five years, placed Mirena Mirena detailed registration of women as research subjects. Quantitative study using the enclosed questionnaire inquired by telephone, and investigate census manner. Before the survey and the training of investigators, each questionnaire after two investigators and quality control staff audit. With EpiData3.0 database software to create the database, double-entry questionnaire consists of two specialized personnel. SPSS13.0 statistical software analysis of the general statistical description and the chi-square test. Developed before the individual in-depth interviews, qualitative research interview outline, select 20 users with different characteristics from the quantitative study, recording the interview process to seek the consent of the interviewee, after the recording is transcribed into text, encode lists classification table, writing a qualitative research report. The results including the use of some of the relevant circumstances before and after Mirena satisfactory situation, consultative the Xun situation and consulting the satisfaction of four parts. Including the results of quantitative research and qualitative interviews. Before and after the use of some of the relevant circumstances: before use, 81.6% of women Mirena related information from the hospital or doctor to understand; 45.7% of people choose to use because the doctor recommended Mirena; interviews , many women also said that \of those, 84.0% appeared lighter; \spotting; \(χ2 = 5.073, P <0.024), and remove the Mirena music can be resumed menstruation (χ2 = 4.585, P <0.032), user satisfaction is higher than those who had not been informed of the users, amenorrhea held user satisfaction is higher than receptive \menstruation \④ the survey a total of 9.0% to terminate the use of Mirena, are not satisfied with the reasons accounting for 6.12%, the specific reasons spotting (2.52%), amenorrhea (1.79%), hormonal responses (1.80%), and stepwise regression analyzes, impact on daily life (χ2 = 34.067, P <0.000), placed the follow-up satisfaction (χ2 = 8.167, P <0.017) and the placed side effects less or lighter (χ 2 = 9.742, P < 0.002), the user terminates usage is low, is not easy to remove. 2. Satisfaction: the Mirena overall satisfaction is relatively high, reaching 88.5%, which is very satisfactory and satisfactory 49.3%;, to the satisfaction of the contraceptive effect (98.2%), the price of the highest level of dissatisfaction (31.8%), followed by adverse events (24.1%) and amenorrhea (20.2%); qualitative interviews also found that \clean and months, \Influencing Factors found below the age of 35 years (χ 2 = 87.677, P <0.000), placed after the normal menstrual cycle (χ 2 = 14.080, P <0.000) users, no adverse reactions or adverse reactions lighter (χ2 = 11.312, P <0.001) of user satisfaction is high, the extension of storage time (χ 2 = 5.319, P <0.001), with the Mirena satisfaction has increased, and placed before the consultation (χ2 = 5.198 , P <0.027), the services of a doctor when consulting a good attitude (χ2 = 7.767, P <0.014), and give women a satisfactory answer (χ2 = 8.931, P <0.012), will increase the satisfaction of Mirena. consulting situation: placed Mirena, only 36.6% of the consultative Xun, of which 79.7% are medical staff consultative Xun; 49.8% of users placed after consulting which 82.7% is advisory to doctors; part of the interview subjects expressed a similar situation, \hospital for consultation. \), treatment (χ2 = 15.763, P <0.000), side effects (χ 2 = 7.485, P <0.006) Mirena users take the initiative to consult more, and the history of abortion (χ2 = 12.274, P <0.001), the Mirena information to understand from the hospital (χ2 = 22.765, P <0.000) and placed before the commonly used oral contraceptives contraception (χ 2 = 8.538, P <0.003), users take the initiative to consult less. Consulting an impact on satisfaction: placed before the consultative Xun (χ 2 = 5.198, P <0.027), the services of a doctor when consulting a good attitude (χ 2 = 7.767, P <0.014) and to give women a satisfactory answer (χ2 = 8.931, P <0.012), will increase the satisfaction of Mirena. The women interviewed said, \The attitude is good, so I can rest assured point. Conclusion The main conclusion following 4:00 .1. Mirena main source of information and means comprehensive and specialized hospitals, doctors recommend the use of Mirena has an important role; placed about half of the people placed adverse reactions , two fifths amenorrhea. Placed before consulting can improve the satisfaction of amenorrhea; mild side effects, impact on daily life, or to get a timely and efficient follow-up, the termination of the Mirena utilization rate will decline; 2. Mirena higher overall satisfaction, satisfaction with contraceptive effect; younger, placed the normal menstrual cycle, non-related side effects or mild side effects, place the longer higher user satisfaction, placed before advisory, and consulting provider with a good attitude, able to give advice to answer satisfactorily, will increase the satisfaction of Mirena; Conversely, lower satisfaction. 3 Mirena consulting situation is not ideal. Only one-third of users had placed before the consultation, nearly half of the users placed after consulting Advisory ways, mostly to the medical staff. Younger, the average monthly household income is higher and contraception, treatment, side effects Mirena users take the initiative to consult more, and have a history of miscarriage, of the Mirena understand from the hospital and placed before the commonly used oral contraception drug contraceptive users take the initiative to consult less. The quality of advice is good or bad affect the Mirena satisfaction. A high-quality counseling can improve the use of Mirena satisfaction.
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