微信手机APP平台联合病友同伴教育对排卵障碍不孕患者的影响  

Effect of WeChat mobile APP platform combined with peer education on infertility patients with ovulation disorder

作　　者：姚盛华 YAO Shenghua(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450000,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《检验医学与临床》2022年第3期341-343,349,共4页Laboratory Medicine and Clinic

摘　　要：目的探讨微信手机APP平台联合病友同伴教育在排卵障碍不孕患者中的应用价值。方法回顾性收集该院2019年2月至2020年2月105例排卵障碍不孕患者,按照患者意愿,依据不同护理方案分为对照组(52例)和联合组(53例)。对照组采用常规护理,联合组在对照组基础上采用微信手机APP平台联合病友同伴教育。比较两组患者遵医行为、排卵率、妊娠成功率、干预前后自我效能感[一般自我效能感量表(GSES)评分]、疾病不确定感[疾病不确定感量表(MUIS)评分]及负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分]。结果联合组遵医率高于对照组,差异有统计学意义(P<0.05);联合组排卵率、妊娠成功率高于对照组,差异有统计学意义(P<0.05);干预后,联合组GSES评分高于对照组,MUIS评分、HAMA评分、HAMD评分低于对照组,差异有统计学意义(P<0.05)。结论微信手机APP平台与病友同伴教育联合应用于排卵障碍不孕患者,可提升患者妊娠成功率,改善患者自我效能感和遵医行为,同时能降低患者疾病不确定感及负性情绪。Objective To explore the application value of WeChat mobile APP platform combined with peer education in infertility patients with ovulation disorders.Methods A retrospective study was performed on 105 infertility patients with ovulation disorders from February 2019 to February 2020 in the hospital.According to patients′wishes and different nursing schemes,they were divided into control group(52 cases)and combined group(53 cases).The patients in control group received routine nursing,and the patients in combined group received WeChat mobile APP platform combined with peer education.The compliance behavior,ovulation rate,pregnancy success rate,self-efficacy[General Self-efficacy Scale(GSES)score],disease uncertainty[Disease Uncertainty Scale(MUIS)score]and negative emotion[Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)score]before and after intervention were compared between the two groups.Results The compliance rate of combined group was higher than that of control group,the differences was statistically significant(P<0.05).Ovulation rate and pregnancy success rate in combined group were higher than those in control group,the differences were statistically significant(P<0.05).After intervention,GSES score of combined group was higher than that of control group,MUIS score,HAMA and HAMD scores in combined group were lower than those in control group,the differences were statistically significant(P<0.05).Conclusion Combined application of WeChat mobile APP platform and peer education for infertility patients with ovulation disorders can improve the success rate of pregnancy,improve patients′sense of self-efficacy and compliance with doctors,and reduce patients′sense of disease uncertainty and negative emotions.

关 键 词：病友同伴教育 微信 排卵障碍不孕 自我效能感 遵医行为 

分 类 号：R473.71[医药卫生—护理学]