Arslan-Özkan İlkay, Okumuş Hülya, Buldukoğlu Kadriye
Department of Obstetric and Gynecological Nursing, Nursing Faculty, Akdeniz University, Antalya, Turkey.
J Adv Nurs. 2014 Aug;70(8):1801-12. doi: 10.1111/jan.12338. Epub 2013 Dec 22.
To investigate the effects of nursing care based on the Theory of Human Caring on distress caused by infertility, perceived self-efficacy and adjustment levels.
Infertility leads to individual, familial and social problems. Nursing care standards for women affected by infertility have yet to emerge.
A randomized controlled trial.
This study was conducted from May 2010-February 2011, with 105 Turkish women with infertility (intervention group: 52, control group: 53). We collected data using the Infertility Distress Scale, the Turkish-Infertility Self Efficacy Scale Short Form and the Turkish-Fertility Adjustment Scale. The intervention group received nursing care based on the Theory of Human Caring. Data were analysed using t-tests, chi-square tests and intention-to-treat analyses.
The intervention and control groups significantly differed with regard to infertility distress, self-efficacy and adjustment levels. The intervention group's mean self-efficacy score increased by seven points and adjustment score decreased by seven points (in a positive direction). In addition, there was a significant reduction in infertility distress scores in the intervention group, but there was no change in the control group.
Nursing care based on the Theory of Human Caring decreased the negative impact of infertility in women receiving infertility treatment and increased self-efficacy and adjustment.
探讨基于关怀理论的护理对不孕症所致困扰、自我效能感及适应水平的影响。
不孕症会引发个人、家庭及社会问题。针对受不孕症影响女性的护理标准尚未形成。
一项随机对照试验。
本研究于2010年5月至2011年2月开展，纳入105名土耳其不孕症女性（干预组：52名，对照组：53名）。我们使用不孕症困扰量表、土耳其不孕症自我效能量表简表和土耳其生育适应量表收集数据。干预组接受基于关怀理论的护理。采用t检验、卡方检验和意向性分析对数据进行分析。
干预组和对照组在不孕症困扰、自我效能感及适应水平方面存在显著差异。干预组的自我效能感平均得分提高了7分，适应得分降低了7分（呈积极方向）。此外，干预组的不孕症困扰得分显著降低，而对照组则无变化。
基于关怀理论的护理减轻了接受不孕症治疗女性不孕症的负面影响，提高了自我效能感和适应能力。
