An Observation Study On The Influence Of The 52-mg Levonogestrel-releasing Intrauterine System On Emotion

Objective: To explore the influence of the 52-mg levonogestrel-rele asing intrauterine system(LNG-IUS 20)on female emotion and analysis the possible influencing factors simplelyMethods: An retrospectively observational study was conducted in t he women who were placed with the LNG-IUS 20 in the Second Hospi tal of Hebei Medical University from January 2017 to January 2018 an d who also met the inclusion criteria.They were issued electronic questi onnaires which includ the general content questionnaire,the brief POMS scale,the self-rating anxiety scale(SAS)and the self-rating depression s cale(SDS)through inpatient and/or outpatient follow-up and the follow-u p telephone calls,and the emotional changes of women were analyzed a mong the questionnaires which were completed before,6 months after a nd 1 year after the adoption of LNG-IUS 20.Results: From January 2017 to January 2018,a total of 1,276 wo men were placed the 52-mg levonogestrel-releasing intrauterine system(L NG-IUS 20)in the Second Hospital of Hebei Medical University,while 558 of whom met the Inclusion criteria and exclusion criteria,and 474 of whom completed the emotion questionnaires,with an average age of38.47±5.44 years and an average BMI of 25.96 ±6.29.The results of th e emotional questionnaire analysis before,after and one year after the a doption of LNG-IUS 20 show that:the scores of energy-vitality and selfesteem related emotions in positive emotions were basically the same a mong before,6 months after and 1 year after the adoption of LNG-IUS 20,with p values of 0.895 and 0.752 respectively,both > 0.05,and th e difference was not statistically significant.The average score of anger-h ostility dimension in negative emotions decreased in turn before,6 months after and 1 year after the adoption of LNG-IUS 20,with a p value of 0.01,and the difference was statistically significant.The scores of anx iety before,6 months after and 1 year after the adoption of LNG-IUS 20 were not different significantly(p = 0.496,> 0.05).Though the score s of depression,fatigue-inertia,confusion-bewilderment were lower tha n those before in 6 months and 1 year after the adoption of LNG-IUS 20,but the p values were all > 0.05,and the difference was not statisti cally significant.The average value of TMD which for total emotional di sorder assessment showed a downward trend in before,6 months after a nd 1 year after placed LNG-IUS 20,but the p value was 0.188,> 0.05,and the difference was not statistically significant.The age,BMI,educat ion level,long-term residence,per capita disposable income,effect,satis faction and side effects were correlated with the scores of 5 emotional dimensions,TMD,which in the brief POMS scale and self-rating anxiet y scale,self-rating depression scale before,6 months after and 1 year after placed LNG-IUS 20 respectively,and then multiple linear regressio n analysis was performed.Only the model P value containing effect wa s less than 0.05.Conclusions: The mixed factors such as age,BMI,education level,long-term residence and per capita disposable income have no statistica l significance and can be ignored.The 52-mg levonogestrel-releasing intra uterine system has no significant effect on the two dimensions of energ y-vitality and self-esteem related emotions in positive emotions.However,the LNG-IUS 20 can significantly improve the anger-hostility dimensio n of negative emotions.While,it has little effect on negative emotional dimensions such as anxiety,depression,fatigue-inertia,confusion-bewil derment,etc.Moreover,the LNG-IUS 20 has little effect on the overall assessment of mood disorder.However,the reason why it can improve the dimension of anger-hostility negative emotions is not clear,or is rel ated to its higher effectiveness and satisfaction.