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Objective:To deeply understand the man′s feelings and psychological experience of temporary ejaculation disorder on the day of retrieving ova during in vitro fertilization-embryo transfer (IVF-ET) treatment, and to provide theoretical basis for targeted intervention measures.Methods:Using the phenomenological method,13 male patients with temporary ejaculation disorder were interviewed individually on the day of retrieving ova from July to October 2021 in the department of Reproductive Endocrinology, Women′s Hospital, School of Medicine Zhejiang University and a semi-structured interview was recruited with them. The interview data were analyzed, summarized and refined according to Colaizzi′s 7-step method.Results:Totally 6 classification topics were formed: Somatization discomfort; Negative emotion; Stress and frustration; Change of intimacy between infertile couples; Imperfect social support system; Fertility pressure.Conclusions:Medical staff should pay close attention to the emotional reaction and psychological state of patients, establish emotional support, improve the intimate relationship between infertile couples, provide effective psychological counseling, provide diversified and personalized information support and multi-dimension social support, arrange reasonably the sperm collection room, improve the medical environment and improve the quality of assisted reproductive services.
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Objective:To evaluate the application effect of problem-based learning (PBL) combined with tutorial system mode in the capacity of literature retrieval and academic writing in specialist nurses of assisted reproductive technology (ART).Methods:A total of 61 ART nurse specialists trained in Women's Hospital, School of Medicine, Zhejiang University from 2017 to 2018 were recruited in the study. These specialist nurses were trained with PBL combined with tutorial system mode during the training. Nursing Research Capacity of Self-Evaluation Scale and questionnaires were used to evaluate the capacity of literature retrieval and academic writing before and after the training. The data was analyzed by SPSS 19.0.Results:After the training, the total score of nursing research capacity was significantly higher than before ( P<0.05), and the capacity of literature retrieval, the publication number of papers and research projects were also higher than before ( P<0.01). Conclusion:PBL combined with tutorial system is an effective way to improve the capacity of literature retrieval and academic writing of ART clinical specialist nurses.
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<p><b>OBJECTIVE</b>To investigate the relationship between serum/follicular fluid fetuin B levels and outcome offertilization (IVF).</p><p><b>METHODS</b>Infertility women (28 with low fertilization rates, 44 with normal fertilization rates) receiving IVF in Women's Hospital of Zhejiang University School of Medicine during June and December 2016 were enrolled in the study. Serum/follicular fluid fetuin B levels were measured with ELISA method. Correlations of serum and follicular fetuin B level with fertilization outcome of IVF were analyzed with Pearson correlation coefficient and receiver operating characteristic (ROC) curve.</p><p><b>RESULTS</b>A positive correlation between serum fetuin B and follicular fluid fetuin B levels was observed (=0.675,<0.01). Both serum and follicular fluid fetuin B levels in women with low fertilization rates of IVF were lower than those in women with normal fertilization rates[(6.09±1.31) μg/mL vs. (7.13±1.47) μg/mL,=3.050,<0.05; (5.13±0.96)μg/mL vs. (6.22±1.33) μg/mL,=3.755,<0.01]. ROC analysis showed that the area under curve (AUC) of serum fetuin B level in predicting fertilization rate was 0.832 (95%:0.729-0.934,<0.01), and 6.08 μg/mL could be used as cut-off value.</p><p><b>CONCLUSIONS</b>Serum fetuin B level is correlated with follicular fluid fetuin B level, and it may be used for predicting the fertilization outcome of IVF.</p>