辅助生殖专科护理门诊对不孕症患者周期自我管理和自我效能的影响  

Benefits of nursing care service in the assisted reproduction clinic to self-cycle-management and self-efficiency of infertility patients

作　　者：李晓琴[1] 孙超峰[1] 郭梅[1] 

机构地区：[1]南京大学医学院附属鼓楼医院生殖医学科,江苏南京210008

出　　处：《中华男科学杂志》2017年第6期536-539,共4页National Journal of Andrology

摘　　要：目的:探讨辅助生殖专科护理门诊对患者周期自我管理和自我效能的影响。方法:将600例初诊女性患者按随机数字表随机分为对照组和观察组各300例,在检查过程中剔除配偶为无精子症者,最终实际入组为对照组288例,观察组285例。对照组常规护理宣教,观察组予以专科护理门诊干预,内容包括专科相关知识、技能、饮食、运动、用药、心理等方面。方式一对一、集中与分散、建立档案、电话随访、微信指导等,3个月后比较两组患者就诊依从性、周期管理有效性、自我效能感、患者满意度及患者焦虑评分。结果:辅助生殖专科护理门诊干预组患者对辅助生殖相关知识掌握、自我周期管理、自我效能感和患者满意度方面均明显高于对照组(P<0.05),患者焦虑程度明显低于对照组(P<0.05)。结论:辅助生殖专科护理门诊可提高患者就诊依从性,提高患者自我管理能力、自我效能感及患者满意度,有利于减轻患者焦虑。Objective： To investigate the benefits of nursing care service in the assisted reproduction clinic to self-cycle-man- agement and self-efficiency of the outpatients with infertility. Methods： We randomly divided 600 females preliminarily diagnosed with infertility into a control and an experimental group, 288 in the former and 285 in the latter group excluding those whose husbands had azoospermia. For the women patients of the experimental group, we conducted nursing care intervention concerning related knowl- edge, skills, diet, excise, medication, and psychology, by one-to-one consultation, individualized or group communication, establis- hing files, telephone follow-up, and wechat guidance. After 3 months of intervention, we compared the compliance of medical visits, effectiveness of cycle management, sense of self-efficiency, satisfaction, and anxiety score between the two groups of patients. Re- sults ： In comparison with the controls, the patients of the experimental group showed significantly better knowledge about assisted re- production and higher effectiveness of self-cycle-management, self-efficiency, and satisfaction （ P 〈 0.05 ） , but a markedly lower de- gree of anxiety （P 〈 0. 05 ）. Conclusion ： Nursing care service in the assisted reproduction clinic can improve the compliance of medical visits, effectiveness of self-cycle-management, self-efficiency, and satisfaction and reduce the anxiety of the patients.

关 键 词：辅助生殖 专科护理门诊 周期自我管理 自我效能 

分 类 号：R473.71[医药卫生—护理学]