[A model of specialized outpatient nursing care in assisted reproduction clinics based on wisdom medicine of the integrated healthcare system: Application and results].

ABSTRACT

OBJECTIVE: To explore the content and mode of extended specialized outpatient nursing care (SONC) in assisted reproduction clinics in the joint efforts of the level-Ⅲ grade-A hospital and lower-level hospitals. METHODS: We enrolled 300 infertility patients for this study, 150 from the hospitals of our Integrated Healthcare System (IHCS) and the other 150 from other local hospitals, the former receiving extended SONC based on wisdom medicine of the IHCS (the experimental group), and the latter conventional SONC (the control group). At the end of the treatment cycle, we compared the frequency of clinic visits, knowledge of relevant requirements (such as the procedure of consultation, timely completion of examinations, timely initiation of the treatment cycle, and correct execution of doctor's advice), and scores on the Medical Coping Modes Questionnaire and quality of life (QOL) between the two groups of patients. RESULTS: Compared with the control group, the experimental group showed a significantly lower frequency of clinic visits (P < 0.05), better knowledge of relevant requirements (P < 0.05), higher confrontation score (P < 0.05), lower resignation score (P < 0.05), and higher QOL score (P < 0.05). CONCLUSIONS: SONC based on wisdom medicine of IHCS in the assisted reproduction clinic is conducive to synchronization of thinking, sharing of knowledge and information, seamless connection between upper- and lower-level hospitals, and hence the provision of homogenous nursing care.