中华护理杂志 ›› 2025, Vol. 60 ›› Issue (22): 2698-2702.DOI: 10.3761/j.issn.0254-1769.2025.22.002

• 标准与规范 • 上一篇    下一篇

多囊卵巢综合征合并不孕患者生活方式管理专家共识

中华护理学会辅助生殖护理专业委员会(执笔:宋东红 孙洪梅 窦姗姗 王盼盼 史莉 莫凤逸 王颖)   

  1. 100191 北京市 北京大学第三医院生殖医学中心(宋东红,史莉,王颖);北京大学深圳医院生殖医学中心(孙洪梅);郑州大学第三附属医院生殖医学中心(窦姗姗);湖北省中医院疼痛/胃肠外科(王盼盼);浙江大学医学院附属妇产科医院生殖医学中心(莫凤逸)
  • 收稿日期:2024-12-04 出版日期:2025-11-20 发布日期:2025-11-13
  • 作者简介:宋东红:女,本科,主任护师,中华护理学会辅助生殖护理专委会主任委员,E-mail:bysysdh@sina.com
  • 基金资助:
    国家重点研发项目(2022YFC2702905);北京卫健委研究型病房卓越临床研究计划项目平行项目10(BRWEP2024W094090110)

Expert consensus on lifestyle management and nursing care in patients with polycystic ovary syndrome and infertility

Professional Committee of the Chinese Nursing Association Assisted Reproductive Care(Writing Committee:SONG Donghong,SUN Hongmei,DOU Shanshan,WANG Panpan,SHI Li,MO Fengyi,WANG Ying)   

  • Received:2024-12-04 Online:2025-11-20 Published:2025-11-13

摘要:

目的 制订多囊卵巢综合征(polycystic ovary syndrome,PCOS)合并不孕患者生活方式管理专家共识(以下简称“共识”),旨在推动临床护理人员规范化、标准化地为PCOS合并不孕患者实施生活方式管理。方法 以循证方法为指导、临床需求为导向,系统回顾国内外PCOS管理相关指南、专家共识、系统评价、原始研究等,评价和汇总相关证据,形成“共识”初稿;通过2轮专家函询和1轮专家论证会,对内容进行调整并达成共识。结果 共28名专家完成函询,专家积极系数为100%,权威系数为0.95,各条目重要性赋值均分均>4分,变异系数均<0.25;2轮专家意见的肯德尔和谐系数分别为0.479、0.287,P<0.001。最终形成的“共识”包括明确重点管理人群、组建健康管理团队、护理评估、生活方式管理、心理疏导及信息支持5个一级条目、20个二级条目、42个三级条目。结论 构建的“共识”具有科学性、严谨性和权威性,内容覆盖PCOS合并不孕患者生活方式管理的多个方面,可为临床提供参考及指导。

关键词: 多囊卵巢综合征, 不孕症, 生活方式管理, 护理, 专家共识

Abstract:

Objective To formulate the expert consensus on lifestyle management for patients with polycystic ovary syndrome(PCOS) combined with infertility,and promote clinical nurses to standardize the implementation of lifestyle management for patients with PCOS combined with infertility. Methods Based on evidence-based methods and clinical needs,the guidelines,consensuses,systematic reviews and original studies related to PCOS management at home and abroad were systematically reviewed,and the relevant evidence was evaluated and summarized to form the first draft of the consensus. Through 2 rounds of expert consultation and a round of expert demonstration meeting,the content was adjusted and the “consensus” was formed. Results A total of 28 experts responded to the letter inquiry. The positive coefficient of experts was 100%;the authority coefficient was 0.95;the average score of the importance assignment of each item was>4;the coefficient of variation was <0.25. The Kendall’s W coefficients of the 2 rounds of expert opinions were 0.479 and 0.287,P<0.001. The final “consensus” included 5 first-level items,20 second-level items,and 42 third-level items,defining the key management population of polycystic ovary syndrome combined with infertility,building a health management team,nursing assessment,lifestyle management,psychological counseling and information support. Conclusion The “consensus” is scientific,rigorous and authoritative,covering the lifestyle management of PCOS patients with infertility,which can provide references and guidance for clinical practice.

Key words: Polycystic Ovary Syndrome, Infertility, Health Lifestyle Management, Nursing Care, Expert Consensus