| 摘要: |
| 目的 考察Orem自护理论在卵巢过度刺激综合征（OHSS）倾向患者中的应用效果。方法 在第二军医大学长海医院生殖中心2015年10月至2016年10月接受体外受精-胚胎移植（IVF-ET）新鲜周期的307例OHSS倾向患者，随机分为试验组（165例）和对照组（142例），对照组患者接受常规护理，试验组在常规护理基础上附加Orem自护理论。分析并比较2组患者取卵后30 d内OHSS发生率以及OHSS严重程度的差异。结果 具有OHSS倾向的307例患者中发生OHSS 68例，其中对照组38例，轻度16例、中度18例、重度4例；试验组30例，轻度20例、中度9例、重度1例。试验组患者OHSS发生率与对照组相比差异无统计学意义（P>0.05），但在降低OHSS严重程度方面较对照组更具效果（P<0.05）。结论 Orem自护理论能有效降低OHSS发生的严重程度，值得临床推广。 |
| 关键词: 自我护理 Orem自护理论 常规护理 卵巢过度刺激综合征 体外受精 胚胎移植 |
| DOI：10.16781/j.0258-879x.2017.07.0857 |
| 投稿时间：2017-04-19修订日期：2017-06-19 |
| 基金项目: |
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| Application of Orem's self-care theory in patients with a tendency of ovarian hyperstimulation syndrome |
| HONG Yi1△,ZHANG Bei-yao2△,LU Xiao-ying2,HAO Jian-ling3,ZHANG Ling-juan1* |
(1. Reproductive Medicine Center, Changhai Hospital, Second Military Medical University, Shanghai 200433, China;
2. Nusing Department, Changhai Hospital, Second Military Medical University, Shanghai 200433, China;
3. Outpatient Department, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
△Co-first authors
*Corresponding author) |
| Abstract: |
| Objective To investigate the performance of Orem's self-care theory application in the patients with a tendency of ovarian hyperstimulation syndrome (OHSS). Methods A total of 307 patients with a tendency of progressing OHSS, who were treated in Reproductive Medicine Center of Changhai Hospital of Second Military Medical University from Oct. 2015 to Oct. 2016, randomly received routine nursing management in combination with Orem's self-care theory (Orem's self-care theory group, n=165) or routine nursing management (routine group, n=142). The incidence and severity of OHSS of the patients in the two groups were compared and analyzed. Results Sixty-eight of 307 OHSS tendency patients finally developed OHSS, with 38 in the routine group (16 mild OHSS, 18 moderate and four severe), and 30 in the Orem's self-care theory group (20 mild, nine moderate and one severe). There was no significant difference in OHSS incidence between the two groups (P>0.05); while the reduction of OHSS severity in the Orem's self-care theory group was more obvious than that in the routine group, and the difference was statistically significant (P<0.05). Conclusion Orem's self-care theory nursing management has an advantage in reducing the severity of OHSS over routine nursing and is worthy of clinical use. |
| Key words: self care Orem's self-care theory general nursing ovarian hyperstimulation syndrome fertilization in vitro embryo transfer |
