健康教育对辅助生殖助孕患者健康认知水平影响的Meta分析

Meta-analysis of effects of health education on health cognition of patients with assisted reproductive pregnancy

目的 探讨实施健康教育对辅助生殖助孕患者健康认知水平的影响,以期为辅助生殖助孕患者康复领域的干预实践提供循证依据。方法采用复合逻辑检索方式,以“Assisted reproductive technology”、“Embryo Transfer”、“Reproductive Techniques,Assisted”、“In vitro fertilization and embryo transfer”、“Randomized controlled trial”、“不孕症”等为检索词对Pubmed、中国知网等从建库至2023年10月的文献进行检索,并筛选对辅助生殖助孕患者实施健康教育的参考文献。运用Review Manager软件进行Meta分析。结果 在纳入的11项研究中,共有7项研究结局指标分析了患者健康认知评分,4个阶段的亚组合并结果显示,Z=19.17(P<0.001),差异有统计学意义。患者健康知识知晓率的4个阶段亚组合并结果显示,Z=9.40(P<0.001),差异有统计学意义。患者满意度合并结果显示,Z=6.36(P<0.001),差异有统计学意义。结论 辅助生殖助孕过程中,不同阶段健康教育的实施不仅有利于提高患者满意度,而且可以有效地促进患者对疾病本身及治疗过程的了解,提升健康认知水平,从而积极配合医护人员,达到更好的治疗效果。

Objective To explore the effect of health education on the health cognition level of patients with assisted reproductive and pregnancy,in order to provide evidence-based basis for the intervention practice in the field of rehabilitation of patients with assisted reproductive technology.Methods Compound logic retrieval method was used,“Assisted reproductive technology”,“Embryo Transfe” ",“Reproductive Techniques,Assisted”,“In vitro fertilization and embryo transfer”,“Randomized”“controlled trial” and “infertility” were used as search terms to search Pubmed,China National Knowledge Infrastructure(CNKI) from the establishment of the database to October2023,and the references of health education for patients with assisted reproductive and pregnancy were screened.Review Manager software was used for meta-analysis.Results Among the 11included studies,a total of 7 studies analyzed the patient's health cognition score.The subcombination of the four stages showed that Z=19.17(P<0.001),and the difference was considered statistically significant.The combined results of the four stages of patients' health knowledge awareness rate showed that Z=9.40(P<0.001),and the difference was considered statistically significant.The combined results of patient satisfaction showed that Z=6.36(P<0.001),and the difference was considered statistically significant.Conclusions The implementation of health education at different stages in the process of assisted reproductive and pregnancy is not only conducive to improving patient satisfaction,but also can effectively promote patients' understanding of the disease itself and the treatment process,improve their health cognition level,so as to actively cooperate with medical staff and achieve better treatment effects.