马肇华 柯玩娜 李庆妮 吕燕君 林晓丽 谭爱玲

[摘要]目的探討知信行模式干预对卵巢过度刺激综合征（OHSS）高危患者的干预效果。方法回顾性分析中山市博爱医院2019年9月至2021年3月收治的100例 OHSS 高危患者的临床表现、护理和预后等临床资料，根据干预方式的不同分为 A 组（ n=50）和 B 组（ n=50）。A 组行知信行模式干预，B 组行常规干预。比较两组中重度 OHSS 发生情况、护理满意度、负性心理状态。结果 A 组的中重度 OHSS 总发生率为4.00%，低于 B 组的16.00%，差异有统计学意义（ P <0.05）;A 组的护理总满意度为98.00%，高于 B 组的86.00%，但差异无统计学意义（P >0.05）;干预后 A 组的 SAS 评分、SDS 评分均低于 B 组，差异具有统计学意义（P <0.05）。结论知信行模式干预可以降低 OHSS 高危患者的中重度 OHSS 发生率，提高护理满意度，减轻患者的抑郁、焦虑情绪，对患者的康复具有积极意义。

[关键词]卵巢过度刺激综合征;高危;知信行模式;辅助生殖;护理应用

[中图分类号] R473.71  [文献标识码] A   [文章编号]2095-0616（2021）24-0126-04

Application of knowledge-attitude-behavior model in nursing care of high-risk patients with ovarian hyperstimulation syndrome

MA  Zhaohua    KE  Wanna    LI  Qingni    LV  Yanjun    LIN  Xiaoli    TAN  Ailing

Reproductive Branch， Boai Hospital of Zhongshan， Guangdong， Zhongshan 528403， China

[Abstract] Objective To investigate the effect of knowledge-attitude-behavior model intervention in the effect of high- risk patients with ovarian hyperstimulation syndrome （OHSS）. Methods The clinical data such as clinical manifestations， nursing， and prognosis of 100 high-risk patients with OHSS admitted to and treated in Boai Hospital of Zhongshan from September 2019 to March 2021 were analyzed retrospectively. According to different intervention methods， they were divided into group A （n=50） and group B （n=50）. Group A was treated with knowledge-attitude-behavior model intervention， while group B was treated with conventional intervention. The incidence of moderate and severe OHSS， nursing satisfaction and negative psychological state were compared between the two groups. Results The incidence of moderate and severe OHSS in group A was 4.00%， lower than 16.00% in group B， with statistically significant difference （P <0.05）. The total nursing satisfaction of group A was 98.00%， higher than 86.00% of group B， but the difference between the two groups was not statistically significant （P >0.05）. After intervention， the SAS score and SDS score of group A were both lower than those of group B， with statistically significant differences （P <0.05）. Conclusion Knowledge-attitude- behavior intervention can reduce the incidence of moderate and severe OHSS in high-risk patients with OHSS， improve nursing satisfaction， and relieve depression and anxiety of patients. Therefore， it is of positive significance to the rehabilitation of patients.

[Key words] Ovarian hyperstimulation syndrome; High-risk; Knowledge-attitude-behavior model; Assisted reproduction; Nursing application

卵巢过度刺激综合征（ovarian hyperstimulation syndrome， OHSS）作为促排卵技术最为常见并发症，是因卵泡过度发育后血管通透性增加，发生腹水、胸水、低血容量、组织水肿等，严重者会导致患者死亡[1-2]。轻度 OHSS 的发生率在20%～30%，中度 OHSS 的发生率在3%～6%，重度的 OHSS 发生率在0.5%～ 5%，重度 OHSS 患者因症状较重，大部分需要住院进行治疗[3]。大部分 OHSS 高危女性对此疾病的了解甚少，对此疾病无正确认知，对预防干预等临床护理情况了解较少。目前认为 OHSS 的预防重于治疗，对高危患者采取有效的护理干预可显著降低 OHSS 发生。因此，如何系统地管理 OHSS 高危人群就显得尤为重要[4]。知信行模式干预在临床相关领域中有着较好的应用效果，因此本研究就知信行模式干预 OHSS 高危患者的应用进行研究，现报道如下。

1资料与方法

1.1一般资料

回顾性分析2019年9月至2021年3月于中山市博爱医院生殖分院就诊的 OHSS 高危患者100例。……