摘要
目的探讨网络化护理模式对体外受精-胚胎移植女性患者的影响,从而进一步提高生殖中心护理服务质量。方法选取2018年4—12月接受体外受精-胚胎移植治疗的女性患者,按随机数字表法分为干预组102例和对照组99例,干预组患者基于网络平台进行护理干预,对照组进行常规护理,2组干预时间为患者建档确定治疗方案至胚胎移植术后14 d验孕。采用焦虑自评量表(SAS)及抑郁自评量表(SDS)、生育生命质量量表(FertiQoL)、心理韧性量表评价患者干预前后焦虑及抑郁水平、生命质量、心理韧性的差异,观察2组患者移植结局。结果干预后干预组焦虑评定量表(SAS)、抑郁评定量表(SDS)评分分别为(26.03±6.43)、(28.79±5.26)分,低于对照组的(40.76±6.81)、(36.13±6.27)分,差异有统计学意义(t值为-15.77、-9.00,均P<0.01);干预后干预组FertiQoL中的精神和躯体、社会关系、治疗过程的耐受性维度评分分别为(68.21±18.34)、(75.56±19.58)、(69.14±18.91)分,高于对照组的(58.11±17.42)、(67.24±19.27)、(58.77±19.86)分,差异有统计学意义(t值为4.00、3.04、3.79,均P<0.01);干预后干预组心理韧性量表中的坚韧、乐观维度评分分别为(37.03±10.51)、(14.02±3.25)分,高于对照组的(26.73±9.81)、(10.13±3.41)分,差异有统计学意义(t值为7.17、8.28,均P<0.01);干预组患者平均优质胚胎数1.79(0.59,4.51)个、临床妊娠率49.02%(50/102),高于对照组的1.22(0.36,2.86)个、33.33%(33/99),差异有统计学意义(t值为2.47,χ2值为5.10,均P<0.05)。结论网络化护理模式对接受体外受精-胚胎移植治疗女性患者具有积极意义,能够促进患者改善焦虑及抑郁水平、提高生命质量、增强心理韧性。
Objective To investigate the effect of internet nursing model on female patients who are undergoing in vitro fertilization-embryo transfer,improve the quality of nursing service in reproductive center.Methods A total of 201 female patients undergoing in vitro fertilization-embryo transfer from April 2018 to December 2018 were divided into the intervention group(102 cases)and the control group(99 cases)by random digits table method.The patients in intervention group were treated with nursing care based on the internet platform,and the control group was given routine care.The duration of intervention was from the patients determined treatment plan to the time pregnancy test 14 days after embryo transfer.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS),Fertility Quality of Life(FertiQoL),and Connor-Davidson Resilience Scale(CD-RISC)were used to evaluate the differences in anxiety and depression,quality of life,and psychological resilience before and after intervention.The outcome of in vitro fertilization-embryo transfer was observed in two groups.Results After intervention,the score of SAS,SDS were 26.03±6.43,28.79±5.26 in the intervention group,and 40.76±6.81,36.13±6.27 in the control group,the difference were significant(t values were-15.77,-9.00,all P<0.01).After intervention,the dimensional scores of mental and physical,social relationship,tolerance to treatment in the FertiQoL were 68.21±18.34,75.56±19.58,69.14±18.91 in the intervention group,and 58.11±17.42,67.24±19.27,58.77±19.86 in the control group,the difference were significant(t values were 4.00,3.04,3.79,all P<0.01).After intervention,the dimensional scores of tough,optimistic in CD-RISC were 37.03±10.51,14.02±3.25 in the intervention group,and 26.73±9.81,10.13±3.41 in the control group,the difference were significant(t values were 7.17,8.28,all P<0.01).The average number of high-quality embryos and clinical pregnancy rate were 1.79(0.59,4.51),49.02%(50/102)in the intervention group,and 1.22(0.36,2.86),33.33%(33/99)in the control group,the difference were significant(t value was 2.47,χ2 value was 5.10,all P<0.05).Conclusions The new nursing model based on internet has positive significance for the treatment of female patients undergoing in vitro fertilization-embryo transfer,which can improve patients'anxiety and depression,improve their quality of life and enhance their psychological resilience.
作者
徐丽
王丽
褚蓓
季林玉
沈亚
丁家怡
Xu Li;Wang Li;Chu Bei;Ji Linyu;Shen Ya;Ding Jiayi(Center of Reproductive Medicine,Nantong Maternal and Children Health Care Service Hospital,Jiangsu Province,Nantong 226018,China)
出处
《中国实用护理杂志》
2020年第13期967-972,共6页
Chinese Journal of Practical Nursing
基金
南通市市级科技计划(GJZ16031)。
关键词
受精
体外
胚胎移植
生活质量
心理健康
Fertilization
in vitro
Embryo transfer
Quality of life
Mental health
