体外受精胚胎移植受孕者孕早期妊娠压力与身体活动的相关性研究  

Correlation between pregnancy pressure and physical activity in early pregnancy pregnant women with IVF-ET

作　　者：宗文华[1] 谢雅琴[1] 肖红[1] 黄莎[1] 马胜男[1] 李璐柳 江丽玲 方静芝 易含笑 ZONG Wenhua;XIE Yaqin;XIAO Hong;HUANG Liling;FANG Jingzhi;YI Hanxiao(Department of Affiliated Hospital of Nanchang University, Nanchang Sha, MA Shengnan, LI Luliu, JIANG Obstetrics ＆ Gynecology, the First 330006, Chin)

机构地区：[1]南昌大学第一附属医院妇产科,江西南昌330006

出　　处：《西北国防医学杂志》2018年第3期165-169,共5页Medical Journal of National Defending Forces in Northwest China

基　　金：江西省教育厅计划课题资助项目(700972001)

摘　　要：目的:探讨实施体外受精胚胎移植术(in vitro fertilization and embryo transfer,IVFET)受孕者孕早期妊娠压力与身体活动的相关性。方法:采用自制一般问卷量表、妊娠压力量表(pregnancy pressure scale,PPS)及中文版孕期身体活动问卷(pregnancy physical activity questionnaire,PPAQ),对我院生殖中心2016-10~2017-05接受IVF-ET后受孕的200例孕妇进行调查,分析其孕早期的妊娠压力与身体活动的相关性。结果:IVF-ET受孕者孕早期身体活动的总能耗为(10.53±1.35)METs,能量消耗以静息活动为主,孕妇妊娠压力总得分为(65.36±6.77)分,压力程度处于中等水平;IVF-ET受孕者孕早期妊娠压力及身体活动与年龄、宗教信仰、不孕类型、文化程度、婚姻情况、家庭月收入、不孕年限、IVF-ET治疗周期、胚胎移植后常见症状和不孕原因有关(P<0.05);Pearson相关分析结果显示,胜任母亲角色与家庭照护及运动锻炼无相关性(P>0.05),其余妊娠压力维度和孕期身体活动各维度均呈负相关(P<0.05)。结论:IVF-ET受孕者孕早期妊娠压力越大,孕期身体活动越少。因此,医护人员应指导她们适当增加孕期身体活动,以减轻其妊娠压力,有益母婴健康。Objective：To explore the correlation between pregnancy stress and physical activity in early pregnancy pregnant woman with in vitro fertilization and embryo transfer（IVF-ET）.Methods：A total of 200 cases of pregnant women undergoing IVF-ET from October 2016 to May 2017 were investigated by the self-made general questionnaire,the pregnancy pressure scale（PPS）and the Chinese pregnancy physical activity questionnaire（PPAQ）.The correlation of early pregnancy stress and physical activity were analyzed.Results：The total energy consumption in the early stage of pregnancy in IVF-ET patients was（10.53±1.35）METs,and the energy consumption was mainly based on the resting activity.The total score of pregnancy pressure was（65.36±6.77）points,and the degree of stress was in the middle level.IVF-ET pregnancy in early pregnancy whose pregnancy pressure and physical activity were related with age,type of infertility,religious beliefs,cultural degree,marital status,family income,infertility duration,treatment cycle,common symptoms after embryo transfer,and the causes of infertility（P〈0.05）.Pearson correlation analysis showed that there was no correlation between the role of competent mother and family care and exercise（P〈0.05）,while the rest of the pregnancy stress dimension showed significant negative correlation with all dimensions in physical activity during pregnancy（P〈0.05）.Conclusion：The greater pregnancy pressure in the early pregnancy received IVF-ET,the less physical activity during pregnancy.Therefore,the medical staff should give them relevant guidance to alleviate their pregnancy pressure,such as appropriately increase the physical activity of the pregnancy,which is beneficial to maternal and child health.

关 键 词：体外受精胚胎移植术 妊娠压力 孕期身体活动 

分 类 号：R473.71[医药卫生—护理学]