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Effect analysis of nursing intervention on assisted reproductive technology in elderly women |
ZENG Han WU Qiong-fang CHEN Jing-jing |
Assisted Reproduction Center,Jiangxi Provincial Maternal and Child Health Care Hospital,Nanchang330006,China |
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Abstract Objective To evaluate the effect of humanistic nursing intervention in the process of assisting reproductive technology in elderly women.Methods From January to April in 2016,388 elderly infertile women accepted in vitro fertilization-embryo transplantation(IVF-ET)in our center were selected and were divided into observation group(n=200) and control group(n=188)based on the order of filing.In the control group,basic clinical nursing was provided such as regular health education guidance during ovulation induction,needling at night,and before and after egg retrieving and embryo transplantation and the like.The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS), and questionnaire survey of patient′s satisfaction were carried out.In the observation group,SAS,SDS,and self-made questionnaire were measured during file-filling,needle-initiating,needling at night,egg retrieving,and embryo transplantation in order to know the psychological state and social demands of the patients during the treatment.After that,targeted mental nursing and health education guidance were adopted.The score of SAS and SDS,and patient′s satisfaction questionnaire after intervention measures were re-tested.The cycle cancellation rate,number of retrieved oocytes,the rate of high quality embryos,the clinical pregnancy rate,score of SAS and SDS,and questionnaire on patient′s satisfaction were observed in both groups.Results There was no great difference in the cycle cancellation rate,number of retrieved oocytes,the rate of high quality embryos or clinical pregnancy rate(P>0.05).After intervention,the scores of SAS and SDS in the observation group were much lower than those in the control group(P<0.05).The nursing satisfaction rate in the observation group(96%)was significantly higher than that in the control group accounting for 84%with statistical difference(P<0.05).Conclusion For elderly female patients,in the process of performing with assisted reproductive technology,humanistic psychological nursing intervention can effectively relieve the psychological stress and improve patient′s satisfaction degree of treatment.
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[1] |
陈士岭,罗燕群,夏容,等.女性年龄与不孕及生育力减退[J].国际生殖健康/计划生育杂志,2011,30(4):265-271.
|
[2] |
葛明晓,陶莉莉,陈小平,等.高龄妇女409个周期体外受精的临床结局[J].广东医学,2014,35(12):1907-1910.
|
[3] |
Bartmann AK,Romao GS,Ramos ES,et al.Why do older women have poor implantation rate?Apossible role of the mitochondria[J].J Assist Reprod Genet,2004,21(3):79-83.
|
[4] |
王华,黄晓卉,江成龙,等.妇女年龄对输卵管因素不孕IVF-ET助孕结局的影响[J].中国妇幼保健,2010,25(8):1127-1128.
|
[5] |
Weissman A,Gotlieb L,Ward S,et al.Use of the internet by infertile couples[J].Fertil Steril,2000,73(6):1179-1182.
|
[6] |
Cousineau TM,Green TC,Corsini E,et al.Online psychoeducational support for infertile women:a randomized controlled trial[J].Hum Reprod,2008,23(3):554-566.
|
[7] |
高敏芝,赵晓明,张慧琴,等.表观遗传学与女性生殖及辅助生殖技术[J].生殖医学杂志,2009,18(1):61-66.
|
[8] |
杨露,马海兰.实施辅助生殖技术女性患者自我接纳与主观幸福感的关系研究[J].生殖医学杂志,2013,22(12):927-929.
|
[9] |
刘馨,张丽.自然周期和促排卵周期宫腔内人工授精比较研究[J].生殖医学杂志,2015,24(4):324-327.
|
[10] |
李观贵,吴彤华,朱元昌,等.行辅助生殖技术患者流产胎儿人白细胞抗原-G基因14bp插入/缺失多态性分析[J].生殖医学杂志,2014,23(2):91-94.
|
[11] |
文娅,梁怡婳,焦雪丹,等.辅助生殖技术出生的学龄期儿童行为发育的随访研究[J].生殖医学杂志,2016,25(4):325-330.
|
[12] |
金保方.中医药在现代生殖医学中的地位[J].生殖医学杂志,2013,22(12):899-904.
|
[13] |
马海兰,罗克莉,龚斐,等.辅助生殖技术助孕出生婴儿性别比例的初步调查[J].生殖医学杂志,2013,22(3):203-204.
|
[14] |
赵敏英,赵涛,彭弋峰,等.DAZL基因对人类生殖细胞分化和性腺发育影响的研究进展[J].生殖医学杂志,2010,19(1):71-74.
|
[15] |
孙擎擎,曹义娟.辅助生殖技术与单卵双胎的研究进展[J].生殖医学杂志,2014,23(8):689-693.
|
[16] |
胡晨霞,王丽雅,乐芳,等.辅助生殖技术对胚胎及子代基因组印记的影响[J].中华医学遗传学杂志,2014,31(4):462-465.
|
[17] |
宋焱鑫,韩跃红.从案例思考我国辅助生殖技术的行为准则与伦理规范[J].医学与哲学,2014,35(1):46-47,50.
|
[18] |
李东,郭佳.补肾调周法改善卵巢储备功能在辅助生殖技术中运用的临床研究[J].北京中医药大学学报,2008,31(2):131-134.
|
|
|
|