Construction and operation method based on assisted reproduction nursing sensitive indexes

Abstract

The invention provides a method for constructing and operating sensitive indexes based on assisted reproductive nursing. The method comprises the following steps: S1, setting physiological indexes of a patient: setting hormone level monitoring indexes of the patient and endometrial thickness and morphological indexes; s2, psychological state index: performing multi-dimensional psychological assessment on the patient, and setting a psychological intervention effect assessment index; and S3, nursing service process indexes: counting a nursing operation specification execution rate and a patient health education awareness rate. According to the construction and operation method based on the assisted reproductive nursing sensitivity index, the constructed nursing sensitivity index system comprehensively and scientifically covers the physiological, psychological, nursing service process and treatment outcome of the patient, nursing work can be accurately quantified, data support is provided for nursing decision, cross-institution nursing quality comparison is assisted, and the nursing sensitivity index system has the advantages of being simple in structure, convenient to operate and high in practicability. The establishment of industrial unified standards is promoted, and the assisted reproduction nursing quality is accurately reflected.

Description

Technical Field

[0001] The present invention relates to the field of medical care, and in particular to a construction and operation method based on sensitive indicators of assisted reproductive care. Background Art

[0002] With the continuous development of assisted reproductive technology, technologies such as in vitro fertilization-embryo transfer and intracytoplasmic sperm injection are becoming increasingly mature. More and more couples are successfully realizing their desire to have children with the help of these technologies. However, the assisted reproductive process is extremely complicated, from the initial physical examination of the couple, the formulation of ovulation induction plans, to egg retrieval, sperm retrieval, embryo culture, embryo transplantation, and then to luteal support and pregnancy monitoring after transplantation. Each link is closely linked and has extremely high technical requirements, involving multiple professional fields such as reproductive medicine, genetics, embryology, endocrinology, etc., which puts extremely high demands on the quality of nursing.

[0003] In nursing practice, nurses need to accurately perform the injection of ovulation-inducing drugs and strictly control the injection time, dosage and method. Any slight deviation may affect the development and maturation of follicles. During the egg retrieval operation, nurses must not only assist doctors in successfully completing the operation, but also pay close attention to the patient's vital signs and psychological state to prevent the occurrence of surgical complications. After embryo transplantation, nurses need to guide patients to correctly perform luteal support treatment, including the use of drugs, precautions, etc. At the same time, they must conduct regular pregnancy monitoring of patients to promptly detect and deal with possible abnormal situations.

[0004] At present, although assisted reproductive technology has made significant progress, there is still a lack of a set of scientific and systematic assisted reproductive nursing sensitive indicators and effective operating methods in the evaluation of nursing quality. It is impossible to comprehensively and accurately evaluate the quality of nursing, and it is difficult to improve nursing work in a targeted manner, which affects the success rate of assisted reproduction and patient satisfaction.

[0005] Therefore, it is necessary to provide a construction and operation method based on sensitive indicators of assisted reproductive care to solve the above technical problems. Summary of the invention

[0006] The present invention provides a construction and operation method based on assisted reproductive nursing sensitive indicators, which solves the problem of lack of a set of scientific and systematic assisted reproductive nursing sensitive indicators and effective operation methods, inability to comprehensively and accurately evaluate nursing quality, difficulty in targeted improvement of nursing work, and affecting the success rate of assisted reproduction and patient satisfaction.

[0007] In order to solve the above technical problems, the present invention provides a construction based on sensitive indicators of assisted reproductive care, comprising the following steps:

[0008] S1. Patient physiological indicators: establish indicators for monitoring patient hormone levels, as well as endometrial thickness and morphology;

[0009] S2. Psychological state indicators: Conduct multi-dimensional psychological assessments on patients and establish evaluation indicators for the effectiveness of psychological interventions;

[0010] S3. Nursing service process indicators: Statistically calculate the implementation rate of nursing operation specifications and the awareness rate of patient health education;

[0011] S4. Treatment outcome indicators: Statistically calculate the clinical pregnancy rate of successful pregnancies with gestational sacs detected by ultrasound, and the live birth rate of healthy newborns finally delivered.

