摘要
目的 观察风险管理联合精准护理在体外受精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET)患者中的应用效果。方法 回顾性分析2022-01/2023-12月在作者医院行IVF-ET治疗的98例不孕症患者,按照不同的护理管理方法分为管理组和对照组,每组各49例。对照组不孕症患者采用IVF-ET后常规护理措施;管理组不孕症患者采用IVF-ET后风险管理联合精准护理措施。比较两组不孕症患者的健康宣教知识知晓度评分、患者依从性评分、护理安全风险事件发生率和护理满意度。鲜胚移植术后随访,比较两组不孕症患者睡眠及妊娠情况。结果 管理组不孕症患者健康宣教知识知晓度评分、患者依从性评分均优于对照组,差异具有统计学意义(P均<0.05)。管理组不孕症患者的护理安全风险事件总发生率低于对照组,满意度高于对照组,差异有统计学意义(P均<0.05)。促排卵启动日两组不孕症患者阿森斯失眠量表(Athens insomnia scale,AIS)评分比较差异无统计学意义(P>0.05),鲜胚移植术后4周管理组不孕症患者AIS评分低于对照组,差异有统计学意义(P<0.05)。两组不孕症患者获卵数比较差异无统计学意义(P>0.05),管理组不孕症患者临床妊娠率高于对照组,差异有统计学意义(P<0.05)。结论 风险管理联合精准护理能提升不孕症患者对健康宣教知识的知晓率,有效规避临床护理工作中潜在的风险隐患问题,进而降低护理不良事件的发生,改善患者对护理服务的满意度,同时可提高不孕症患者的睡眠质量和临床妊娠率。
Objective To observe the application effect of risk management combined with precise nursing in in vitro fertilization-embryo transfer(IVF-ET).Methods A total of 98 infertile patients who underwent IVF-ET in author′s hospital from January 2022 to December 2023 were retrospectively analyzed,the patients were divided into management group and control group according to different nursing management methods,with 49 patients in each.The infertile patients in control group received conventional nursing measures after IVF-ET;the infertile patients in control group received risk management combined with precise nursing after IVF-ET.The health education knowledge awareness scores,patient compliance score,in cidence of nursing safety risk events and nursing satisfaction of the infertile patients between two groups were compared.Fresh embryo transplantation were followed up after surgery,the sleep and pregnancy status of the infertile patients between two groups were compared.Results The health education knowledge awareness scores,patient compliance score of the infertile patients in management group were better than those in the control group,the difference was statistically significant(all P<0.05).The total incidence of nursing safety risk events of the infertile patients in the management group was lower than that in the control group,and the total satisfaction was higher than that in the control group,the difference was statistically significant(all P<0.05).There was no statistically significant difference in Athens insomnia scale(AIS) scores of the infertile patients between the two groups on the start day of ovulation induction(P>0.05),the score of AIS of the infertile patients in the management group was lower than that in the control group 4 weeks after fresh embryo transplantion,and the difference was statistically significant(P<0.05).There was no significant difference in the number of received eggs between the two groups(P>0.05),but the clinical pregnancy rate of the infertile patients in the management group w
作者
夏凌
孟瑶
李进娥
XIA Ling;MENG Yao;LI Jin′e(Department of Reproductive Medicine,General Hospital of Central Theater Command,Wuhan Hubei 430070,China)
出处
《联勤军事医学》
CAS
2024年第7期614-618,共5页
Military Medicine of Joint Logistics
基金
湖北省中医药管理局中医药科研项目(ZY2023FO51)。
关键词
风险管理
精准护理
体外受精-胚胎移植
临床妊娠率
护理安全
Risk management
Precise nursing
In vitro fertilization-embryo transfer
Clinical pregnancy rate
Nursing safety
