目的:探讨应用PDCA循环管理法在降低体外受精胚胎移植术(in vitro fertilization-embryo transfer,IVF-ET)后患者黄体支持药物的漏用率上的效果.方法:成立PDCA小组,应用鱼骨图工具从人、物、法、环四个方面找出造成体外受精胚胎移植术后患者漏用黄体支持药物的主要原因,制定一系列改进措施,实施后评估和确认效果.结果:体外受精胚胎移植术后患者黄体支持药物的漏用率得到改善,未干预组与干预组漏用率由24%将至9%(P<0.05),两组人群中漏用黄体支持药物的次数之间无统计学意义(P>0.05).结论:规范标准化流程,管理工具运用效果良好.

Objective To explore the application effect of the "offline+enterprise Wechat group" health education model in the propaganda and education of luteal supporting drugs in assisted reproductive technology. Methods 119 patients receiving luteal support for assisted reproduction in our center were divided into two groups. The control group was given routine health education, and the observation group was given "offline+enterprise Wechat group" health education. The leakage of luteal support drugs, pregnancy outcomes and satisfaction were compared between the two groups. Results After intervention, the proportion of no missed use of luteal support drugs increased from 65％ in the control group to 86.44％ in the observation group, with a statistically significant difference (P＜0.05). There was no statistically significant difference in the pregnancy rate between the observation group and the control group (P＞0.05). 77.97％ of the observation group was very satisfied with the nurse education, which was significantly higher than 53.33％ of the control group (P＜0.05). Conclusion For patients with assisted reproductive technology, the combination of "offline education+enterprise Wechat group" health education can effectively reduce the missed use of luteal support drugs, strengthen patients'' compliance behavior and self medication management ability, and ensure the effectiveness of clinical treatment, which is worth promoting

人工流产是避孕指失败后妊娠的补救措施,需要当妊娠期小于3个月时采取人工手术或药物流产等方法终止妊娠[1].由于患者通常对人工流产手术过程了解程度较低,同时伴随着流产术后并发症的出现,患者常会承受不同程度的心理负担.若术后未及时接受心理疏导,患者的身心健康会受到不同程度的影响,严重者甚至会罹患人工流产综合征[2],进而对患者的身心健康产生不良影响.有文献报道[3],人工流产后关爱护理能迅速、有效地改善患者心理问题,使患者重新投入到积极的工作生活中去,同时促进患者身体机能的恢复,并减少再次妊娠情况的发生.因此,为了解并研究了人工流产术后患者心理情况及依从性情况,本院对人工流产患者实行人工流产后关爱护理.

Objective To investigate the nursing care for patients undergoing transvaginal three-dimensional hysterosalpingo-contrast sonography using SonoVue(3D-SonoVue-HyCoSy) in the assessment of tubal patency. Methods 354 patients who have been implied with 3D-SonoVue-HyCoSy were analyzed retrospectively. Results All of the 354 patients were assessed successfully without any adverse reaction.3 of them had been found with hand-paralysis,cold sweat or gas pain in hypogastrium,and these symptoms could disappear after a rest. Conclusion Effective nursing intervention is one of the key point of the 3D-SonoVue-HyCoSy in the assessment of tubal patency,it could ameliorate patients'malaise whatever psychological or physiological.