[0012] Preferably, the monitoring indicators of the patient's hormone levels aim to determine the fluctuation ranges of follicle-stimulating hormone, luteinizing hormone, and estrogen at different treatment stages, while also paying attention to the hormone levels such as progesterone and testosterone; the creation of the endometrial thickness and morphology indicators relies on high-resolution ultrasound equipment. At different stages of the menstrual cycle, especially 3-5 days before embryo transfer, accurately measure the endometrial thickness, and describe its morphology in detail. Analyze the correlation between endometria of different morphologies and the clinical pregnancy rate, and establish appropriate endometrial thickness and morphology standards under different transplantation protocols. For patients with multiple failed transplantations, increase the monitoring of endometrial blood flow parameters as supplementary indicators for evaluating endometrial receptivity.

[0013] Preferably, in addition to using the Self-Rating Anxiety Scale and Self-Rating Depression Scale to evaluate the anxiety and depression states of patients, the multi-dimensional psychological assessment also introduces the Symptom Checklist-90 to comprehensively evaluate the mental health status of patients from multiple dimensions.

[0014] Preferably, the implementation rate of the nursing operation specifications is calculated by regularly evaluating the operations of nursing staff through various methods such as on-site observation, video playback, and nursing record verification, after formulating detailed standard processes and specifications for various nursing operations (including drug injection, nursing cooperation during egg retrieval surgery, and nursing during embryo transfer).

[0015] Preferably, the awareness rate of patient health education is calculated by formulating comprehensive assisted reproductive health education content (covering disease knowledge, treatment processes, drug use, life precautions, and psychological adjustment aspects), using diverse education methods (such as face-to-face explanations, distribution of promotional brochures, pushing online courses, and group discussions), and after each health education, understanding the patient's mastery of the education content through methods such as questionnaire surveys, oral questioning, and practical operation demonstrations.

[0016] Preferably, the clinical pregnancy rate is strictly in accordance with the clinical diagnostic criteria. At 28-35 days after embryo transfer, confirm clinical pregnancy through ultrasound detection, and statistically calculate the proportion of patients with successful pregnancies and detected gestational sacs.

[0017] Preferably, the live birth rate is obtained by calculating the proportion of patients who finally give birth to healthy newborns, and the gestational age at delivery, neonatal weight, and Apgar score indicators should be recorded in detail.

[0018] To solve the above problems, the present invention also provides an operation method based on sensitive indicators of assisted reproductive care, including the following steps;

[0019] S1. Establish an electronic nursing record system: Use an advanced medical information management platform to build a data entry interface specifically for assisted reproductive care;

[0020] S2. Integrate multi-source data: In addition to the data entered by nursing staff, the system automatically docks with the hospital's inspection and examination systems to obtain objective data such as patients' hormone test reports and ultrasound examination results, realizing automated data collection and integration, and reducing errors and time costs caused by manual secondary entry;

[0021] S3. Use statistical analysis software: Select professional statistical analysis software, such as SPSS and SAS, to analyze the collected data regularly;

[0022] S4. Build a data analysis model: Based on big data and machine learning technologies, build a prediction model for the quality of assisted reproductive care;

[0023] S5. Improve nursing quality: According to the data analysis results, hold regular nursing quality improvement meetings every month;

[0024] S6. Formulate specific improvement measures according to the analysis results. For example, for the problem of low implementation rate of nursing operation specifications, organize special training and invite experts for on-site guidance and demonstration; for the situation of low awareness rate of patient health education, optimize the education content and methods, and adopt diversified education means such as pictures and texts, video explanations, etc.; at the same time, set up a follow-up team for the implementation of improvement measures to be responsible for supervising the implementation of improvement measures and regularly collecting data to evaluate the improvement effect;

[0025] S7. Multidisciplinary collaboration and continuous optimization: Timely feedback the analysis results and improvement measures to the doctor team to strengthen multidisciplinary collaboration.

