基于信息-动机-行为技巧模型的健康教育及护理联合社会支持在体外受精-胚胎移植助孕患者中的应用  

Application of health education and nursing combined with social support based on information-motivation-behavior skill model in assisting pregnancy patients with in vitro fertilization embryo transfer

作　　者：孟月燕[1] 方春华 MENG Yueyan;FANG Chunhua(Department of Reproductive Medicine,Liaocheng People's Hospital,Shandong Province,Liaocheng252000,China;Department of Oncology,Liaocheng Hospital of Traditional Chinese Medicine,Shandong Province,Liaocheng252000,China)

机构地区：[1]山东省聊城市人民医院生殖医学科,山东聊城252000 [2]山东省聊城市中医医院肿瘤科,山东聊城252000

出　　处：《中国当代医药》2024年第34期139-143,共5页China Modern Medicine

摘　　要：目的分析基于信息-动机-行为(IMB)模型的健康教育及护理联合社会支持在体外受精-胚胎移植助孕患者中的应用价值。方法选取2023年2月至12月山东省聊城市人民医院临床收治60例体外受精-胚胎移植助孕患者为对象,按照随机数字表法分为对照组(30例)与观察组(30例),对照组采用常规护理,观察组采用基于IMB模型的健康教育及护理联合社会支持。比较两组的受孕成功率、焦虑自评量表(SAS)、抑郁自评量表(SDS)、健康知识掌握程度、生活质量评定量表(SF-36),以及舒适状况量表(GCQ)评分。结果观察组受孕成功率(96.67%)高于对照组(80.00%),差异有统计学意义(P<0.05);观察组护理后的SAS、SDS低于对照组,差异有统计学意义(P<0.05);观察组护理后的体外受精-胚胎移植助孕健康知识掌握程度评分高于对照组,差异有统计学意义(P<0.05);观察组护理后SF-36、GCQ各维度评分高于对照组,差异有统计学意义(P<0.05)。结论基于IMB模型的健康教育及护理联合社会支持能显著提升体外受精-胚胎移植助孕治疗患者受孕率、健康知识掌握程度、生活质量以及患者护理舒适度,改善患者负性情绪,综合护理效果显著。Objective To analyze the application value of health education and nursing combined with social support based on the information-motivation-behavior(IMB)model in assisted pregnancy patients undergoing in vitro fertilization embryo transfer.Methods A total of 60 in vitro fertilization embryo transfer assisted pregnancy patients admitted to Liaocheng People's Hospital,Shandong Province from February to December 2023 were selected as subjects,and were divided into control group(30 cases)and observation group(30 cases)according to random number table method.The control group received routine nursing care,while the observation group received health education and nursing combined with social support based on the IMB model.The pregnancy success rate,self-rating anxiety scale(SAS),self-rating depression scale(SDS),health knowledge,the MOS 36-item short-form health survey(SF-36)and general comfort questionnaire(GCQ)scores of the two groups were compared.Results The success rate of conception in observation group(96.67%)was higher than that in control group(80.00%),and the difference was statistically significant(P<0.05).The SAS and SDS of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The score of in vitro fertilization-embryo transfer assisted pregnancy health knowledge after nursing in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).The scores of SF-36 and GCQ after nursing in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Health education and nursing combined with social support based on the IMB model can significantly improve the fertility rate,mastery of health knowledge,quality of life,and nursing comfort of patients undergoing in vitro fertilization embryo transfer assisted pregnancy treatment,improve negative emotions,and achieve significant comprehensive nursing effects.

关 键 词：信息-动机-行为模型 健康教育 护理联合社会支持 体外受精-胚胎移植助孕 

分 类 号：R715[医药卫生—妇产科学]