汤惠霞 梁嘉颖

【摘要】 目的：探究聚焦護理模式对重度少弱畸形精子症患者情绪和卵胞浆内单精子显微注射（ICSI）结局的影响。方法：选取2018年6月-2020年10月本院行ICSI助孕的100例重度少弱畸形精子症患者为研究对象，按随机数字表法将其分为对照组与观察组，每组50例。对照组给予常规护理模式，观察组在对照组基础上给予聚焦护理模式。对比两组护理前后情绪状态[抑郁自评量表（SDS）评分、焦虑自评量表（SAS）评分]、主观幸福感和ICSI结局。结果：两组护理后SDS和SAS评分较护理前均下降（P<0.05）。观察组护理后SDS和SAS评分均低于对照组（P<0.05）。两组护理后客观支持、主观支持、自我评价和主观幸福指数评分均较护理前提高（P<0.05）。观察组护理后客观支持、主观支持、自我评价和主观幸福指数评分均高于对照组（P<0.05）;观察组受精率、正常受精率、优胚率均优于对照组（P<0.05）;两组妊娠率和临床妊娠率比较，差异均无统计学意义（P>0.05）。结论：聚焦护理模式能够提高重度少弱畸形精子症患者主观幸福感，改善其情绪状态和ICSI结局。

【关键词】 重度少弱畸形精子症 聚焦护理模式 ICSI

Influence of Focused Nursing Mode on Mood and ICSI Outcome in Patients with Severe Oligosthenospermia/TANG Huixia， LIANG Jiaying. //Medical Innovation of China， 2021， 18（34）： -110

[Abstract] Objective： To investigate the effects of focused nursing mode on mood and outcome of intracytoplasmic sperm microinjection （ICSI） in patients with severe oligoasmatoospermia. Method： A total of 100 patients with severe oligasthenospermia who received ICSI assistance for pregnancy from June 2018 to October 2020 in our hospital were selected as the research objects. They were divided into control group and observation group according to random number table method， with 50 cases in each group. The control group was given routine nursing mode， and the observation group was given focused nursing mode based on the control group. Emotional state （SDS score， SAS score）， subjective well-being and ICSI outcome were compared between the two groups before and after nursing. Result： SDS and SAS scores of both groups after nursing were lower than those before nursing （P<0.05）. SDS and SAS scores of the observation group were lower than those of the control group （P<0.05）. The objective support， subjective support， self-evaluation and subjective happiness index scores of the two groups were improved after nursing compared with before nursing （P<0.05）. The scores of objective support， subjective support， self-evaluation and subjective happiness index in the observation group were higher than those in the control group （P<0.05）. The fertilization rate， normal fertilization rate and optimal embryo rate in the observation group were better than those in the control group （P<0.05）. There were no significant differences in pregnancy rate and clinical pregnancy rate between the two groups （P>0.05）. Conclusion： The focused nursing mode can improve subjective well-being， emotional state and ICSI outcome of patients with severe oligosazoospermia.

[Key words] Severe oligoasthenospermia Focused nursing mode ICSI

First-author’s address： Guangdong Women and Children Hospital， Guangzhou 510010， China

doi：10.3969/j.issn.1674-4985.2021.34.025

少弱畸形精子症是育龄夫妇生育问题的主要男性因素，约占所有因素的50%，包括少精症、弱精症和畸形精子症等[1-3]。尤其是重度少弱畸形精子症，临床须实用辅助生殖技术助孕，目前最常用的辅助生殖技术主要有卵胞浆内单精子显微注射（ICSI）技术和体外受精-胚胎移植术两种[4-5]。重度少弱畸形精子症患者不仅受生理因素困扰，而且心理情绪问题也较为突出，直接影响患者的主观幸福感和ICSI结局，亟需心理疏导干预予以克服。……