行IVF-ET患者的睡眠质量与认知情绪调节的相关性研究  

Correlation between Sleep Quality and Cognitive Emotion Regulation in Women Undergoing IVF-ET

作　　者：方静芝 肖红[2] 樊新颖[2] 柳鸣[2] 赵梨媛 谢雅琴 FANG Jing-zhi a;XIAO Hong b;FAN Xin-ying b;LIU Ming b;ZHAO Li-yuan b;XIE Ya-qin c(a.2016 Grade of Graduate School of Medical College;b.Department ofObstetrics and Gynecology,the First Affiliated Hospita;c.2015 Grade ofGraduate School of Medical College,Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学研究生院医学部,2016级南昌330006 [2]南昌大学第一附属医院妇产科,南昌330006

出　　处：《南昌大学学报（医学版）》2018年第3期36-40,48,共6页Journal of Nanchang University：Medical Sciences

基　　金：江西省卫计委科研项目(20185157)

摘　　要：目的调查行体外受精-胚胎移植(IVF-ET)患者的睡眠质量与认知情绪调节的现状,探讨二者之间的关系。方法选取168例进入周期的IVF-ET患者,采用中文版认知情绪调节量表(CERQ-C)和匹茨堡睡眠质量指数量表(PSQI)调查其认知情绪调节及睡眠质量情况,Pearson相关性分析探讨两者之间的相关性。结果 168例患者的低睡眠质量检出率为41.7%,明显高于正常人(21.7%~33.9%);年龄、不孕年限、居住地、职业及是否重复周期与低睡眠质量相关(P<0.05);认知情绪调节中自我责难、接受、沉思、灾难化四个因子得分高于常模(P<0.01),而重新关注计划、积极重新评价、理性分析、责难他人四个因子得分低于常模(P<0.01);PSQI总分显著高于常模(P<0.01),除催眠药物这一因子外,各因子得分均高于常模(P<0.01);消极认知情绪调节方式得分与PSQI总分呈正相关(r=0.459,P<0.01),而积极认知情绪调节方式得分与PSQI总分呈负相关(r=-0.378,P<0.01);不孕年限、居住地、消极与积极认知情绪调节方式对睡眠质量具有预测作用。结论行IVF-ET患者的睡眠质量亟待提高,临床应及早对其进行心理干预,引导患者多使用积极的认知情绪调节方式去应对问题,切实改善睡眠质量。ObjectiveTo investigate the status of sleep quality and cognitive emotion regulation in women undergoing in vitro fertilization and embryo transfer（IVF-ET）,and to analyze the relationship between the two indicators. Methods The sleep quality and cognitive emotion regulation were investigated in 168 women undergoing IVF-ET using Chinese version of Cognitive Emotion Regulation Questionnaire（CERQ-C） and Pittsburgh Sleep Quality Index（PSQI）,respectively.Pearson correlation analysis was performed to analyze their relationship. Results The detection rate of poor sleep quality in the 168 women undergoing IVF-ET（41.7%） was higher than that in normal persons（21.7%-33.9%）.The age,duration of infertility,place of residence,occupation and repeated cycles were correlated with the poor sleep quality（ P 〈0.05）.In cognitive emotion regulation investigation,the scores of self-blame,acceptance,rumination and catastrophization were higher than the norm,while the scores of refocusing planning,positive reappraisal,rational analysis and blaming others were lower than the norm.The total score of PSQI was higher than the norm（ P 〈0.01）.Furthermore,except hypnotic drug,the scores of other factors in PSQI were higher than the norm（ P 〈0.01）.The scores of negative and positive cognitive emotion regulation were positively and negatively correlated with the total score of PSQI,respectively（ r = 0.459 、-0.378, P 〈 0.01 ）.The duration of infertility,place of residence and negative and positive cognitive emotion regulation had predictive effect on sleep quality. Conclusion The sleep quality of women undergoing IVF-ET needs to be improved urgently.Therefore,medical staff should conduct psychological intervention as early as possible and guide patients to use positive cognitive emotion regulation to improve the sleep quality.

关 键 词：体外受精-胚胎移植 认知情绪调节 睡眠质量 

分 类 号：R711.6[医药卫生—妇产科学] R749.92[医药卫生—临床医学]