Effect of targeted differential nursing intervention on social status, cognitive status, and psychological flexibility in infertility patients

doi:10.3877/cma.j.issn.1674-0785.2022.03.014

Abstract

Abstract:

Objective

To investigate the impact of targeted differential nursing intervention on the social status, cognitive status, and psychological flexibility in patients with infertility.

Methods

Two hundred and four infertility patients treated at the People's Hospital of Guangxi Zhuang Autonomous Region from January 2020 to April 2021 were selected and randomly divided into either a control group or an observation group according to the order of admission, with 102 cases in each group. The control group was given routine nursing care, and the observation group was given targeted differential nursing. The social phobia inventory (SPIN), infertility cognitive status questionnaire, and psychological resilience scale were used to evaluate the social status, cognition state, and psychological flexibility of patients before and after nursing. The satisfaction to nursing and treatment compliance of the two groups were compared.

Results

Before nursing, the social phobia inventory scores (fear, avoidance, and physiological response scores, as well as total score), cognitive status scores (knowledge of reproductive anatomy, concept of infertility, diagnosis basis, factors causing infertility, pregnancy conditions, and treatment methods), and mental resilience scores (tenacity, strength, and optimism scores, as well as total score) of the two groups had no statistically significant differences (P＞0.05); after nursing, the phobia inventory scores of the two groups significantly decreased (P＜0.05), while the cognitive status scores and mental resilience scores significantly increased (P＜0.05), and the scores of the observation group were improved more significantly than those of the control group (P＜0.05). Compared with the control group, the satisfaction to nursing and treatment compliance in the observation group significantly increased (P＜0.05).

Conclusion

Targeted differential nursing intervention can significantly improve the social status, cognitive status, and psychological flexibility in patients with infertility.

Key words: Targeted differential nursing, Infertility, Social status, Cognitive status, Psychological flexibility

Min Teng, Ping HE, Guolan Huang, Jie Qin, Taishuai Huang. Effect of targeted differential nursing intervention on social status, cognitive status, and psychological flexibility in infertility patients[J]. Chinese Journal of Clinicians(Electronic Edition), 2022, 16(03): 268-273.

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https://zhlcyszz.cma-cmc.com.cn/EN/Y2022/V16/I03/268

Figures/Tables 6

项目	对照组（102例）	观察组（102例）	统计值	P值
年龄（岁， $x ¯$ ±s）	32.65±3.15	33.25±3.28	t=1.332	0.186
婚龄（年， $x ¯$ ±s）	6.35±1.56	6.62±1.69	t=1.186	0.239
体质量指数（kg/m²， $x ¯$ ±s）	21.06±1.36	21.24±1.58	t=0.872	0.385
不孕不育因素［例（%）］			χ²=0.361	0.948
子宫内膜异位症	51（50.00）	55（53.92）
输卵管因素	20（19.61）	19（18.63）
多囊卵巢综合征	17（16.67）	16（15.69）
其他	14（13.73）	12（11.76）
受教育程度［例（%）］			χ²=0.494	0.781
小学及以下	12（11.76）	13（12.75）
初中、高中	35（34.31）	39（38.24）
大学及以上	55（53.92）	50（49.02）
医疗支付方式［例（%）］			χ²=1.990	0.158
职工医保	78（76.47）	86（84.31）
居民/新农合医保	24（23.53）	16（15.69）
家庭人均月支配金额［例（%）］			χ²=0.362	0.548
＜3000元/月	86（84.31）	89（87.25）
≥3000元/月	16（15.69）	13（12.75）
不孕不育［例（%）］			χ²=1.140	0.286
不孕	92（90.20）	87（85.29）
不育	10（9.80）	15（14.71）

