Technol Health Care. 2024;32(3):1421-1429. doi: 10.3233/THC-230380.
The success of assisted pregnancy relies heavily on the effectiveness of the embryo transfer process. Currently, embryo transfer is typically conducted with the assistance of abdominal ultrasound.
The primary aim of this study was to evaluate the influence of targeted nursing interventions on the embryo transfer procedure, its impact on pregnancy outcomes, and the level of patient comfort concerning bladder management throughout the procedure.
A total of 247 patients who underwent embryo transfer at the Reproductive Center of Peking University People's Hospital from December 2019 to August 2020 were included in this study. These patients were categorized into two groups: the control group (n= 124) and the experimental group (n= 123). Within the control group, patients received conventional preoperative education, whereas those within the experimental group were subjected to targeted nursing interventions. Furthermore, patients in the experimental group were furnished with explicit instructions pertaining to the volume and timing of water intake. Multiple factors were assessed in this study, encompassing bladder filling, the quality of uterine imaging, the utilization of assistive devices during the surgical procedure, and pregnancy outcomes. Additionally, a post-operative questionnaire was administered to both groups to gauge their comfort levels regarding urinary retention.
Following the targeted nursing intervention, ultrasound scans indicated an increase in bladder depth (5.91 ± 1.76 vs. 5.40 ± 1.61, P= 0.02), resulting in clearer endometrial imaging (96.74% vs. 88.71%, P= 0.02). Additionally, the experimental group reported significantly higher levels of comfort with urine retention (P= 0.01) compared to the control group, and these differences held statistical significance. Furthermore, the pregnancy rate in the experimental group was greater than that in the control group (52.85% vs. 50.8%, P> 0.05).
Based on the premise that pregnancy rates remain unaffected, the implementation of targeted nursing care has the potential to augment bladder filling, enhance the quality of endometrial imaging, reduce the requirement for instrument-assisted embryo transfers, and notably enhance the comfort of patients in relation to urine retention.
辅助妊娠的成功在很大程度上依赖于胚胎移植过程的有效性。目前，胚胎移植通常在腹部超声的辅助下进行。
本研究的主要目的是评估靶向护理干预对胚胎移植过程的影响，对妊娠结局的影响，以及患者在整个过程中对膀胱管理的舒适度水平。
本研究纳入了 2019 年 12 月至 2020 年 8 月在北京大学人民医院生殖中心接受胚胎移植的 247 例患者。这些患者分为两组：对照组（n=124）和实验组（n=123）。对照组患者接受常规术前教育，实验组患者接受靶向护理干预。此外，实验组患者还接受了关于饮水量和时间的明确指导。本研究评估了多个因素，包括膀胱充盈度、子宫成像质量、手术过程中辅助设备的使用以及妊娠结局。此外，还对两组患者进行了术后问卷调查，以评估他们对尿潴留的舒适度。
经过靶向护理干预后，超声扫描显示膀胱深度增加（5.91±1.76 比 5.40±1.61，P=0.02），子宫内膜成像更清晰（96.74%比 88.71%，P=0.02）。此外，实验组患者对尿潴留的舒适度明显更高（P=0.01），与对照组相比差异具有统计学意义。此外，实验组的妊娠率高于对照组（52.85%比 50.8%，P＞0.05）。
在妊娠率不受影响的前提下，实施靶向护理可以增加膀胱充盈度，提高子宫内膜成像质量，减少器械辅助胚胎移植的需求，显著提高患者对尿潴留的舒适度。
