摘要
目的为在实施供精人工授精(AID)过程中不断提升服务质量,提高临床妊娠率,确保AID随访率达到100. 0%。方法采用自行设计问卷调查表,对接受AID的154例男性患者和206例女性患者进行问卷调查。结果被调查的154例男性患者和206例女性患者中,对AID了解和非常了解分别占94. 1%和88. 8%,获取AID信息的主要途径是通过朋友介绍,分别占45. 5%和52. 9%,其次是通过网络、电视和微信等方式; 55. 8%的男性患者在实施AID时最担心的是精子质量,71. 4%的女性患者则是担心妊娠成功率;调查对象最希望获得的服务和需求是保护隐私,分别占77. 9%和72. 3%;调查对象均表示可以接受并承认实施AID后所生的孩子,并认为与自然受孕出生的孩子一样享有同样的权利和义务;分别有88. 3%的男性患者和90. 8%的女性患者愿意接受AID术后随访,50. 6%的男性患者和86. 9%女性患者选择以电话形式随访,42. 9%的男性患者和30. 6%女性患者选择短信方式进行随访,19. 5%男性患者和28. 6%女性患者选择微信形式随访。结论对接受AID助孕的这一特殊群体更应注重相关知识的宣传教育,让其充分知情选择,尤其在伦理和随访管理方面,应更加注重人文关怀,维护后代的权利和义务,确保随访率100. 0%,减少对临床妊娠的干扰因素。
Objective To improve the quality of service in the course of artificial insemination by donor semen (AID),elevate clinical pregnancy rate,and ensure that the follow-up rate achieve 100. 0%. Methods A self-designed questionnaire was used to survey 154 male patients and 206 female patients treated by AID through a questionnaire. Results Among 154 male patients and 206 female patients,94. 1% of them had good cognition of AID,and 88. 8% of them had good cognition of AID. The main routes to obtain AID information was through friends,accounting for 45. 5% and 52. 9%,respectively,followed by network,television,and We Chat. Among the patients,55. 8%of the male patients were most worried about sperm quality in AID,while 71. 4% of the female patients were most worried about successful rate of pregnancy. Privacy protection was the most desirable service and requirement,accounting for 77. 9% and 72. 3%,respectively. All the patients expressed acceptance and recognition of the children born via AID,and they held that these children had the same rights and obligations as those born naturally;88. 3% of the female patients and 90. 8% of the male patients were willing to accept follow-up after AID,50. 6% of the male patients and 86. 9% of the female patients tended to telephone for follow-up,42. 9% of the male patients and 30. 6% of the female patients preferred SMS for follow-up,19. 5% of the male patients and 28. 6% of the female patients preferred We Chat for followup. Conclusion More attention should be paid to propaganda and education of the special group receiving AID. The clinicians should ensure fully informed choice of these patients,especially in aspects of ethics and follow-up management,and more attention should be paid to humanistic care to protect the rights and obligations of future generations,ensure follow-up rate of 100% in treatment of AID,and reduce the interference factors of clinical pregnancy.
作者
赵青
张亦心
张素芝
茹慧波
郝亚萍
韩乐
马莹莹
ZHAO Qing;ZHANG Yi-Xin;ZHANG Su-Zhi(Hebei Provincial Family Planning Science and Technology Research Institute,Key Laboratory of Family Planning and Eugenics of NHFPC ,Shifiazhuang ,Hebei 050081,China)
出处
《中国妇幼保健》
CAS
2019年第2期390-393,共4页
Maternal and Child Health Care of China
基金
河北省卫生和计划生育委员会资助(20170458)
作者简介
通讯作者:张亦心,E-mail:zhangyix2004@163.com.
