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教育 DVD 是否能提高可选择的单胚胎移植的可接受性?一项随机对照研究。

Can an educational DVD improve the acceptability of elective single embryo transfer? A randomized controlled study.

机构信息

Monash IVF, Clayton, Victoria, Australia.

出版信息

Fertil Steril. 2010 Jul;94(2):489-95. doi: 10.1016/j.fertnstert.2009.03.080. Epub 2009 May 13.

Abstract

OBJECTIVE

To assess whether provision of an educational DVD was more effective in increasing the uptake of elective single embryo transfers (eSET) than an educational brochure in an IVF population.

DESIGN

Randomized controlled trial.

SETTING

Private IVF clinic.

PATIENT(S): One hundred thirty-one couples starting their first cycle of IVF were randomized to receive either an educational DVD or brochure.

INTERVENTION(S): Sixty-four couples received the DVD and 67 couples received the brochure. Both provided identical factual information on outcomes and risks of twin pregnancies. The DVD also included two short interviews with mothers of twins.

MAIN OUTCOME MEASURE(S): Preference for eSET after the intervention.

RESULT(S): There were no significant differences in fertility history or demographics. After the interventions, both groups demonstrated significantly improved knowledge. Patients in the DVD group were significantly more likely to prefer eSET compared with patients who read the brochure (82.6% vs. 66.7%).

CONCLUSION(S): Patients exposed to the educational DVD were significantly more likely to prefer eSET. Provision of an educational DVD, such as the one used in the present study, may provide an affordable and more effective means of delivering health risk information.

摘要

目的

评估在体外受精(IVF)人群中,提供教育 DVD 是否比教育手册更能有效提高选择性单胚胎移植(eSET)的接受率。

设计

随机对照试验。

地点

私人 IVF 诊所。

患者

131 对开始进行首次 IVF 周期的夫妇被随机分配接受教育 DVD 或手册。

干预

64 对接受 DVD,67 对接受手册。两者均提供有关双胞胎妊娠的结果和风险的相同事实信息。DVD 还包括对双胞胎母亲的两次简短采访。

主要观察指标

干预后的 eSET 偏好。

结果

两组的生育史和人口统计学特征均无显著差异。干预后,两组的知识均显著提高。与阅读手册的患者相比,观看 DVD 的患者更倾向于选择 eSET(82.6%比 66.7%)。

结论

接触教育 DVD 的患者更倾向于选择 eSET。提供教育 DVD(如本研究中使用的 DVD)可能是提供健康风险信息的一种经济实惠且更有效的方法。

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