[0026] Preferably, the electronic nursing record system further includes a data real-time entry module and a storage and query module.

[0027] Preferably, the data real-time entry module is used to ensure the timeliness and accuracy of data, and the storage and query module is used to ensure the traceability of data.

[0028] Compared with related technologies, the construction and operation method of a kind of assisted reproductive care based on sensitive indicators provided by the present invention has the following beneficial effects:

[0029] The present invention provides a construction and operation method based on sensitive indicators for assisted reproductive care. The constructed system of sensitive care indicators is comprehensive and scientific, covering patients' physiology, psychology, the process of nursing services, and treatment outcomes. It can accurately quantify nursing work, provide data support for nursing decisions, facilitate cross-institutional comparison of nursing quality, promote the establishment of industry unified standards, and accurately reflect the quality of assisted reproductive care;

[0030] Through information technology means, efficient collection and analysis of data are achieved, providing a strong basis for the continuous improvement of nursing quality, helping to improve the success rate of assisted reproduction, enhance patient satisfaction, and promote the development of assisted reproductive technologies. BRIEF DESCRIPTION OF THE DRAWINGS

[0031] Figure 1 It is a flowchart of a preferred embodiment of the construction of a sensitive indicator for assisted reproductive care provided by the present invention;

[0032] Figure 2 For Figure 1 The block diagram of the patient's physiological indicators shown;

[0033] Figure 3 For Figure 1 The block diagram of the psychological state indicators shown;

[0034] Figure 4 For Figure 1 The block diagram of the nursing service process indicators shown;

[0035] Figure 5 For Figure 1 The block diagram of the treatment outcome indicators shown;

[0036] Figure 6 It is a flowchart of the first embodiment of the operation method based on sensitive indicators for assisted reproductive care provided by the present invention;

[0037] Figure 7 It is a block diagram of the second embodiment of the operation method based on sensitive indicators for assisted reproductive care provided by the present invention. DETAILED DESCRIPTION OF THE EMBODIMENTS

[0038] The present invention will be further described below in conjunction with the drawings and embodiments.

[0039] Please refer to Figure 1 , Figure 2 , Figure 3 , Figure 4 and Figure 5 , wherein, Figure 1 It is a flowchart of a preferred embodiment of the construction of a sensitive indicator for assisted reproductive care provided by the present invention; Figure 2 For Figure 1 The block diagram of the patient's physiological indicators shown;Figure 3 For Figure 1 the block diagram of psychological state indicators shown; Figure 4 For Figure 1 the block diagram of nursing service process indicators shown; Figure 5 For Figure 1 the block diagram of treatment outcome indicators shown. A construction based on assisted reproductive nursing sensitive indicators includes the following steps:

[0040] S1. Patient physiological indicators: Set up indicators for monitoring the patient's hormone levels, as well as indicators for endometrial thickness and morphology;

[0041] S2. Psychological state indicators: Conduct multi-dimensional psychological assessments on patients and set up indicators for evaluating the effectiveness of psychological interventions;

[0042] S3. Nursing service process indicators: Statistically calculate the implementation rate of nursing operation specifications and the awareness rate of patient health education;

[0043] S4. Treatment outcome indicators: Statistically calculate the clinical pregnancy rate of successful pregnancy and detected gestational sac by ultrasound, and the live birth rate of finally delivering healthy newborns.

[0044] The above-mentioned indicators for monitoring the patient's hormone levels aim to determine the fluctuation ranges of follicle-stimulating hormone, luteinizing hormone, and estrogen at different treatment stages, while also paying attention to the hormone levels such as progesterone and testosterone; the creation of the above-mentioned indicators for endometrial thickness and morphology depends on high-resolution ultrasound equipment. At different stages of the menstrual cycle, especially 3-5 days before embryo transfer, accurately measure the endometrial thickness and describe its morphology in detail, analyze the correlation between endometrial morphology and clinical pregnancy rate, establish appropriate endometrial thickness and morphology standards under different transplantation schemes, and for patients with multiple failed transplantations, increase the monitoring of endometrial blood flow parameters as a supplementary indicator for evaluating endometrial receptivity.

