家属参与式护理在辅助生殖技术治疗不孕症患者中的应用效果

Application effects of family participatory nursing in treatment of infertility patients with assisted reproductive technology

目的:观察家属参与式护理在辅助生殖技术治疗不孕症患者中的应用效果。方法:回顾性分析2022年2月至2023年4月该院收治的60例辅助生殖技术治疗不孕症患者的临床资料,按照不同护理方法将其分为研究组与对照组各30例。对照组采取常规护理,研究组在对照组基础上采取家属参与式护理。比较两组护理前后家庭关怀度[家庭关怀度指数量表(APGAR)]、病耻感[女性不孕症患者病耻感量表(ISS)]、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分,以及遵医行为率。结果:护理后,两组APGAR评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组自我贬损、社会退缩、家庭的羞辱等ISS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组SDS、SAS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组遵医行为率为93.33%,高于对照组的66.67%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采取家属参与式护理可提高辅助生殖技术治疗不孕症患者遵医行为率和家庭关怀度,以及降低病耻感和负性情绪评分的效果优于单纯常规护理。

Objective:To observe application effects of family participatory nursing in treatment of infertility patients with assisted reproductive technology.Methods:The clinical data of 60 patients with infertility treated by assisted reproductive technology in this hospital from February 2022 to April 2023 were retrospectively analyzed.According to different nursing methods,they were divided into study group and control group,30 cases in each group.The control group received routine nursing,while the study group received the family participatory nursing on the basis of that of the control group.The scores of family care[family APGAR index(APGAR)],stigma[infertility stigma scale(ISS)],negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]before and after the nursing,and the compliance behavior rate were compared between the two groups.Results:After the nursing,the APGAR scores of the two groups were higher than those before the nursing,that in the study group was higher than the that in control group,and the differences were statistically significant(P<0.05).The ISS scores of self-deprecation,social withdrawal and family humiliation in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of SDS and SAS in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the compliance behavior rate of the study group was 93.33%,which was higher than 66.67%of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the family participatory nursing can improve the compliance rate and the family care degree of the infertility patients treated with assisted reproductive technology,and reduce the scores of stigma and negative emotions.Moreover,it is superior to simple routine nursing.