Abstract:

Objective To identify the experiences and challenges encountered by infertility patients undergoing assisted reproductive technology（ART） treatment based on the journey map，thereby providing the targeted and high-quality nursing interventions. Methods Using purposive sampling，from August to December 2024，semi-structured interviews were conducted with 17 patients in the center for reproductive medicine of a tertiary-level hospital in Wuhan City，who underwent ART fertility treatment for infertility. Thematic analysis was used for data analysis，and the patient journey map was constructed. Results Based on the treatment timeline，the process was categorized into 5 distinct phases：pre-visit preparation，diagnosis and decision-making，expectation treatment，ART treatment，and outcome management. During the pre-visit preparation phase，patients commonly experienced anxiety and concern，highlighting the importance of timely and standardized medical consultation. In the diagnosis and decision-making phase，emotional responses such as shock，denial，regret，and anger were observed，underscoring the necessity of establishing trust between healthcare providers and patients and completing comprehensive diagnostic evaluations. During the expectation treatment phase，patients often experienced internal conflict and feelings of isolation，emphasizing the need to clarify expected treatment duration and set realistic expectations. In the ART treatment phase，patients reported fluctuating emotions and a sense of emotional volatility，indicating the importance of active treatment adherence and effective self-management. In the outcome management phase，a mixture of joy and worry or a struggle between persistence and abandonment occurred among patients，necessitating ongoing obstetric support or assistance in redefining personal life goals. Conclusion The treatment cycle for infertility patients undergoing ART is relatively long and their demands are complex. Healthcare professionals should adopt phased management strategies and deliver individualized health education to enhance the overall patient experience and improve healthcare outcomes.

Key words: Infertility, Assisted Reproductive Technology, Patient Journey Map, Qualitative Research, Nursing Care

摘要：

目的 基于旅程地图识别不孕症患者辅助生殖治疗过程中的体验及存在的问题，为提供针对性、高质量的护理服务提供依据。方法 采用目的抽样法，于2024年8—12月，选取武汉市某三级甲等医院生殖医学中心17例因不孕症（拟）行辅助生殖技术治疗的患者进行半结构式访谈。采用主题分析法进行资料分析并绘制不孕症患者辅助生殖治疗旅程地图。结果 按诊疗时间轴，将诊疗过程划分为就诊准备期、诊断决策期、期待治疗期、辅助生殖治疗期及结局应对期5个阶段。就诊准备期患者存在焦虑、担忧，需尽早规范就诊；诊断决策期患者可能出现震惊、否认、悔恨、愤怒等多种情绪，需建立医患信任并完成全面检查；期待治疗期患者可能面临矛盾、孤独，需明确治疗期限并建立合理预期；辅助生殖治疗期患者会感到情绪被支配，经历悲喜交替、希望与失望交替，需配合诊疗并做好自我管理；结局应对期患者会出现喜悦与烦恼的交织或坚持与放弃的挣扎，应做好产科延续管理或重新确定人生目标。结论 不孕症患者辅助生殖治疗周期较长且需求复杂，医护人员应实施阶段化管理和个性化健康指导，以更有效地提升患者体验、改善就医感受。

关键词: 不孕症, 辅助生殖技术, 患者旅程地图, 质性研究, 护理