心理干预措施对行辅助生殖技术治疗不孕症患者的幸福感及妊娠率的影响  

Effects of psychological interventions on the well-being and pregnancy rate of patients with infertility treated by assisted reproductive technology

作　　者：耿女 纪文娴 张娜娜 张惠娟[1] 宁艳春[1] 唐惠艳[1] GENG Nv.Jl Wen-xian;ZHANG Na-na;ZHANG Hui-juan;NING Yah-chun;TANG Hui-yah(Department of Reproductive Medicine,Tangshan Maternal and Child Health Hospital,Tangshan Hebei 063000,P.R.China)

机构地区：[1]唐山市妇幼保健院生殖医学科,河北唐山063000

出　　处：《中国计划生育和妇产科》2018年第9期82-84,共3页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探讨对接受辅助生殖技术治疗的不孕症患者实施心理干预措施的效果及其对患者幸福感和妊娠率的影响。方法回顾性分析2017年2~7月在唐山市妇幼保健院进行体外受精-胚胎移植并采用短效长方案治疗的不孕症患者86例的临床资料,根据是否采用心理干预将其分为对照组和研究组,各43例。对照组行常规护理,研究组将常规护理与心理干预相结合。观察并比较两组患者的妊娠率、焦虑自评量表(Self-Rating Anxiety Scale,SAS)评分、幸福感评分以及护理满意度。结果研究组妊娠率显著高于对照组(60.5%vs 41.9%,P<0.05);治疗前两组SAS评分无明显差异(P>0.05),治疗后研究组SAS评分[(20.49±3.06)分]较对照组[(43.09±4.21)分]低(P<0.05);研究组护理满意度(95.4%)显著优于对照组(69.8%)(P<0.05)。结论对接受辅助生殖技术(体外受精-胚胎移植)治疗的不孕症患者实施心理干预有助于缓解患者的焦虑情绪,使患者妊娠率更高,对护理更为满意,幸福感评分上升,值得在临床上推广和应用。Objective To explore the effect of psychological intervention measures on patients with infertility treated with assisted reproductive technology and their effects on patients＇ happiness and pregnancy rate. Methods Retrospectively analyzed the clinical data of 86 infertility patients who underwent in vitro fertilization-embryo transfer and were treated with a short-acting long-term regimen from February to July 2017 in Tangshan Maternal and Child Health Hospital. According to whether use psychological intervention,they were divided into control group and study group,each with 43 cases. The control group received routine care,and the study group combined routine care with psychological intervention to care for the patients. The pregnancy rate,Self-Rating Anxiety Scale（ SAS） score,happiness score and nursing satisfaction were observed and compared between the two groups. Results The pregnancy rate of the study group was significantly higher than that of the control group（ 60. 5 % vs 41. 9 %,P〈0. 05）. There was no significant difference in SAS score between the two groups before treatment（ P〈0. 05）. The SAS score of the study group after treatment [（ 20. 49 ± 3. 06） point]compared with the control group [（ 43. 09 ± 4. 21） point],the scores were lower（ P〈0. 05）. The nursing satisfaction of the study group（ 95. 4 %） was significantly better than that of the control group（ 69. 8 %）（ P〈0. 05）.Conclusion Psychological interventions for infertility patients treated with assisted reproductive technology（ in vitro fertilization-embryo transfer） are more effective,with higher pregnancy rates,more satisfactory care,and increased happiness scores,which help to alleviate patients＇ anxiety and is worthy of clinical promotion and application.

关 键 词：不孕症 心理干预 幸福感 辅助生殖技术 妊娠率 

分 类 号：R711.6[医药卫生—妇产科学]