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基于微信公众平台“病程小助手”的健康教育在体外受精-胚胎移植患者中的效果研究
引用本文:方李子,卢晓声,邱世梅,黄朝霞.基于微信公众平台“病程小助手”的健康教育在体外受精-胚胎移植患者中的效果研究[J].中华全科医学,2020,18(4):619-622.
作者姓名:方李子  卢晓声  邱世梅  黄朝霞
作者单位:温州医科大学附属第二医院生殖中心, 浙江 温州 325000
基金项目:浙江省人口计划生育科研项目(2014KYB344)浙江省自然科学基金(LQ17H040003)
摘    要:目的 研究基于微信公众平台“病程小助手”的健康教育在体外受精-胚胎移植(IVF-ET)患者中的应用效果。 方法 选取2018年6—12月在温州医科大学附属第二医院生殖中心初次行IVF-ET的患者200例,按照入院时间不同分为对照组100例及研究组100例,对照组给予生殖中心常规宣教,研究组采用基于微信公众平台的病程小助手进行宣教,对比2组患者干预前后的负性情绪、疾病认知度以及患者依从性。 结果 干预后,研究组焦虑自评量表(SAS)及抑郁自评量表(SDS)评分分别为(38.61±5.83)分、(37.78±4.29)分,明显低于对照组的(45.22±6.15)分、(42.16±5.03)分,差异有统计学意义(t=-7.802、-6.624,均P<0.05);干预后,研究组疾病认知度明显高于对照组,差异有统计学意义(Z=-5.000,P<0.05);研究组治疗期间合理饮食、遵医检查、遵医用药及规律休息和运动4项依从性评分分别为(5.79±0.39)分、(3.96±0.13)分、(5.97±0.18)分、(3.90±0.28)分,明显高于对照组的(5.51±0.60)分、(3.90±0.22)分、(5.89±0.28)分、(3.72±0.41)分,差异有统计学意义(t=3.912、2.348、2.404、3.626,均P<0.05)。 结论 基于微信公众平台“病程小助手”的健康教育能够明显改善IVF-ET患者的负性情绪,提高患者疾病认知度及依从性,值得推荐。 

关 键 词:微信    病程小助手    健康宣教    IVF-ET
收稿时间:2019-12-01

Research on the effect of health education based on WeChat public platform "little course assistant" in IVF-embryo transfer patients
Affiliation:Department of Reproductive Center, the Second, Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China
Abstract:Objective To study the effect of health education based on the WeChat public platform "Small Course Assistant" in IVF-ET patients. Methods A total of 200 patients who underwent IVF-ET for the first time at the Reproductive Center of the Second Affiliated Hospital of Wenzhou Medical University from June to December 2018 were selected. According to the time of admission, there were 100 cases in the control group and 100 cases in the research group. The control group was given routine education in the reproductive center. The observation group used a small assistant based on WeChat public platform for education. The negative emotion and disease awareness of the two groups of patients before and after the intervention, and patient compliance were compared. Results After the intervention, the anxiety self-assessment scale(SAS) and depression self-assessment scale(SDS) of the study group were(38.61±5.83) points and(37.78±4.29) points, significantly lower(45.22±6.15) points and(42.16±5.03) points in the control group. The difference was statistically significant(t=-7.802,-6.624, all P<0.05). After the intervention, the disease awareness of the study group was significantly higher than that of the control group. The difference was statistically significant(Z=-5.000, P<0.05). In the study group, the four compliance scores of reasonable diet, medical examination, regular medicine and regular rest and exercise were(5.79±0.39) points,(3.96±0.13) points,(5.97±0.18) points, and(3.90±0.28) points, respectively. Significantly higher than(5.51±0.60) points,(3.90±0.22) points,(5.89±0.28) points,(3.72±0.41) points in the control group. The difference was statistically significant(t=3.912, 2.348, 2.404, 3.626, all P<0.05). Conclusion Health education based on WeChat public platform "Small Course Assistant" can significantly improve the negative emotions of patients with IVF-ET, increase patient awareness and compliance, recommended. 
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