目的 深入了解高龄不孕患者体外受精-胚胎移植（in vitro fertilization-embryo transfer，IVF-ET)助孕期间自我管理的真实体验，为临床护理人员制订针对性的指导和干预策略提供参考依据。方法 采用目的抽样法选取2024年7月至2025年12月于山西省某三级甲等医院行IVF-ET治疗的15例高龄不孕患者进行半结构式访谈，采用Colaizzi 7步分析法对访谈资料进行整理分析。结果 提炼出4个主题10个亚主题：日常生活管理困境（饮食输入输出平衡障碍、运动效能低下、睡眠严重受阻）；心理负担（不良心情及情绪、希望水平低下、疲劳感）；生理体验（月经紊乱、并发症/不良反应应对能力不足）；社会支持不足（科学的信息来源缺乏、伴侣共情水平低下）。结论 高龄不孕症患者IVF-ET助孕期间自我管理体验复杂，护理人员应重视高龄不孕患者IVF-ET助孕期间的不良生理、心理体验，针对性地给予科学有效的指导与干预，以提高患者的院外自我管理能力，促进助孕成功。

Objective To gain an in-depth understanding of the realistic experience of self-management in infertility among advanced age women during in vitro fertilization embryo transfer (IVF-ET) assisted reproduction,and to provide reference for clinical nursing staff to develop targeted guidance and intervention strategies.Methods 15 infertility in advanced age women undergoing IVF-ET treatment at a tertiary A hospital in Shanxi from July 2024 to December 2025 were selected by purposive sampling for semi-structured interviews.The interview data were organized and analyzed using Colaizzi’s 7-step analysis method.Results 4 main themes and 10 sub-themes were extracted：difficulties in daily life management (imbalance in dietary intake and output,low exercise efficacy,severe sleep disturbances);psychological burden (negative mood and emotions,low levels of hope,sense of fatigue);physiological experiences (menstrual irregularities,inadequate coping with complications/adverse reactions);and insufficient social support (lack of scientific information sources,low empathy levels of partners).Conclusions The self-management experience of infertility in advanced age women during IVF-ET treatment is complex.Nursing staff should pay attention to the adverse physiological and psychological experience of these patients during this period and provide targeted,scientific,and effective guidance and intervention to improve their self-management ability outside the hospital and promote successful assisted reproduction.

R473.71

山西省自然科学研究面上项目（202403021211171）