基于萨提亚模式的心理干预对体外受精-胚胎移植技术反复失败患者负性情绪及自尊水平的影响  

Effects of Psychological Intervention Based on the Satir Model on Negative Emotions and Self-esteem Levels in Pa⁃tients with Repeated Failure of in Vitro Fertilization-embryo Transfer Techniques

作　　者：叶丹[1] 夏薇 易红霞[1] Ye Dan;Xia Wei;Yi Hongxia(Repro-ductive Medicine Center,The First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi,330000,China)

机构地区：[1]南昌大学第一附属医院生殖医学中心,江西南昌330000

出　　处：《黑龙江医学》2023年第20期2441-2443,共3页Heilongjiang Medical Journal

基　　金：江西省卫生计生委科技计划项目(20181045)。

摘　　要：目的:探讨基于萨提亚模式的心理干预对体外受精-胚胎移植(IVF-ET)技术反复失败患者负性情绪及自尊水平的影响,为临床治疗提供依据。方法:选取2020年10月—2022年2月南昌大学第一附属医院收治的行IVF-ET治疗失败次数在3次以上的82例不孕症患者作为研究对象,按照随机分组法将其分为对照组和研究组,每组各41例。对照组患者采用常规心理干预,研究组患者在对照组的基础上实施萨提亚模式的心理干预。比较两组患者负性情绪[医院焦虑抑郁量表(HAD)评分]、自尊水平[罗森伯格自尊量表(RSEC)评分]、自我效能感[中文版不孕症自我效能感量表(ISE)评分]、妊娠结局(胚胎着床、妊娠、流产)及活产分娩率。结果:干预后,研究组患者HAD量表评分明显低于对照组患者,差异有统计学意义(P<0.05)。干预后,研究组患者RSEC量表评分明显高于对照组患者,差异有统计学意义(t=2.720,P<0.05)。干预后,研究组患者ISE量表评分明显高于对照组患者,差异有统计学意义(P<0.05)。干预后,研究组患者胚胎着床率、妊娠率及活产分娩率均明显高于对照组患者,流产率明显低于对照组患者,差异有统计学意义(χ^(2)=4.661、5.917、4.307、4.493,P<0.05)。结论:采用基于萨提亚模式的心理干预能够减少IVF-ET技术反复失败患者负性情绪产生,提高其自尊水平,提升自我效能感,有效改善患者妊娠结局,提高其活产分娩率。Objective:To investigate the effects of psychological interventions based on the Satir model on negative emotions and self-esteem levels in patients with repeated failures of in vitro fertilization-embryo transfer(IVF-ET)techniques for clinical treatment.Methods:82 cases of infertility patients admitted to the hospital from October 2020 to February 2022 with more than 3 failed IVF-ET treatments were selected as the study subjects,and were divided into the control group and the study group according to the randomized grouping method,with 41 cases in each group.The control group used conventional psychological interventions and the study group implemented the Satir model of psychological interventions based on the control group.Negative mood(Hospi⁃tal Anxiety and Depression Scale[HAD]score),self-esteem level(Rosenberg Self-Esteem Scale[RSEC]score),self-efficacy(Chi⁃nese version of Infertility Self-Efficacy Scale[ISE]score),pregnancy outcomes(embryo implantation,gestation,and miscarriage),and live birth delivery rate were compared between the two groups.Results:After the intervention,the HAD scale scores were sig⁃nificantly lower in the study group than in the control group,and the difference was statistically significant(P<0.05).After the in⁃tervention,the RSEC scale scores of the study group were significantly higher than those of the control group,and the difference was statistically significant(t=2.720,P<0.05).After the intervention,the ISE scale scores of the study group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).After the intervention,the embryo implantation rate,pregnancy rate and live birth delivery rate of the study group were significantly higher than those of the control group,and the miscarriage rate was significantly lower than those of the control group,with statistically significant differences(χ^(2)=4.661,5.917,4.307,4.493,P<0.05).Conclusion:The use of psychological interventions based on the Satir model can improve the

关 键 词：萨提亚模式 心理干预 体外受精-胚胎移植反复失败 负性情绪 自尊水平 

分 类 号：R473.71[医药卫生—护理学]