The Effects of Systematic Nursing Intervention on Cognition and Anxiety in Infertile Women with In Vitro Fertilization treatment

Although reproductive technology treatment brings the hope to the infertile couple, complicated treatment process also bring them the hardship of mind and body. Women who receive Assisted Reproductive Technology treatment need overall message and emotional support to during the course of treatment. The purpose of this study is to explore the effect of the systematic nursing instruction on the improvement of the cognition and anxiety in infertile women who received In Vitro Fertilization (IVF) treatment.his research uses quasi-experimental repeated measure design. We collect research objects from a medical center in northern Taiwan. In this study, infertile women were given systematic nursing instruction which include once face-to-face guide and twice telephone following-up guide. The face-to-face guide by group health education method, incclude mulimedia assisted explaination of IVF treatment, interaction with case by question and answer, and hand-on practice. The first time data were collected before systematic nursing instruction, and the second time data (n=95) collecting after face-to-face guide. The third time data (n=76) were collected after the first time telephone follow-up guide, and the fourth time data (n=61) were collected after the second time telephone follow-up guide, total accepting 61 cases.ata were analyzed with SPSS for Windows 15.0 software packages. Generalized Estimation Equation (GEE) statistics method was used. The data show that cognition degree scores of infertile women were increased after accepting systematic nursing instruction (p<0.01); the anxiety scores of infertile women were reduced after accepting system nursing instruction ( p<0.01). The occupation of infertile women and the number of IVF cycles variables are related to cognition degree through the covariance analysis after adjusting the effect of other related variables. And the degree of anxiety degree is correlated with the number of Intrauterine Insemination (IUI) treatment cycles, the number of IVF treatment cycles, accompanied participation to face-to-face nursing guide. Additionally, the cognition degree negatively correlated with anxiety (p<0.01).ccording to the results, the systematic nursing instruction can really promote the infertile women''s cognition to the treatment and contribute to decrease anxiety. The face-to-face nursing instruction has a better effect on the cognition of infertile women. On the other hand, the telephone follow-up guide is more helpful in reducing anxiety. The results suggest that clinical nursing instruction could include mulimedia assisted explaination and two-way interactive discussion. The clinical nurses should pay more attention of those who repeated IUI or IVF treatment.