个体化健康教育方案对高龄不孕症患者辅助生殖技术中自我管理的影响

目的：探讨个体化健康教育方案对高龄不孕症患者辅助生殖技术中自我管理的影响。方法：选取2018年1月—2020年12月在我科就诊的高龄不孕症患者200例,按随机数字表分为观察组(n=100)和对照组(n=100)。观察组采用个体化健康教育方案,对照组采用常规健康教育。观察并统计分析干预前和干预12周周期自我管理能力中遵医嘱治疗、定期检查、合理饮食、坚持运动及依从性5项评分、自我效能评定量表评分、医学应对问卷面对、回避、屈服评分及焦虑和抑郁负性情绪评分。结果 干预12周后,2组周期自我管理能力遵医嘱治疗、定期检查、合理饮食、坚持运动及依从性5项评分高于干预前(P＜0.05)； 且观察组5项评分均高于对照组(P＜0.05)。干预后,2组自我对照效能评定量表评分干预前(P＜0.05),且观察组评分高于对照组(P＜0.05)。干预后,2组医学应对问卷各项维度评分中面对项评分明显高于干预前(P＜0.05),回避、放弃项评分明显低于干预前(P＜0.05),且观察组评分更优于对照组(P＜0.05)。干预后,2组SAS、SDS评分明显低于干预前(P＜0.05),且观察组评分低于对照组(P＜0.05)。结论：采用个体化健康教育方案后可提高对高龄不孕症患者对生殖技术的基本正确,提高自我管理意识和自我效能,从而改善负性情绪,利于高龄不孕症提高妊娠率。

The influence of individualized health education on self-management of assisted reproductive technology in elderly infertile patientsYU Jie1,ZHAO Wei-zheng1,ZOU Xu-tong1,LU Jing1*

Objective: To explore the impact of individualized health education program on self-management of assisted reproductive technology in elderly infertile patients.METHODS: From January 2018 to December 2020, 200 cases of senile infertility patients in our department were selected and divided into observation group (n=100) and control group (n=100) according to random number table.Individualized health education program was used in the observation group, while routine health education was used in the control group.The self-management ability scores including medical treatment, regular examination, reasonable diet, exercise and compliance, self-efficacy rating scale, medical coping questionnaire, avoidance, yield, anxiety and depression were observed and analyzed statistically before intervention and during the 12-week intervention cycle.Results:After 12 weeks of intervention, the scores of cycle self-management ability in the two groups were higher than those before intervention (P<0.05).The scores of the observation group were all higher than those of the control group (P<0.05).After intervention, the self-control efficacy rating scale of the two groups scored before intervention (P<0.05), and the observation group score was higher than the control group (P<0.05).After intervention, the Medical coping questionnaire scores of all dimensions in the two groups were significantly higher than before intervention(P<0.05), avoidance and abandonment scores were significantly lower than before intervention(P<0.05), and the observation group was better than the control group(P<0.05).After intervention, SAS and SDS scores of the two groups were significantly lower than before intervention (P<0.05),and the observation group was lower than the control group(P<0.05).Conclusion: The adoption of individualized health education program can improve the basic accuracy of senile infertility patients on reproductive technology, improve self-management awareness and self-efficacy, thus improve the negative emotions, conducive to the senile infertility and improve the pregnancy rate.