試管嬰兒胚胎植入護理衛教對不孕症婦女接受胚胎植入期間成效之探討

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试管婴儿胚胎植入护理卫教对不孕症妇女接受胚胎植入期间成效之探讨

Effects of Nurse-lead In Vitro Fertilization Psychoeducation Program on Infertility Women During the Stages of Treatment

许雅婷 , 硕士　　导师：许玫琪;颜永杰　　

繁体中文

胚胎植入；试管婴儿；不孕；护理卫教；不孕自我效能；情绪调节；不确定感；因应方式； In vitro fertilization embryo transfer ； test tube baby ； infertility ； nurse-lead psychoeducation intervention ； Infertility self-efficacy scale ； Profile of mood states ； Jalowiec coping scale

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摘要 │ 参考文献 (15) │ 国际计量

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With randomized clinical trial, this study aimed to conduct research on women receiving obstetrics and gynecology services at a medical center in Southern Taiwan and investigated the effect of Nurse-lead In Vitro Fertilization Psychoeducation Program (IVF-PP) on infertility women receiving embryo transfers from in vitro fertilization. This study divided the infertile women into the experimental and the control groups perspectively. The experimental group received IVF-PP 4 times, and each time lasted for 60 minutes. The 1st time of IVF-PP was conducted at 2 to 3 days after women starting their menstruation. The 2nd time was conducted after the injection for ovarian stimulation. The 3rd time was performed after the injection for ovulation induction. The 4th time was performed when embryo transfer was conducted. The control group received only usual care. The research instruments included the demographic data, the Pregnancy Anxiety Scale, the Emotion Regulation Scale, the Mishel Uncertainty in Illness Scale (MUIS), and the Jalowiec Coping Scale (JCS). SPSS v.22 for Windows was used on the data analysis for descriptive analysis, chi-square analysis, independent sample t-test, paired-sample t test, one-way analysis of variance, and analysis of generalized estimating equations.  
The results showed that there were 30 women in the experimental group of 30 in the control group. The subjects aged between 35 to 43 years old, married at least 4.5 years or more, and mostly had 0 to 1 times of pregnancies (70%). They mostly had no labor and birth experience and no children (80%). The majority of them had a university degree (70%) and a religious belief (35%), and had 0 to 1 time of infertility treatment in the past. The treatment duration of infertility was 1 to 3 years. The results found that there was a statistically significant differences in self-efficacy between the time and group effects in the control and experimental groups (p≦.05). The model showed an interaction effect which was significant. The IVP-FF significntly improved self-efficacy in the experimental group. However, there were no statistically significant differences in emotion regulation, uncertainty and coping between the two groups (p>.05). The results of this study provide helpful information for nurses to improve self-efficacy for infertility women during the stages of treatment in order to achieve the opportunity to successful fertilization, and thus promote mental health.

参考文献 ( 15 ) 〈TOP〉

方惠珍、刘介宇、戴蕙莲、陈治平、高美玲(2011)‧健康谘询介入措施对非住院高危险妊娠孕妇不确定感、压力与生产结果之成效，护理暨健康照护研究，7(3)，3-12。
连结：
余珠琴(2013)‧不孕症治验谈‧中医妇科医学杂志，(17)，60-63。
连结：
吕翠夏(2010)‧母亲与父亲的情绪社会化行为与幼儿的情绪调节与同懠其互动的关系‧教育研究学报，44(2)，1-29。
连结：
李淑杏、郭碧照、黄梨香、王郁茗、李茂盛(2000)‧接受试管婴儿治疗之不孕症妇女在不同治疗过程的心理社会反应‧护理研究，8(5)，515-528。
连结：
吴嘉苓、雷文玫、邓宗业、谢新谊(2017)‧人工协助生殖科技的资料登录与健康监测:跨国比较研究，台湾公共卫生杂志，36(1)，6-20
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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。