正念干预对接受IVF-ET二胎高龄夫妇的心理状态及生活质量的影响  

Effect of Mindfulness Intervention on Mental State and Quality of Life of Elderly Couples with Two Children Receiving IVF-ET

作　　者：何海凤 林冰 黄秀丽 李玉娟 叶宇 梁宇玲 HE Haifeng;LIN Bing;HUANG Xiuli;LI Yujuan;YE Yu;LIANG Yuling(Shunde Women's and Children's Hospital of Guangdong Medical University,Foshan 528300,China;不详)

机构地区：[1]广东医科大学顺德妇女儿童医院(广东省佛山市顺德区妇幼保健院),广东佛山528300

出　　处：《中国医学创新》2023年第12期99-103,共5页Medical Innovation of China

基　　金：佛山市医学科研基金立项项目(20220809A010437)。

摘　　要：目的:探讨正念干预对接受体外受精-胚胎移植(IVF-ET)二胎高龄夫妇的心理状态及生活质量的影响。方法:选取2021年1月-2022年7月在广东医科大学顺德妇女儿童医院生殖科接受IVF-ET二胎高龄夫妇群体126对作为研究对象,按照随机抽样方法分为对照组63对(实施常规护理干预措施)和干预组63对(常规正念干预措施),6周后对两组干预前后的心理状态、生活质量及临床妊娠结局进行比较。结果:干预后,干预组的SAS评分明显低于对照组(P<0.05);干预后,干预组WHOQOL-100各个维度及总分明显高于对照组(P<0.05);干预组临床妊娠率明显高于对照组(P<0.05)。结论:对二胎高龄夫妇实施正念干预,对缓解他们焦虑及抑郁等负性情绪,改善其生活质量,提高临床妊娠率,具有一定积极效果。Objective:To explore the effect of mindfulness intervention on the psychological status and quality of life of elderly couples with two children receiving IVF-ET.Method:A total of 126 pairs of elderly couples with two children who received IVF-ET in the Department of Reproduction of Shunde Women's and Children's Hospital of Guangdong Medical University from January 2021 to July 2022 were selected as the study objects.The female subjects were randomly divided into 63 pairs in the control group(implementing routine nursing intervention measures)and 63 pairs in the intervention group(implementing routine mindfulness intervention measures).Six weeks later,the psychological status,quality of life and clinical pregnancy outcomes before and after intervention of the two groups were compared and analyzed.Result:After intervention,the SAS score and SDS score of the intervention group were significantly lower than those of the control group(P<0.05).After intervention,all dimensions and total scores of WHOQOL-100 in the intervention group were significantly higher than those in the control group(P<0.05).The clinical pregnancy rate of the intervention group was significantly higher than that of the control group(P<0.05).Conclusion:The implementation of mindfulness intervention for the elderly couple with two children has a certain positive effect on alleviating their negative emotions such as anxiety and depression,improving their quality of life,and improving the success rate of clinical pregnancy.

关 键 词：体外受精-胚胎移植 心理状态 生活质量 正念干预 二胎高龄夫妇 

分 类 号：R473.71[医药卫生—护理学]