陈丽萍 刘芳 林巧樱

【摘要】 目的：探討基于信息-知识-信念-行为（IKAP）模式的健康教育应用于输卵管性不孕行体外受精-胚胎移植（IVF-ET）患者的治疗价值。方法：选取2018年10月-2019年10月在笔者所在医院因输卵管性不孕而接受IVF-ET治疗的78例患者，按照随机数字表法分为教育组（39例）和对照组（39例）。对照组行常规护理，教育组在对照组基础上给予基于IKAP模式的健康教育。比较两组治疗前后心理健康状况、妊娠相关指标及IVF-ET成功率。结果：干预后教育组焦虑自评量表、抑郁自评量表评分均低于对照组，差异均有统计学意义（P<0.05）;两组Gn天数、Gn总量、获卵数、移植胚胎数、受精率及卵裂率比较差异无统计学意义（P>0.05）;教育组妊娠成功率高于对照组，差异有统计学意义（P<0.05）。结论：基于IKAP模式的健康教育应用于因输卵管性不孕接受体外受精-胚胎移植患者的效果明显，可以改善患者心理健康状况，进而提高妊娠成功率。

【关键词】 信息-知识-信念-行为模式 输卵管不孕 体外受精 胚胎移植 妊娠率

doi：10.14033/j.cnki.cfmr.2020.13.072 文献标识码 B 文章编号 1674-6805（2020）13-0-03

Application of Health Education Based on IKAP Model in Tubal Infertility Patients Undergoing IVF-ET/CHEN Liping， LIU Fang， LIN Qiaoying. //Chinese and Foreign Medical Research， 2020， 18（13）： -176

[Abstract] Objective： To explore the therapeutic value of health education based on information-knowledge-belief-behavioral （IKAP） model in patients with tubal infertility undergoing in vitro fertilization and embryo transfer （IVF-ET）. Method： A total of 78 patients who received IVF-ET treatment due to tubal infertility from October 2018 to October 2019 in our hospital were selected， and were randomly divided into the education group （39 cases） and the control group （39 cases）. The control group received routine nursing， and the education group received health education based on the IKAP model. The mental health status before and after treatment， pregnancy related indexes and IVF-ET success rate between the two groups were compared. Result： After intervention， the scores of anxiety self-rating scale and depression self-rating scale in the education group were lower than those in control group， the differences were statistically significant （P<0.05）. There was no significant difference in Gn days， total Gn， number of eggs， number of embryos transferred， fertilization rate and cleavage rate between the two groups （P>0.05）. The success rate of pregnancy in the education group was higher than that in the control group， the difference was statistically significant （P<0.05）. Conclusion： The health education based on the IKAP model has obvious effects on patients undergoing IVF-ET for tubal infertility， which can improve the mental health of the patients and thus the pregnancy success rate.

[Key words] Information knowledge belief behavior model Fallopian tube obstruction In vitro fertilization Embryo transfer Pregnancy rate

First-authors address： The 73rd Army Hospital of the Peoples Liberation Army， Xiamen 361000， China

近年来，不孕不育症的发病率越来越高，部分是由女性输卵管堵塞造成。体外受精-胚胎移植（IVF-ET）的出现给人们带来希望，作为治疗女性输卵管性不孕的重要方法，在临床上取得了一定疗效[1]。但长期实践发现，IVF-ET妊娠率低于预期[2]。可能因为不孕症女性患者普遍存有抑郁、焦虑等心理问题，尤其在接受IVF-ET时，心理承受压力较大，进而影响治疗效果。所以适时的心理干预就显得尤为重要。常规护理因其方式方法的局限性，不能对患者心理变化进行及时有效的干预。马兆琨等[3]研究发现，IKAP模式的健康教育能够改善社区帕金森患者焦虑、抑郁情绪，延缓病情发展。因此本研究将基于IKAP模式的健康教育应用于输卵管性不孕行体外受精-胚胎移植患者并探究其应用价值，现报道如下。……