舒适护理在经阴道超声引导下取卵术中的应用效果

The effect of comfortable nursing in patients undertaken ultrasound-guided transvaginal oocyte retrieval

目的观察舒适护理在经阴道超声引导下取卵术中的应用效果。方法选择2011年7月～2012年6月深圳市罗湖区人民医院生殖医学中心未开展舒适护理模式的704例取卵患者为对照组,2012年7月～2013年6月已开展舒适护理的765例患者为观察组。对照组给予常规护理,观察组在常规护理的基础上,给予舒适护理。进入周期时及取卵术后发放问卷,采用焦虑自评量表(SAS)进行焦虑评分、简化舒适状况量表(GCQ)进行舒适度评分及满意度调查表进行患者对护理满意度评分。结果进入周期时对照组焦虑评分为(60.21±6.34)分,观察组为(60.64±6.41)分,两组比较差异无统计学意义(P>0.05);取卵术后,观察组焦虑评分[(51.45±4.78)分]低于对照组[(43.28±4.02)分],两组比较差异有高度统计学意义(P<0.01),两组取卵术后焦虑评分均低于进入周期时,差异均有统计学意义(P<0.05);取卵术后观察组患者生理、精神心理、环境、社会4个维度的舒适度得分[(3.02±0.25)、(3.46±0.17)、(3.16±0.43)、(3.27±0.26)分]均高于对照组[(2.96±0.14)、(3.01±0.21)、(2.98±0.35)、(3.04±0.38)分],差异均有统计学意义(均P<0.05);观察组护理非常满意及满意率均明显高于对照组,而不满意率低于对照组,组间率的差异具有高度统计学意义(χ2=53.11,P<0.001)。结论经阴道超声引导下取卵术中实施舒适护理能缓解患者的焦虑情绪,增加患者的舒适感,同时有利于提高护理满意度。

Objective To observe the effect of comfortable nursing on patients undertaken ultrasound-guided transvaginal oocyte retrieval. Methods 704 patients from July 2011 to June 2012 when comfortable nursing mode had not been carry out in Luohu District People＇s Hospital of Shenzhen City were selected as control group, and 765 patients from July 2012 to June 2013 when comfortable nursing mode had been carry out in Luohu District People＇s Hospital of Shenzhen City were selected as observation group. The control group were given routine care, Observation group were given comfortable nursing mode in addition. Questionnaires were filled out at the time registered to IVF-ET and after oocyte retrieval by the patients of two groups, Anxiety and comfortable degree were scored by self-rating anxiety scale （SAS） and simplify GCQ respectively and nursing satisfaction of patients were scored by questionnaire. Results The anxiety score at the time registered to in vitro fertil- ization-embryotransfer （IVF-ET） of the control group was （60.21±6.34） scores and the observation group was （60.64±6.41） scores, the difference of two was no statistically significant （P 〉 0.05）. After oocyte retrieval, the anxiety score of the observa-tion group [（43.28±4.02） scores] was lower than that of control group [（51.45±4.78） scores], the difference was high statistically significant （P 〈 0.01）, both of which decreased markedly compared with score at the time of registering to IVF-ET （P 〈 0.05）. After oocyte retrieval,the comfort scores on physical, psyehospiritual, environmental and soeioeuhural aspects of observation group [（3.02±0.25）, （3.46±0.17）, （3.16±0.43）, （3.27±0.26）scores] were higher than those of control group [（2.96±0.14）, （3.01 ±0.21）, （2.98±0.35） ,（3.04±0.38）scores], the differences were statistically signifieant（P 〈 0.05）; the rate of great nursing satisfaction and satisfaction in observation group were higher than those of control group, but the nursing dissatisfaction was lower than that of control group, the rate of nursing satisfaction in the two groups was found had statistically significant difference（x2=53.11, P 〈 0.001）. Conclusion Comfortable nursing can relieve anxious emotions and increase the feelings of comfort when patients un- dertakening hrasound-guided transvagina] oocyte retrieval. In the meantime, it improves the patient＇s nursing satisfaction.