[0045] In addition to using self-rating anxiety scale and self-rating depression scale to evaluate the anxiety and depression states of patients, the above-mentioned multi-dimensional psychological assessment also introduces the symptom checklist-90 to comprehensively evaluate the mental health status of patients from multiple dimensions.

[0046] The implementation rate of the above-mentioned nursing operation specifications is calculated by formulating detailed standard processes and specifications for various nursing operations (including drug injection, nursing cooperation during egg retrieval surgery, and nursing during embryo transfer), and regularly evaluating the operations of nursing staff through various methods such as on-site observation, video playback, and nursing record verification.

[0047] The awareness rate of patient health education is calculated by formulating comprehensive assisted reproductive health education content (covering disease knowledge, treatment processes, drug use, life precautions, and psychological adjustment), adopting diversified education methods (such as face-to-face explanations, distribution of brochures, online course promotion, group discussions, etc.), and after each health education, through methods such as questionnaire surveys, oral questioning, and practical operation demonstrations, to understand the patient's mastery of the education content.

[0048] The clinical pregnancy rate is strictly in accordance with the clinical diagnostic criteria. After embryo transfer, clinical pregnancy is confirmed by ultrasound examination 28 - 35 days later, and the proportion of patients with successful pregnancy and detected gestational sacs is statistically counted.

[0049] The live birth rate is obtained by calculating the proportion of patients who finally give birth to healthy newborns, and at the same time, the gestational age at delivery, neonatal weight, and Apgar score indicators need to be recorded in detail.

[0050] Compared with related technologies, a construction based on assisted reproductive nursing sensitive indicators provided by the present invention has the following beneficial effects:

[0051] Through the constructed nursing sensitive indicator system, which is comprehensive and scientific, covering patients' physiology, psychology, nursing service process, and treatment outcome, it can accurately quantify nursing work, provide data support for nursing decision-making, facilitate cross-institutional nursing quality comparison, promote the establishment of industry unified standards, and accurately reflect the quality of assisted reproductive nursing.

[0052] First Embodiment

[0053] Please refer to Figure 6 , to solve the above problems, the present invention also provides an operation method based on assisted reproductive nursing sensitive indicators, including the following steps;

[0054] S1. Establish an electronic nursing record system: Using an advanced medical information management platform, build a data entry interface specifically for assisted reproductive nursing;

[0055] S2. Multi-source data integration: In addition to the data entered by nursing staff, the system automatically docks with the hospital's inspection and examination system to obtain objective data such as patients' hormone test reports and ultrasound examination results, realizing automatic data collection and integration, and reducing errors and time costs caused by manual secondary entry;

[0056] S3. Apply statistical analysis software: Select professional statistical analysis software, such as SPSS, SAS, and regularly analyze the collected data;

[0057] S4. Build a data analysis model: Based on big data and machine learning technologies, build a prediction model for the quality of assisted reproductive nursing;

[0058] S5, Nursing Quality Improvement: According to the data analysis results, a nursing quality improvement meeting is regularly held every month;

[0059] S6, Develop specific improvement measures based on the analysis results. For example, for the problem of low implementation rate of nursing operation specifications, organize special training and invite experts for on-site guidance and demonstration; for the situation of low awareness rate of patient health education, optimize the education content and methods, and adopt diversified education means such as pictures and texts, video explanations, etc.; at the same time, set up a follow-up team for the implementation of improvement measures, responsible for supervising the implementation of improvement measures, and regularly collecting data to evaluate the improvement effect;

[0060] S7, Multidisciplinary Collaboration and Continuous Optimization: Timely feedback the analysis results and improvement measures to the doctor team to strengthen multidisciplinary collaboration.

