“移动助医”阶段性动态宣教对体外受精-胚胎移植患者的影响

Impact of "mobile assistance doctors" stage dynamic missions on in vitro fertilization embryo transfer patients

目的构建"移动助医"阶段性动态宣教模式,并将其应用于体外受精-胚胎移植患者中,以进一步提高生殖中心健康教育质量。方法便利抽样选取2018年10月—2019年9月温州医科大学附属第二医院生殖中心收治的体外受精-胚胎移植患者340例,按照入院时间不同分为对照组与观察组,每组各170例。对照组实施常规宣教,观察组以对照组为基础联合"移动助医"模块实施阶段性动态宣教,比较2组患者干预效果。结果妊娠确认日,观察组的焦虑、抑郁情绪及消极应对方式得分分别为(36.46±3.79)分、(35.90±3.39)分、(22.15±4.48)分,均明显低于对照组的(40.07±4.43)分、(40.84±4.17)分、(25.09±5.13)分,观察组积极应对方式得分为(40.15±5.56)分,明显高于对照组的(37.53±6.02)分,差异均有统计学意义(均P<0.05);胚胎移植日,观察组的皮质醇水平为(49.12±4.11)pg/mL,明显低于对照组的(52.30±4.53)pg/mL,差异有统计学意义(P<0.05);妊娠确认日,观察组健康知识知晓率(90.59%)明显高于对照组(80.59%),且观察组健康教育满意度(95.88%)明显高于对照组(89.41%),差异均有统计学意义(均P<0.05)。结论 "移动助医"阶段性动态宣教能够明显改善体外受精-胚胎移植患者的负性情绪、心理应激及应对方式,提高患者满意度。

Objective Build a"mobile medical assistant"stage dynamic missionary education model,and apply it to patients with in vitro fertilization and embryo transfer,To further improve the quality of health education in reproductive centers.Methods Total 340 patients undergoing IVF-embryo transfer admitted to the Reproductive Center of the Second Affiliated Hospital of Wenzhou Medical University were selected by convenient sampling.According to the time of admission,they were divided into control group and observation group,170 cases in each group.The control group performed routine mission,and the observation group based on the control group combined with the"mobile assistance doctors"module to implement periodic dynamic mission.The intervention effects of the two groups were compared.Results At the pregnancy confirmation day,the scores of anxiety,depression and negative coping style in the observation group were(36.46±3.79)points,(35.90±3.39)points,(22.15±4.48)points,significantly lower than the control group[(40.07±4.43)points,(40.84±4.17)points,(25.09±5.13)points],and the observation group’s positive coping style score was(40.15±5.56)points,significantly higher than the control group(37.53±6.02)points,the differences were statistically significant(all P<0.05).At the embryo transfer day,the cortisol level in the observation group was(49.12±4.11)pg/mL,significantly lower than that in the control group(52.30±4.53)pg/mL,the difference was statistically significant(all P<0.05).At the pregnancy confirmation day,the health knowledge awareness rate in the observation group(90.59%)was significantly higher than that in the control group(80.59%),and the health education satisfaction of the observation group(95.88%)was significantly higher than that of the control group(89.41%),the differences were statistically significant(all P<0.05).Conclusion"Mobile assistance doctors"stage dynamic mission can significantly improve the negative emotions,psychological stress and coping styles of patients with IVF-embryo transfer,and improve patient satisfaction.