Volume 25, Issue 107, January, 2021

Evaluation of practice guidance for infertility patients self-inject ovarian stimulation medicine at home

Tuan Vo^1♦, My Ai², Giang Bui², Nhat Ho², Linh Hoang³, Bao Vo⁴

¹University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam
²TuDu Hospital of Ho Chi Minh city, Vietnam
³University of Medicine Pham Ngoc Thach, Ho Chi Minh City, Vietnam
⁴University of Missouri – Kansas City, USA

^♦Corresponding author
University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam; Email: VoMinhTuan@ump.edu.vn

ABSTRACT

Objectives: Determine the effective of implementation of the patient education regarding the self-inject of ovarian stimulation medication at home. Methods: The quasi-experimental study evaluating the program before and after the education intervention was carried out on 139 patients with assisted reproductive treatment at the Infertility Department, Tu Du Hospital from November 1, 2019 to May 31, 2020. Results: The proportion of patients who agree to self-inject at home is 92.05%. After being instructed by nurses, 79.1% of patients practice the correct injection in front of nurses. Patients with education upper high school level were able to inject the right technique 8.38 times higher than patients with education level ≤ high school (OR = 8.38; p <0.05; 95% CI: 2.61- 34.86). If the patients injected the right technique in front of nurses after training, they would be reduced the difficulty when they performed at home by 82% (OR = 0.18; p <0.05; CI: 0.03-0.93). Patients who have the help of relatives feel more favourable than those without support of relatives when injected at home is 90% (OR = 0.10; p <0.05; 95% CI: 0.01-0.53). Conclusion: Patients believe that self-injection at home is easy and acceptable. However, it is necessary to train slowly and more carefully in patients with low education. At the same time, nurses should persuade relatives to help patients to self-inject at home.

Keywords: Ovarian stimulation, intrauterine insemination, in vitro fertilization.

Medical Science, 2021, 25(107), 200-206

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