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

• Main Authors: Ya-Ting Hsu, 許雅婷
• Other Authors: Mei-Chi Hsu
• Format: Others
• Language: zh-TW
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/kq992f

碩士 === 義守大學 === 管理碩博士班 === 105 === 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.