Haagen Esther C, Hermens Rosella P, Nelen Willianne L, Braat Didi D, Kremer Jan A, Grol Richard P
Department of Obstetrics and Gynecology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Fertil Steril. 2008 Apr;89(4):809-16. doi: 10.1016/j.fertnstert.2007.04.005. Epub 2007 Aug 13.
To identify subfertile couples' experiences with specific aspects of intrauterine insemination (IUI) care and to determine which patient and hospital characteristics affect their experiences.
Cross-sectional survey with written questionnaires.
One large tertiary hospital and nine medium-sized hospitals, including both teaching and nonteaching centers, in the southeast of the Netherlands.
PATIENT(S): One thousand seventy-nine subfertile couples who underwent IUI treatment between April 2000 and August 2002.
RESULT(S): The response rate was 71%. Many subfertile couples have had negative experiences with IUI care, particularly regarding the doctor's attitude and coordination of care. Among several patient and hospital characteristics that significantly predicted these negative experiences, the main predictors were no ongoing pregnancy and high education level.
CONCLUSION(S): From the perspective of subfertile couples, several aspects of IUI care are in serious need of improvement, particularly care aspects regarding the doctor's attitude and coordination of care. These findings are an important incentive for developing tailored interventions that address the reported deficits in IUI care to meet subfertile couples' needs better.
确定不育夫妇在宫腔内人工授精（IUI）护理特定方面的经历，并确定哪些患者和医院特征会影响他们的经历。
采用书面问卷进行横断面调查。
荷兰东南部的一家大型三级医院和九家中型医院，包括教学和非教学中心。
2000年4月至2002年8月期间接受IUI治疗的1079对不育夫妇。
回复率为71%。许多不育夫妇对IUI护理有负面经历，特别是在医生态度和护理协调方面。在显著预测这些负面经历的几个患者和医院特征中，主要预测因素是未持续妊娠和高学历。
从不育夫妇的角度来看，IUI护理的几个方面急需改进，特别是医生态度和护理协调方面。这些发现是制定针对性干预措施的重要动力，以解决IUI护理中报告的不足，更好地满足不育夫妇的需求。