[0061] During each patient visit, treatment operation, and examination, nursing staff use mobile terminal devices (such as tablets, handheld nursing terminals) to input relevant data in real time to ensure the timeliness and accuracy of the data. At the same time, the system sets data verification rules to avoid inputting incorrect data. For example, set a reasonable range for hormone level values, and if the range is exceeded, prompt to re-confirm the input;

[0062] Use statistical analysis software not only for routine descriptive statistical analysis, calculating means, proportions, standard deviations, etc., but also use methods such as correlation analysis and regression analysis to explore the internal relationships between various nursing-sensitive indicators, as well as the degree of association between nursing measures and treatment outcomes;

[0063] The meeting is chaired by the director of the nursing department, and the core members of the nursing team, doctors from relevant departments, and personnel from the hospital quality management department participate together. For abnormal indicator situations, in-depth analysis of the reasons is carried out, and discussions are conducted from multiple aspects such as the professional skills of nursing staff, the rationality of nursing processes, and patient individual differences;

[0064] Doctors adjust the treatment plan based on nursing feedback, and nursing staff optimize nursing measures according to doctor suggestions, forming a virtuous cycle of coordinated development of medical care. Continuously sum up experience and lessons, and continuously optimize the assisted reproductive nursing-sensitive indicator system and operation methods to adapt to the continuous development of assisted reproductive technologies and patient needs.

[0065] Compared with related technologies, an operation method based on assisted reproductive nursing-sensitive indicators provided by the present invention has the following beneficial effects:

[0066] Through information technology means, efficient collection and analysis of data are realized, providing a strong basis for continuous improvement of nursing quality, helping to improve the success rate of assisted reproduction, enhance patient satisfaction, and promote the development of assisted reproductive technologies.

[0067] Second Embodiment

[0068] Please refer to Figure 7 , a method for operating based on sensitive indicators of assisted reproductive care provided by the first embodiment of the present application, and another method for operating based on sensitive indicators of assisted reproductive care is proposed in the second embodiment of the present application. The second embodiment is only a preferred manner of the first embodiment, and the implementation of the second embodiment will not affect the independent implementation of the first embodiment.

[0069] Specifically, the difference of a method for operating based on sensitive indicators of assisted reproductive care provided by the second embodiment of the present application is that, for a method for operating based on sensitive indicators of assisted reproductive care, the electronic nursing record system further includes a data real-time entry module and a storage and query module.

[0070] The data real-time entry module is used to ensure the timeliness and accuracy of the data, and the storage and query module is used to ensure the traceability of the data.

[0071] Compared with the related art, a method for operating based on sensitive indicators of assisted reproductive care provided by the present invention has the following beneficial effects:

[0072] By including the data real-time entry module and the storage and query module, the timeliness, accuracy and traceability of the data can be ensured.

[0073] The above are only the embodiments of the present invention, and do not limit the patent scope of the present invention. Any equivalent structure or equivalent process transformation made by using the specification and drawings of the present invention, or directly or indirectly applied in other related technical fields, shall be included in the patent protection scope of the present invention by the same token.

Claims

1. A construction based on sensitive indicators of assisted reproductive care, characterized in that: The following steps are involved: S1. Patient physiological indicators: establish indicators for monitoring patient hormone levels, as well as endometrial thickness and morphology; S2. Psychological status indicators: Conduct multi-dimensional psychological assessments on patients and establish indicators for evaluating the effectiveness of psychological interventions; S3. Nursing service process indicators: statistics on the implementation rate of nursing operation standards and the awareness rate of patients' health education; S4. Treatment outcome indicators: Statistics of successful pregnancy and clinical pregnancy rate with detection of gestational sac by ultrasound, as well as the live birth rate of healthy newborns.

2. The construction of a sensitive indicator based on assisted reproductive care according to claim 1, characterized in that: The patient hormone level monitoring indicators are intended to determine the fluctuation range of follicle-stimulating hormone, luteinizing hormone, and estrogen in different treatment stages, while paying attention to the levels of hormones such as progesterone and testosterone; the creation of the endometrial thickness and morphology indicators relies on high-resolution ultrasound equipment to accurately measure the endometrial thickness and describe its morphology in detail at different stages of the menstrual cycle, especially 3-5 days before embryo transfer, analyze the correlation between different morphologies of endometrium and clinical pregnancy rate, establish appropriate endometrial thickness and morphology standards under different transplantation schemes, and for patients with multiple transplantation failures, increase the monitoring of endometrial blood flow parameters as a supplementary indicator for evaluating endometrial receptivity.

