恶性肿瘤患者生育力保存的全流程管理

Whole-process management of fertility preservation in the patients with malignant tumor

目的总结恶性肿瘤患者生育力保存全流程管理经验。方法回顾性分析2019年12月至2022年9月期间于郑州大学第三附属医院生殖中心行生育力保存的24例患者的临床资料及全流程管理。生育力保存患者管理要点包括初诊决策支持、就诊专人接待、保护隐私,检查全程陪同,促排卵阶段人性化管理,预防感染,心理评估及疏导,提供专业的健康教育等。结果经过全流程精心治疗和护理,24例患者均顺利完成生育力保存,且均未发生感染、取卵后出血等并发症。结论为生育力保存患者进行护理时,应该综合考虑患者的身体、心理情况,为其提供更有针对性的护理服务,以满足患者的需求,达到最佳的临床效果。

Objective To summarize the experience of the whole process management of fertility preservation in patients with malignant tumor.Methods The clinical data and the whole-process management of 24 fertility preservation procedures in the Reproductive Center of the Third Affiliated Hospital of Zhengzhou University from December 2019 to September 2022 were retrospectively analyzed.The key points of fertility preservation patient management included decision support for initial diagnosis,specially-assigned reception,privacy protection,whole-process inspection escort,humanized management at the stage of drainage promotion,infection prevention,psychological assessment and counseling,and professional health education.Results After the whole process of careful treatment and nursing,all the 24 patients successfully completed fertility preservation,and no complications such as infection,bleeding after egg extraction occurred.Conclusion When caring for patients with fertility preservation,the physical and psychological conditions of patients should be considered comprehensively,so as to provide more targeted nursing services to meet the needs of patients and achieve the best clinical results.