针对性护理干预在多囊卵巢综合征伴胰岛素抵抗不孕症患者体外受精胚胎移植治疗中的应用

Application of targeted nursing intervention in vitro fertilization and embryo transfer for infertility patients with polycystic ovary syndrome and insulin resistance

目的探讨针对性护理干预在多囊卵巢综合征(PCOS)伴胰岛素抵抗不孕症患者体外受精胚胎移植(IVF-ET)治疗的应用。方法选取2019年2月—2020年2月大连市妇幼保健院收治84例IVF-ET治疗的PCOS伴胰岛素抵抗不孕症患者为研究对象,采用随机数字表法将其分为研究组和参照组,每组各42例。参照组在IVF-ET治疗期予以常规护理干预,研究组则在此期间予以针对性护理干预。使用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估患者干预前后的心理状态情况,统计比较两组的受精成功率、胚胎种植率和妊娠率,并采用调查问卷分析两组的护理满意度情况。结果干预前,两组的心理状态评分比较,差异无统计学意义(P>0.05),干预后,两组的SAS、SDS评分低于干预前,且研究组的SAS、SDS评分低于参照组,差异均有统计学意义(P<0.05)。研究组的胚胎种植率和妊娠率高于参照组,差异有统计学意义(P<0.05),两组的受精成功率比较,差异无统计学意义(P>0.05)。研究组的护理总满意度高于参照组,差异有统计学意义(P<0.05)。结论PCOS伴胰岛素抵抗不孕症患者在IVF-ET治疗期应用针对性护理干预,能改善患者的情绪状态,有助于提高胚胎种植率和妊娠率,改善妊娠结局,提升护理满意度。

Objective To explore the application of targeted nursing intervention in the treatment of infertility patients with polycystic ovary syndrome(PCOS)and insulin resistance by in vitro fertilization and embryo transfer(IVF-ET).Methods A total of 84 cases of PCOS infertility with insulin resistance treated by IVF-ET in Dalian Maternal and Child Health Hospital from February 2019 to February 2020 were selected as the research objects,and they were divided into the study group and the reference group according to random number table method,42 cases in each group.The control group was given routine nursing intervention during IVF-ET treatment,while the study group was given targeted nursing intervention during this period.Self rating anxiety scale(SAS)and self rating depression scale(SDS)were used to evaluate the psychological changes of patients before and after the intervention.The fertilization success rate,embryo implantation rate and pregnancy rate of the two groups were compared statistically.The nursing satisfaction of the two groups was analyzed by questionnaire.Results Before the intervention,there were no significant differences in the psychological state scores between the two groups(P>0.05).After the intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,the SAS and SDS scores of the study group were lower than those of the reference group,the differences were statistically significant(P<0.05).The embryo implantation rate and pregnancy rate of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the success rate of fertilization between the two groups(P>0.05).The nursing total satisfaction of the study group was higher than that of the reference group,and the difference was statistically significant(P>0.05).Conclusion The application of targeted nursing intervention in PCOS patients with insulin resistance infertility during IVF-ET treatment can improve the emotional state of patients,help to improve the embryo implantation rate and pregnancy rate,improve the pregnancy outcome and enhance nursing satisfaction.