基于关键点控制理论的集束化管理对取卵术后卵巢过度刺激综合征的预防效果  

Prevention effect of cluster management based on key point control theory on ovarian hyperstimulation syndrome after oocyte retrieval

作　　者：黄诺 陈菲[1] 汪京萍[1] 李博欣 徐阳[1] HUANG Nuo;CHEN Fei;WANG Jing-ping;LI Bo-xin;XU Yang(Center for Reproduction&Genetics,Department of Obstetrics&Gynecology,Peking University First Hospital,Beijing 100034)

机构地区：[1]北京大学第一医院妇产科生殖与遗传医疗中心,北京100034

出　　处：《生殖医学杂志》2023年第2期234-238,共5页Journal of Reproductive Medicine

基　　金：北京大学第一医院科研种子基金项目(2020SF046)。

摘　　要：目的探究集束化护理对于取卵术后患者发生卵巢过度刺激综合征(OHSS)的预防效果。方法收集2021年7月至2022年5月期间于北京大学第一医院生殖中心行取卵手术的96名患者为研究对象,按照随机数字法分为集束化组(在传统护理模式的基础上采取基于关键点控制理论的集束化护理管理,n=48)和对照组(采取传统护理模式管理,n=48)。比较两组患者干预后的OHSS发生率、患者满意率以及干预前后汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)评分。结果干预前,两组患者间HAMA、HAMD评分均无统计学差异(P>0.05);干预后,两组患者的HAMA、HAMD评分均较干预前显著降低(P<0.05),且集束化组显著低于对照组(P<0.05)。集束化组中、重度OHSS发生率显著低于对照组(0.00%vs.8.33%,P<0.05),患者满意率显著高于对照组(100.00%vs.91.67%,P<0.05)。结论对行取卵手术的患者实施基于关键点控制理论的集束化管理干预,可有效预防中、重度OHSS的发生,并减轻取卵患者心理负担,提高患者满意度。Objective:To explore the preventive effect of cluster nursing management on ovarian hyperstimulation syndrome(OHSS)in patients after oocyte retrieval.Methods:A total of 96 patients who underwent oocyte retrieval in the Reproductive Center of Peking University First Hospital from July 2021 to May 2022 were randomly divided into the cluster management group(the cluster management based on the key point control theory on the basis of traditional nursing mode was adopted,n=48)and the control group(the traditional nursing management was adopted,n=48).The incidence of OHSS,patient satisfaction rate,and the scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)before and after intervention were compared between the two groups.Results:Before intervention,there were no significant differences in HAMA and HAMD scores between the two groups(P<0.05).After intervention,HAMA and HAMD scores of the two groups were significantly lower than those before intervention(P<0.05),and the scores in the cluster management group was significantly lower than those in the control group(P<0.05).The incidence of moderate and severe OHSS in the cluster management group was significantly lower than that in the control group(0.00%vs.8.33%,P<0.05),and the patient satisfaction rate was significantly higher than that in the control group(100.00%vs.91.67%,P<0.05).Conclusions:Implement of cluster management intervention based on key-point control theory for patients undergoing oocyte retrieval can significantly prevent the occurrence of moderate and severe OHSS,reduce the psychological burden of patients undergoing oocyte retrieval,and improve patients’satisfaction.

关 键 词：卵巢过度刺激综合征 关键点控制理论 集束化管理 取卵术 

分 类 号：R711.6[医药卫生—妇产科学]