项目	对照组（102例）	观察组（102例）	统计值	P值
年龄（岁， $x ¯$ ±s）	32.65±3.15	33.25±3.28	t=1.332	0.186
婚龄（年， $x ¯$ ±s）	6.35±1.56	6.62±1.69	t=1.186	0.239
体质量指数（kg/m²， $x ¯$ ±s）	21.06±1.36	21.24±1.58	t=0.872	0.385
不孕不育因素［例（%）］			χ²=0.361	0.948
子宫内膜异位症	51（50.00）	55（53.92）
输卵管因素	20（19.61）	19（18.63）
多囊卵巢综合征	17（16.67）	16（15.69）
其他	14（13.73）	12（11.76）
受教育程度［例（%）］			χ²=0.494	0.781
小学及以下	12（11.76）	13（12.75）
初中、高中	35（34.31）	39（38.24）
大学及以上	55（53.92）	50（49.02）
医疗支付方式［例（%）］			χ²=1.990	0.158
职工医保	78（76.47）	86（84.31）
居民/新农合医保	24（23.53）	16（15.69）
家庭人均月支配金额［例（%）］			χ²=0.362	0.548
＜3000元/月	86（84.31）	89（87.25）
≥3000元/月	16（15.69）	13（12.75）
不孕不育［例（%）］			χ²=1.140	0.286
不孕	92（90.20）	87（85.29）
不育	10（9.80）	15（14.71）

组别	例数	害怕		回避		生理反应		总分
组别	例数	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后
对照组	102	10.36±3.21	7.25±2.11^a	11.65±3.15	9.25±2.45^a	9.56±2.65	6.54±2.54^a	31.57±4.65	23.04±3.54^a
观察组	102	10.52±3.26	3.36±1.06^a	11.75±3.04	4.11±1.36^a	9.75±2.98	3.22±1.36^a	32.02±4.39	10.69±2.59^a
t值		0.353	16.638	0.231	18.526	0.481	11.638	0.711	28.436
P值		0.725	＜0.001	0.818	＜0.001	0.631	＜0.001	0.479	＜0.001

组别	例数	生殖解剖知识		不孕不育概念		诊断根据		造成不孕不育的因素		受孕条件		治疗方法
组别	例数	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后
对照组	102	75.63±6.25	82.65±7.15^a	72.56±6.35	81.13±6.98^a	69.58±6.14	83.56±7.29^a	70.15±6.39	82.63±7.25^a	73.65±6.69	84.36±8.36^a	76.69±6.98	88.36±7.98^a
观察组	102	76.92±6.39	91.51±7.32^a	73.69±6.41	93.35±6.79^a	68.77±6.21	92.14±7.95^a	70.54±6.75	93.54±7.98^a	73.92±6.81	93.98±9.45^a	75.96±6.77	95.36±8.25^a
t值		1.458	8.745	1.265	12.674	0.937	8.034	0.424	10.220	0.286	7.700	0.758	6.159
P值		0.148	＜0.001	0.209	＜0.001	0.351	＜0.001	0.673	＜0.001	0.776	＜0.001	0.450	＜0.001

组别	例数	坚韧		力量		乐观		总分
组别	例数	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后
对照组	102	29.56±2.65	33.56±2.98^a	8.57±2.44	10.25±2.65^a	5.69±1.56	9.24±2.75^a	43.82±4.85	53.05±5.96^a
观察组	102	29.45±2.75	37.25±3.01^a	8.69±2.35	12.69±2.98^a	5.71±1.95	11.36±3.22^a	43.85±5.24	61.30±5.87^a
t值		0.291	8.799	0.358	6.179	0.081	5.056	0.042	9.960
P值		0.772	＜0.001	0.721	＜0.001	0.936	＜0.001	0.966	＜0.001

组别	例数	完全依从	不完全依从	完全不依从	治疗依从率
对照组	102	71（69.61）	25（24.51）	6（5.88）	96（94.12）
观察组	102	84（82.35）	17（16.67）	1（0.98）	101（99.02）
χ²值					6.186
P值					0.045

组别	例数	满意	一般	不满意	总满意度
对照组	102	70（68.63）	26（25.49）	6（5.88）	96（94.12）
观察组	102	85（83.33）	15（14.71）	2（1.96）	100（98.04）
χ²值					6.403
P值					0.041

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