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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30d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。
Objective To investigate the application of Orem self-care theory in patients with ovarian hyperstimulation syndrome (OHSS) predisposition. Methods A total of 307 patients with OHSS who had fresh cycles of in vitro fertilization-embryo transfer (IVF-ET) from October 2015 to October 2016 at the Reproductive Center of Changhai Hospital, Second Military Medical University were randomly divided into test group (165 cases) and control group (N = 142). Patients in the control group received routine nursing. The experimental group added Orem self-care theory on the basis of routine nursing. The incidence of OHSS and the severity of OHSS within 30 days after ovulation were analyzed and compared in two groups. Results Among the 307 patients with OHSS tendency, 68 cases were OHSS. Among them, 38 cases were control group, 16 cases were mild, 18 cases were moderate and 4 cases were severe. In the test group, 30 cases were mild, 20 moderate, 9 moderate, 1 case. The incidence of OHSS in the experimental group was not significantly different from that in the control group (P> 0.05), but it was more effective in reducing the severity of OHSS than the control group (P <0.05). Conclusion Orem self-care theory can effectively reduce the severity of OHSS, it is worth clinical promotion.