心理干预对于体外受精-胚胎移植患者的心理状态及妊娠结局的影响
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摘要
目的:探讨心理干预对于体外受精-胚胎移植患者的心理状态及妊娠结局的影响。方法:选择2016年11月到2017年10月在我医院生殖科进行治疗的体外受精-胚胎移植女性患者195例,按照随机数字的方法将患者分为对照组与观察组,对照组98名,观察组97名,对照组患者采取常规护理方法,观察组患者在对照组护理方法基础上采取综合心理干预的方法,对干预的效果进行对比。结果:完成干预后,两组患者的焦虑,抑郁,心理健康程度量表的评分均出现降低,观察组患者降低的幅度高于对照组患者,差异均具有统计学意义(t=19.283,15.920,4.565,2.088,4.107,2.186,3.064,3.546,2.186,3.154,4.027;P<0.05),观察组患者的取卵数,优质胚胎数,临床妊娠率均高于对照组患者,数据差异均具有统计学意义(P<0.05)。结论:对体外受精-胚胎移植患者进行合理的心理干预,可以降低患者抑郁和焦虑的情绪,改善心理状态和妊娠结局,值得在临床范围内进行推广。
Objective:To explore the effect of psychological intervention on psychological status and pregnancy outcomes in patients undergoing in vitro fertilization and embryo transfer.Methods:From November 2016 to October 2017,a total of 195 female patients with in vitro fertilization and embryo transfer were treated in the reproductive department of our hospital,The patients were divided into the control group and the observation group according to the random number method,98 in the control group and 97 in the observation group,The patients in the control group received routine nursing methods,and the observation group received comprehensive psychological intervention based on the nursing method of the control group,and the effect of intervention was compared.Results:After the intervention,scores of anxiety,depression,and mental health scale in the two groups of patients decreased,and all the scores in the patients in the observation group were significantly lower than that of the control group(t=19.283,15.920,4.565,2.088,4.107,2.186,3.064,3.546,2.186,3.154,4.027,P<0.05),The number of ovum extraction,the number of high quality embryos and the clinical pregnancy rate in the observation group were significantly higher than those of the control group(P<0.05).Conclusion:Reasonable psychological intervention for patients undergoing IVF transplantation can reduce depression and anxiety,improve mental state and pregnancy outcomes,and is worthy of promotion in clinical practice.
Objective:To explore the effect of psychological intervention on psychological status and pregnancy outcomes in patients undergoing in vitro fertilization and embryo transfer.Methods:From November 2016 to October 2017,a total of 195 female patients with in vitro fertilization and embryo transfer were treated in the reproductive department of our hospital,The patients were divided into the control group and the observation group according to the random number method,98 in the control group and 97 in the observation group,The patients in the control group received routine nursing methods,and the observation group received comprehensive psychological intervention based on the nursing method of the control group,and the effect of intervention was compared.Results:After the intervention,scores of anxiety,depression,and mental health scale in the two groups of patients decreased,and all the scores in the patients in the observation group were significantly lower than that of the control group(t=19.283,15.920,4.565,2.088,4.107,2.186,3.064,3.546,2.186,3.154,4.027,P<0.05),The number of ovum extraction,the number of high quality embryos and the clinical pregnancy rate in the observation group were significantly higher than those of the control group(P<0.05).Conclusion:Reasonable psychological intervention for patients undergoing IVF transplantation can reduce depression and anxiety,improve mental state and pregnancy outcomes,and is worthy of promotion in clinical practice.
引文
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[12]蒋新军,陈燕,尤昭玲,等.不孕症女性生活质量的影响因素调查[J].护理研究,2014,28(34):4271-4272
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[14]吴彩萍.正念干预对接受体外受精-胚胎移植治疗不孕患者生命质量及心理状态的影响[J].护理实践与研究,2017,14(20):73-75
[15]李心天.医学心理学[M].北京:中国协和医科大学出版社,1998:148-152
[2]赵娜,张京京,李依阳,等.心理干预前后体外受精-胚胎移植患者的心理状态调查及其影响[J].四川医学,2015(3):328-331
[3]谌芳,尤倩,李雯,等.子宫内膜病理变化与不孕症的关系[J].检验医学与临床,2017,14(7):918-919+922
[4]李慧,董英辉,郑晓红,等.生殖心理健康管理系统在试管婴儿患者中的应用[J].中国妇幼健康研究,2017,28(10):1187-1189
[5]傅纳,郑日昌.不孕症的心理干预[J].中国健康心理学杂志,2008,16(9):1040-1042
[6]倪颖,童琛晔,韩迟迟,等.体外受精-胚胎移植助孕患者治疗期间心理体验的质性研究[J].解放军护理杂志,2017,34(3):26-29
[7]严梦琴,肖水源,胡宓.我国一些抑郁量表的中文翻译与信效度问题[J].中国心理卫生杂志,2016,30(7):501-505
[8]王进,董燕,王好博,等.广泛性焦虑量表在军人群体应用中的信度和效度[J].中国健康心理学杂志,2017,25(5):733-736
[9]余秋梅,李里,周波,等.云南省中小学教师心理健康状况调查与分析[J].中国健康心理学杂志,2015,23(2):201-203+204
[10]Kaariainen H.The need for interaction between assisted reproduction technology and genetics:Recommendations of the European societies of human genetics and human reproduction and embryology[J].Human Reproduction,2006,21(8):1971-1973
[11]高郁森,贺惠琼,门立立,等.内分泌失调性不孕症的药物联合治疗分析[J].中国妇幼健康研究,2017,28(3):317-319
[12]蒋新军,陈燕,尤昭玲,等.不孕症女性生活质量的影响因素调查[J].护理研究,2014,28(34):4271-4272
[13]刘洋,罗家有,谭红莲,等.不孕症患者幸福度及影响因素研究[J].中国现代医学杂志,2015,25(21):92-95
[14]吴彩萍.正念干预对接受体外受精-胚胎移植治疗不孕患者生命质量及心理状态的影响[J].护理实践与研究,2017,14(20):73-75
[15]李心天.医学心理学[M].北京:中国协和医科大学出版社,1998:148-152