Baldini Giorgio Maria, Lot Dario, Malvasi Antonio, Laganà Antonio Simone, Marino Angelo Alessandro, Baldini Domenico, Trojano Giuseppe
Obstetrics and Gynecology Unit, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", 70121 Bari, Italy.
IVF Center, Momo Fertilife, 76011 Bisceglie, Italy.
J Pers Med. 2025 Aug 13;15(8):374. doi: 10.3390/jpm15080374.
To evaluate patient perceptions regarding ultrasound-guided embryo transfer, visualisation of embryos prior to transfer, and continuity of care with the same physician during in vitro fertilisation (IVF) treatments. Between January and September 2023, this study was conducted at the IVF MOMO' FertiLIFE centre in Bisceglie, Italy. Descriptive and observational study based on an anonymous survey administered to IVF patients at the time of embryo transfer. The goal was to assess the subjective emotional and psychological response to selected procedural elements of the embryo transfer process. Out of 284 distributed questionnaires, 200 were included in the final analysis. Inclusion required fully completed responses. Questionnaires with incomplete, unclear answers or patient refusal were excluded. The study group was compared with the general IVF patient population treated at the centre over the past 5 years to ensure representativeness. Patients completed a structured questionnaire using a five-point Likert scale. Statistical analysis included descriptive statistics, Spearman's rank correlation, Friedman test, and exploratory factor analysis. Ethical approval was obtained (CELFer no. 07/2021), and all participants provided written informed consent. The majority of patients reported a heightened sense of calm and reassurance during ultrasound-guided embryo transfer. Viewing embryos on a monitor before transfer was also positively perceived. A strong preference emerged for continuity of care with the same physician throughout the IVF process. While this study did not assess objective stress levels or clinical outcomes, the findings highlight the psychological comfort associated with these patient-centred practices. This single-centre study is based on self-reported data and lacks objective assessments of psychological well-being. Therefore, results reflect personal perceptions rather than measurable clinical outcomes. Broader, multicentre research using validated psychological tools is needed to confirm and expand these findings. Furthermore, the questionnaire used in this study was developed internally and not validated externally with standardised psychometric instruments. This study provides insight into IVF patients' subjective experiences, emphasising the perceived emotional benefits of specific procedural and relational aspects of care. These findings support the integration of patient-centred strategies-such as visual engagement and physician continuity-into routine IVF practice to enhance overall patient well-being.
评估患者对超声引导下胚胎移植、移植前胚胎可视化以及体外受精（IVF）治疗期间由同一位医生提供连续护理的看法。2023年1月至9月期间，本研究在意大利比谢列的IVF MOMO' FertiLIFE中心进行。该研究为描述性和观察性研究，基于在胚胎移植时对IVF患者进行的匿名调查。目的是评估患者对胚胎移植过程中选定程序要素的主观情绪和心理反应。在分发的284份问卷中，200份被纳入最终分析。纳入要求回答完整。答案不完整、不清楚或患者拒绝的问卷被排除。将研究组与该中心过去5年治疗的一般IVF患者群体进行比较，以确保代表性。患者使用五点李克特量表完成一份结构化问卷。统计分析包括描述性统计、斯皮尔曼等级相关性分析、弗里德曼检验和探索性因素分析。研究获得了伦理批准（CELFer编号07/2021），所有参与者均提供了书面知情同意书。大多数患者报告在超声引导下胚胎移植期间平静和安心的感觉增强。移植前在监视器上查看胚胎也得到了积极评价。患者强烈倾向于在整个IVF过程中由同一位医生提供连续护理。虽然本研究未评估客观压力水平或临床结果，但研究结果突出了与这些以患者为中心的做法相关的心理舒适度。这项单中心研究基于自我报告数据，缺乏对心理健康的客观评估。因此，结果反映的是个人看法而非可衡量的临床结果。需要更广泛的多中心研究使用经过验证的心理工具来证实和扩展这些发现。此外，本研究中使用的问卷是内部开发的，未使用标准化心理测量工具进行外部验证。本研究深入了解了IVF患者的主观体验，强调了护理中特定程序和关系方面所带来的情感益处。这些发现支持将以患者为中心的策略——如视觉参与和医生连续性——整合到常规IVF实践中，以提高患者的整体幸福感。
