摘要
目的探讨共享决策干预对体外受精-胚胎移植(IVF-ET)患者希望水平、干预依从性的影响。方法选取102例IVF-ET患者作为受试对象,采用随机数字表法分为观察组与对照组,各51例。对照组采用常规护理干预,观察组在此基础上实施共享决策干预。比较2组患者干预前后的疾病相关知识掌握度、心理状态、希望水平和干预后的治疗依从性、妊娠结局。结果干预后,2组患者疾病相关知识掌握度评分及希望水平各项指标评分高于干预前,且观察组各项评分高于对照组,差异有统计学意义(P<0.05);干预后,2组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于干预前,且观察组评分低于对照组,差异有统计学意义(P<0.05);干预后,观察组治疗总依从率高于对照组,获卵数多于对照组,差异有统计学意义(P<0.05),而2组移胚数、流产率及临床妊娠率比较,差异无统计学意义(P>0.05)。结论共享决策干预可明显改善IVF-ET患者心理状态,提高其希望水平及治疗依从性,且能显著提高妊娠率。
Objective To investigate the effect of shared decision-making intervention on level of hope and compliance to intervention in patients with in vitro fertilization-embryo transfer(IVF-ET).Methods A total of 102 patients with IVF-ET were selected and randomly divided into observation group and control group,with 51 cases in each group.Control group was given routine nursing intervention,and observation group was given shared decision-making intervention on the basis of control group.The disease-related knowledge mastery,psychological status and hope level were compared between the two groups before and after intervention,and the compliance to intervention and pregnancy outcomes were recorded.Results After intervention,the scores of mastery degrees of disease-related knowledge and hope level in both groups were significantly higher than those before intervention,and the scores of indexes above in the observation group were significantly higher than those in the control group(P<0.05).After intervention,the scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in both groups were significantly lower than those before intervention,and the scores of indexes above in the observation group were significantly lower than those in the control group(P<0.05).After intervention,the total compliance rate of the observation group was significantly higher than that of the control group,and the number of obtained ovum was significantly more than that of the control group(P<0.05).There were no significant differences in number of transferred embryos,abortion rates and clinical pregnancy rate between the two groups(P>0.05).Conclusion Shared decision-making intervention can significantly improve the psychological status of patients with IVF-ET,alleviate the negative emotions,enhance the hope level and compliance to intervention,and improve the pregnancy rate.
作者
宋娟
王敏
SONG Juan;WANG Min(Reproductive Center,Northwest Women and Children′s Hospital,Xi′an,Shaanxi,710003)
出处
《实用临床医药杂志》
CAS
2020年第4期73-76,80,共5页
Journal of Clinical Medicine in Practice
基金
陕西省卫生健康科研基金项目(2018D037)。
关键词
共享决策
心理状态
希望水平
妊娠结局
依从性
shared decision-making
psychological status
hope level
pregnancy outcomes
compliance
