目的 探究微视频流程讲解联合接触、介绍、沟通、询问、回答、离开(CICARE)沟通模式在体外授精-胚胎移植患者中的应用效果。 方法 选取2020年6月至2021年6月在解放军陆军第七十三集团军医院生殖医学中心接受体外授精-胚胎移植的122例患者作为研究对象，根据随机数字表法分为两组，对照组采用常规流程讲解联合CICARE沟通模式，干预组采用微视频流程讲解联合CICARE沟通模式，观察两组患者各时期疾病认知度、护患关系信任度及周期治疗结局。 结果 对照组有1例因失访予以剔除，干预组有1例因问卷填写有误予以剔除，最终共120例患者完成本研究，各60例。准备期，干预组就诊准备维度评分高于对照组，差异有统计学意义(P<0。05)；促排卵期，干预组促排卵维度评分高于对照组，差异有统计学意义(P<0。05)；取卵术后，干预组取卵维度评分高于对照组，差异有统计学意义(P<0。05)；移植术后，干预组移植维度评分高于对照组，差异有统计学意义(P<0。05)；移植后等待时，干预组移植术后等待维度评分高于对照组，差异有统计学意义(P<0。05)。两组患者周期治疗结局对比差异无统计学意义(P>0。05)。干预组护患关系信任度量表各维度评分及总评分高于对照组，差异有统计学意义(P<0。05)。 结论 微视频流程讲解联合CICARE沟通模式可提升体外授精-胚胎移植患者健康认知程度，提升用药正确率和治疗安全性。 Objective To explore the micro-video process to explain the application effect of joint connect， introduce， communicate， ask， respond， exit(CICARE ) communication mode in patients with in vitro insemination-embryo transfer。 Methods A total of 122 patients who received in vitro insemination-embryo transfer in this hospital from June 2020 to June 2021 were selected as the research objects。They were divided into two groups according to the random number table method。The control group was taught the routine procedure and the CICARE communication mode。The intervention group was taught micro-video process and the CICARE communication mode。The symptoms of disease recognition， relationship trust and cycle treatment outcome were observed in each period of the two groups。 Results In the control group， 1 patient was eliminated from the visit。In the intervention group， 1 case was excluded due to incorrect questionnaire filling。A total of 120 patients completed this study， with 60 cases in each of the two groups。During the preparatory period， the intervention group's score of preparation dimension was higher than the control group， and the difference was statistically significant(P<0。05)。 In ovulation stimulating period， the ovulation stimulating dimension score in the intervention group was higher than that in the control group， and the difference was statistically significant(P<0。05)。 After ovulation， the dimension score of ovulation in the intervention group was higher than that in the control group， and the difference was statistically significant (P<0。05)。 After transplantation， the dimension score of transplantation in the intervention group was higher than that in the control group， and the difference was statistically significant (P<0。05)。 The waiting period after transplantation， the score of waiting dimension after transplantation in the intervention group was higher than that in the control group， and the difference was statistically significant (P<0。05)。 There was no significant difference in the outcome of periodic treatment between the two groups (P>0。05)。 The scores of each dimension and total scores of the nurse-patient relationship trust scale in the intervention group were higher than those in the control group， and the difference was statistically significant (P<0。05)。 Conclusions The micro-video process explanation of CICARE communication mode can improve the health cognition of patients with in vitro insemination-embryo transfer， improve the medication accuracy and the treatment safety。
A micro-video process explaining the application of the joint CICARE communication model in patients undergoing in vitro fertilization-embryo transfer
Objective To explore the micro-video process to explain the application effect of joint connect, introduce, communicate, ask, respond, exit(CICARE ) communication mode in patients with in vitro insemination-embryo transfer. Methods A total of 122 patients who received in vitro insemination-embryo transfer in this hospital from June 2020 to June 2021 were selected as the research objects.They were divided into two groups according to the random number table method.The control group was taught the routine procedure and the CICARE communication mode.The intervention group was taught micro-video process and the CICARE communication mode.The symptoms of disease recognition, relationship trust and cycle treatment outcome were observed in each period of the two groups. Results In the control group, 1 patient was eliminated from the visit.In the intervention group, 1 case was excluded due to incorrect questionnaire filling.A total of 120 patients completed this study, with 60 cases in each of the two groups.During the preparatory period, the intervention group's score of preparation dimension was higher than the control group, and the difference was statistically significant(P<0.05). In ovulation stimulating period, the ovulation stimulating dimension score in the intervention group was higher than that in the control group, and the difference was statistically significant(P<0.05). After ovulation, the dimension score of ovulation in the intervention group was higher than that in the control group, and the difference was statistically significant (P<0.05). After transplantation, the dimension score of transplantation in the intervention group was higher than that in the control group, and the difference was statistically significant (P<0.05). The waiting period after transplantation, the score of waiting dimension after transplantation in the intervention group was higher than that in the control group, and the difference was statistically significant (P<0.05). There was no significant difference in the outcome of periodic treatment between the two groups (P>0.05). The scores of each dimension and total scores of the nurse-patient relationship trust scale in the intervention group were higher than those in the control group, and the difference was statistically significant (P<0.05). Conclusions The micro-video process explanation of CICARE communication mode can improve the health cognition of patients with in vitro insemination-embryo transfer, improve the medication accuracy and the treatment safety.
Micro-video process explanationCICARE communication modeIn vitro fertilization-embryo transfer
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