基于希望疗法的护理干预对不孕症患者获婴率及自我效能感的影响  

The Effects of Nursing Intervention Based on Hope Therapy on the Infant Yield and Self-efficacy of Infertile Patients

作　　者：徐晓红[1] XU Xiao-hong(Maternal and Child Health Hospital in Wuxi of Nanjing Medical University, Wuxi 214000)

机构地区：[1]南京医科大学附属无锡市妇幼保健院生殖医学中心

出　　处：《临床护理杂志》2019年第3期17-19,共3页Journal of Clinical Nursing

摘　　要：目的 探究基于希望疗法的护理干预对不孕症患者获婴率及自我效能感的影响。方法 选择2016年2月~2017年3月我院接受体外受精-胚胎移植(IVF-ET)助孕的患者146例作为研究对象,采用随机数字表法分为试验组和对照组,各73例。对照组实施围生期常规心理护理及健康教育。试验组在此基础上实施希望疗法干预。分别于初诊及周期结束时(干预3个月后)采用一般效能感量表(GSES)及焦虑自评量表(SAS)评价患者自我效能感及焦虑状况;比较两组妊娠、妊娠结局(包括流产率和获婴率)及护理满意度。结果 两组干预后自我效能感评分均明显提高(P<0.05),且试验组高于对照组(P<0.05);两组干预后焦虑评分均明显降低(P<0.05),且试验组低于对照组(P<0.05);试验组获婴率显著高于对照组(P<0.05),流产率显著低于对照组(P<0.05);试验组护理满意度显著高于对照组(P<0.05)。结论 基于希望疗法的护理干预能有效纠正和缓解接受IVF-ET患者焦虑等负性情绪,提升了患者自我效能感及获婴率。Objective To explore the effects of nursing intervention based on hope therapy on the infant yield and self-efficacy of infertile patients. Method 146 patients receiving IVF-ET assisted pregnancy in our hospital from February 2016 to March 2017 were selected as the research objects, and the selected patients were divided into experimental group and control group by random number table method, 73 cases each. The patients in the control group received perinatal routine psychological nursing and health education, while the experimental group carried out hope therapy intervention on this basis. General efficacy scale (GSES) and anxiety self-rating scale (SAS) were used to evaluate the self-efficacy and anxiety of patients at the initial diagnosis and the end of the cycle (3 months after intervention). In addition, pregnancy outcomes (including abortion rates and infant outcomes) were compared between the two groups and nursing satisfaction was assessed. Results The self-efficacy scores of the two groups were significantly improved after intervention (all P<0.05). Compared with the control group after intervention, the improvement was more obvious in the experimental group, and there was a significant difference between the two groups in the same period (P<0.05);After intervention, anxiety scores of the two groups were significantly reduced (all P<0.05), and compared with the control group after intervention, the decrease was higher in the experimental group, and there was a significant difference between the two groups in the same period (P<0.05);The probability of having a baby in the experimental group was significantly higher than that in the control group (P<0.05). Meanwhile, the abortion rate was significantly lower than that of the control group (P<0.05);The nursing quality satisfaction of the experimental group was significantly higher than that of the control group (P<0.05). Conclusion The nursing intervention based on hope therapy effectively corrected and alleviated the anxiety and other negative emotions o

关 键 词：希望疗法 护理干预 不孕症 自我效能 

分 类 号：R711.6[医药卫生—妇产科学] R473.71[医药卫生—临床医学]