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目的探讨无精子症患者的循证护理和健康教育。方法选取2014年1月-2015年12月在医院不孕不育门诊就诊的无精子症患者72例为研究组,选取同期在我院门诊就诊的42例少弱精症患者为对照组,提出护理问题,文献检索与分析评价,制定出最佳个体的诊疗选择和心理护理措施,提供诊治的选择。结果研究组焦虑和抑郁的发生率分别为77.8%、59.7%高于对照组的50.0%、28.6%(P<0.05)。心理干预后2组焦虑及抑郁得分均呈现明显下降(P<0.05),但非梗阻性无精子症NOA亚组下降较梗阻性无精子症OA亚组更为明显,差异均有统计学意义(P<0.05)。结论对无精子症患者实施循证护理,通过精确诊断和合理治疗,有效的减轻患者精神压力和心理负担,有利于患者的临床诊疗。
Objective To investigate evidence-based nursing and health education in patients with azoospermia. Methods Seventy-two patients with azoospermia who visited the hospital from January 2014 to December 2015 were enrolled in this study. Forty-two patients with oligoasthenospermia treated in our hospital during the same period were selected as the control group. Nursing problems, document retrieval and analysis and evaluation to formulate the best individual diagnosis and treatment options and psychological care measures to provide diagnosis and treatment options. Results The incidence of anxiety and depression in the study group were 77.8% and 59.7% respectively, higher than that in the control group (50.0% and 28.6%, P <0.05). The scores of anxiety and depression in two groups were significantly decreased after psychological intervention (P <0.05), but the decline of NOA subgroup in non-obstructive azoospermia was more obvious than that in obstructive azoospermia OA subgroup (P <0.05), the difference was statistically significant P <0.05). Conclusion Evidence-based nursing for patients with azoospermia, through accurate diagnosis and reasonable treatment, can effectively alleviate the mental stress and psychological burden of patients, which is beneficial to the clinical diagnosis and treatment of patients.