3. The construction of a sensitive indicator based on assisted reproductive care according to claim 1, characterized in that: In addition to using the anxiety self-rating scale and depression self-rating scale to assess the patient's anxiety and depression, the multidimensional psychological assessment also introduces a symptom self-rating scale to comprehensively assess the patient's mental health status from multiple dimensions.

4. The construction of a sensitive indicator based on assisted reproductive care according to claim 1, characterized in that: The execution rate of nursing operation specifications is calculated by formulating in detail the standard procedures and specifications for various nursing operations (including drug injection, egg retrieval surgery nursing cooperation, and embryo transplantation nursing), and regularly evaluating the operations of nursing staff through various methods such as on-site observation, video playback, and nursing record verification.

5. The construction of a sensitive indicator based on assisted reproductive care according to claim 1, characterized in that: The patient health education awareness rate is calculated by formulating comprehensive assisted reproductive health education content (covering disease knowledge, treatment process, drug use, life precautions, psychological adjustment), adopting a variety of education methods (such as face-to-face explanations, distribution of brochures, online course push, group discussions, etc.), and after each health education, through questionnaires, oral questions, practical operation demonstrations, etc., to understand the patient's mastery of the education content.

6. The construction of a sensitive indicator based on assisted reproductive care according to claim 1, characterized in that: The clinical pregnancy rate is strictly in accordance with the clinical diagnostic criteria. Clinical pregnancy is confirmed by ultrasound detection 28-35 days after embryo transfer, and the proportion of patients with successful pregnancy and detected gestational sac is counted.

7. The construction of a sensitive indicator based on assisted reproductive care according to claim 1, characterized in that: The live birth rate is calculated by calculating the proportion of patients who eventually give birth to healthy newborns, and detailed records of gestational age, newborn weight and Apgar score are required.

8. An operating method for constructing sensitive indicators of assisted reproductive care according to any one of claims 1 to 7, characterized in that: The steps include: S1. Establish an electronic nursing record system: Use an advanced medical information management platform to build a data entry interface specifically for assisted reproductive care; S2. Multi-source data integration: In addition to the data entered by the nursing staff, the system automatically connects with the hospital's testing and inspection system to obtain objective data such as the patient's hormone test report and ultrasound examination results, realizing automatic data collection and integration, reducing the errors and time costs caused by manual secondary entry; S3. Use statistical analysis software: Use professional statistical analysis software, such as SPSS and SAS, to regularly analyze the collected data; S4. Build a data analysis model: Based on big data and machine learning technology, build a prediction model for the quality of assisted reproductive care; S5. Nursing quality improvement: Based on the data analysis results, regular nursing quality improvement meetings are held every month; S6. Develop specific improvement measures based on the analysis results. For example, organize special training and invite experts to provide on-site guidance and demonstrations to address the low implementation rate of nursing operation standards. Optimize the content and methods of education for patients with low awareness of health education, and use diversified education methods such as graphic and text, video explanations, etc. At the same time, set up an improvement measure implementation tracking group to supervise the implementation of improvement measures and regularly collect data to evaluate the improvement effect. S7. Multidisciplinary collaboration and continuous optimization: Provide timely feedback of analysis results and improvement measures to the medical team to strengthen multidisciplinary collaboration.

9. The operating method based on the sensitive index of assisted reproductive care according to claim 8, characterized in that: The electronic nursing record system also includes a real-time data entry module and a storage and query module.

10. The operating method based on the sensitive index of assisted reproductive care according to claim 9, characterized in that: The real-time data entry module is used to ensure the timeliness and accuracy of the data, and the storage and query module is used to ensure the traceability of the data.

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