基于“医患共享决策”的护理干预在胚胎植入前遗传学诊断/筛查患者中的应用  

Application of nursing intervention based on"doctor-patient shared decision-making"in preimplantation genetic diagnosis/screening of patients

作　　者：吴嘉齐[1] 谭爱玲[1] 方小武[1] 温晓君 吕燕君[1] 冯囯梅 WU Jiaqi;TAN Ailing;FANG Xiaowu;WEN Xiaojun;LYU Yanjun;FENG Guomei(Reproductive Branch of Zhongshan Boai Hospital,Guangdong Province,Zhongshan528400,China)

机构地区：[1]广东省中山市博爱医院生殖分院,广东中山528400

出　　处：《中国当代医药》2022年第15期179-181,185,共4页China Modern Medicine

基　　金：广东省中山市社会公益与基础研究项目(2020B1056)。

摘　　要：目的探讨基于“医患共享决策(SDM)”的护理干预在胚胎植入前遗传学诊断/筛查(PGD/PGS)患者中的应用效果。方法回顾性选取2020年1月至2021年6月广东省中山市博爱医院收治的82例行PGD/PGS的患者作为研究对象,根据护理干预方法的不同分为对照组与研究组,每组各41例。对照组行常规护理干预,研究组行基于“SDM”护理干预。比较两组患者干预前、PGD/PGS结束时心理状况[采用抑郁自评量表(SDS)和焦虑自评量表(SAS)评估];比较两组决策参与满意度(采用医院自制决策参与满意度调查表评估)。结果干预前,两组的SDS、SAS评分比较,差异无统计学意义(P>0.05);PGD/PGS结束时研究组SDS、SAS评分低于对照组,差异有统计学意义(P<0.05)。研究组决策参与满意度调查表评分高于对照组,差异有统计学意义(t=7.020,P<0.001)。结论基于“SDM”的护理干预可有效改善PGD/PGS患者心理状况,提高其决策参与满意度。Objective To explore the effect of nursing intervention based on"doctor-patient shared decision-making(SDM)"in preimplantation genetic diagnosis/screening(PGD/PGS)patients.Methods A retrospective selection of 82 PGD/PGS patients admitted to Boai Hospital in Zhongshan City,Guangdong Province from January 2020 to June 2021 were selected as the research objects.According to the different nursing intervention methods,they were divided into the control group and the study group,with 41 cases in each group.The control group received routine nursing intervention,and the study group received“SDM”nursing intervention.The psychological status of patients before intervention and at the end of PGD/PGS(assessed with the self-rating depression scale[SDS]and self-rating anxiety scale[SAS])were compared between the two groups,the decision-making participation satisfaction(using hospital self-made decision-making participation satisfaction degree questionnaire evaluation)was compared between the two groups.Results Before intervention,the SDS and SAS scores of the two groups were not statistically different(P>0.05).At the end of PGD/PGS,the SDS and SAS scores of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).The scores of the study group′s decision-making participation satisfaction questionnaire were higher than those of the control group,and the differences were statistically significant(t=7.020,P<0.001).Conclusion Nursing intervention based on"SDM"can effectively improve the psychological status of PGD/PGS patients and increase their satisfaction with decision-making participation.

关 键 词：胚胎植入前遗传学诊断/筛查 医患共享决策 心理状况 满意度 

分 类 号：R473[医药卫生—护理学]