孙荣荣

【摘要】 目的：研究辅助生殖专科护理在提高不孕症患者周期就诊依从性、自我管理能力及自我效能感中的作用。方法：研究对象选取2017年2月-2018年5月收治的96例不孕症患者，采用随机数字分组法将所有研究对象分为观察组和对照组，每组48例。对照组采用常规护理操作，观察组采用辅助生殖专科护理。比较两组就诊依从性、周期自我管理能力评分、自我效能感评分。结果：观察组就诊依从性为95.83%，高于对照组的79.16%，差异有统计学意义（P<0.05）。治疗前两组周期自我管理能力评分及自我效能感评分比较差异无统计学意义（P>0.05），治疗后两组各项评分均升高，且观察组均高于对照组，差异均有统计学意义（P<0.05）。结论：辅助生殖专科护理能够提高不孕症患者周期就诊依从性及自我管理能力，提升患者自我效能感，有利于患者诊疗，值得在临床推广。

【关键词】 不孕症 辅助生殖 专科护理 依从性 自我效能

doi：10.14033/j.cnki.cfmr.2019.30.046 文献标识码 B 文章编号 1674-6805（2019）30-0-03

[Abstract] Objective： To study the role of assisted reproductive specialist nursing in improving the cycle consultation compliance， self-management ability and self-efficacy of infertility patients. Method： A total of 96 infertility patients were selected from February 2017 to May 2018. All the subjects were divided into the observation group and the control group by random number grouping method， 48 cases in each group. The patients in the control group were given routine nursing， while those in the observation group were given assisted reproductive specialist nursing. The patients compliance， cycle self-management ability score， self-efficacy score of two groups were compared. Result： The compliance of patients in the observation group was 95.83%， higher than that in the control group （79.16%）， the difference was statistically significant （P<0.05）. There was no significant difference in cycle self-management ability score and self-efficacy score between the two groups before treatment （P>0.05）. After treatment， the scores of the two groups increased， and the observation group was higher than the control group， the differences were statistically significant （P<0.05）. Conclusion： Assisted reproductive specialty nursing can improve the periodic consultation compliance and self-management ability of infertility patients， enhance the self-efficacy of patients， and is conducive to the diagnosis and treatment of patients. It is worth promoting in clinical practice.

[Key words] Infertility Assisted reproduction Specialized nursing Compliance Self-efficacy

First-authors address： 174th Hospital of Chinese Peoples Liberation Army， Xiamen 361003， China

不孕症是临床常见疾病，指夫妻正常性生活且未進行避孕1年仍未怀孕。不孕症易影响夫妻关系，引发家庭矛盾，严重影响患者正常生活。研究表明，近年来不孕症的发病率呈上升趋势[1]。随着医疗技术的发展和人们认知的进步，越来越多的不孕症患者选择辅助生殖技术进行治疗。但常规护理下，不孕症患者存在就诊依存性、自我管理能力低，自我效能感不足等问题[2]。本研究笔者就辅助生殖专科护理在提高不孕症患者周期就诊依从性、自我管理能力及自我效能感中的作用展开报道，旨在指导临床，具体如下。

1 资料与方法

1.1 一般资料

研究对象选取2017年2月-2018年5月笔者所在医院收治的96例不孕症患者。纳入标准：（1）均经宫腔镜检查或临床影像学检查确诊为不孕症[3];（2）患者已婚，夫妻关系和睦。……