摘要：目的 了解基层计划生育服务人员对宫内节育器(IUD)失败原因的认识,探讨导致IUD失败的主要影响因素,并提出预防策略.方法 采用定性研究的方法对县、乡计划生育技术服务人员进行小组集中访谈,对访谈资料进行转录、编码、分类、汇总和分析.结果 大多数技术服务人员认为脱落、移位、出血、疼痛等不良反应问题是导致IUD使用失败的直接原因;其次是操作不规范、不能知情选择、放环过早等原因;还有部分人员认为服务对象的传统观念、恐惧心理也是导致失败的原因之一.结论 积极开展学历教育和业务练兵活动,提高技术服务人员的技术水平和服务能力;加强术前咨询、宣教和随访,提高IUD的续用率,减少失败率;加大对IUD新产品的开发力度,推广新产品和新技术. Abstract： Objective To study the view of grassroots service of family planning departments on the failure of intrauterine contraceptive device, and to explore the main influencing factors of induced failure about IUD, and to give suggestions on prevention strategies. Methods Stratified sampling was adopted in this study, and quality study method (focus group discussion) was conducted to investigate grassroots service of family planning departments in three counties of Henan province. Results Most grassroots service personnel think that the direct reason of failure of IUD among women was the adverse reaction, such as expulsion, bleeding, pain, et al. The second reason were non-standard operation, non-informed choice, advanced place IUD, et al. Furthermore, some family planning technical service personnel think that traditional values and fearing were the major reasons of failure of IUD. Conclusions We should employ the qualified service staffs and give them the necessary training, and try to upgrade their skills and service; Intensify preoperative consultation, publicity and education and postoperative follow-up, improve sustaining rates of IUD and reduced

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