辅助生殖技术助孕患者心理干预的最佳证据总结  

Best evidence summary of psychological intervention for patients receiving assisted reproductive technology

作　　者：王丽[1] 孟盈 廖娟 杨娟 李晓琴 杨蓉 罗红[1] 文宏贵[1] Wang Li;Meng Ying;Liao Juan;Yang Juan;Li Xiaoqin;Yang Rong;Luo Hong;Wen Honggui(Center for Reproductive Medicine,Chongqing Health Center for Women and Children,Chongqing 400013,China;Teaching Affairs Office,Chongqing Health Center for Women and Children,Chongqing 401147,China;Nursing Department,Chongqing Health Center for Women and Children,Chongqing 401147,China;Department of Obstetrics and Gynecology,Chongqing Health Center for Women and Children,Chongqing 401147,China)

机构地区：[1]重庆市妇幼保健院生殖医学中心,重庆400013 [2]重庆市妇幼保健院教务科,重庆401147 [3]重庆市妇幼保健院护理部,重庆4011471 [4]重庆市妇幼保健院孕产保健中心,重庆401147

出　　处：《中华健康管理学杂志》2023年第10期776-782,共7页Chinese Journal of Health Management

基　　金：国家临床重点专科建设项目(财社(2022)176号)。

摘　　要：目的总结辅助生殖技术(ART)助孕患者心理干预的最佳证据。方法检索UpToDate、BMJ Best Practice、JBI循证卫生保健中心数据库、国际指南协作网、英国国家临床医学研究所指南库、美国指南网、苏格兰大学校际间指南网络指南库、加拿大医学会临床实践指南库、Cochrane Library、PubMed、Web of Science、CINHAL、Embase、psycINFO网站、中国临床指南文库、医脉通指南网站、中国知网、万方知识数据服务平台、中国生物医学文献数据库以及维普数据库等关于ART助孕患者心理干预的所有证据,证据类型包括临床实践、推荐、指南、专家意见、共识、系统评价和荟萃分析,检索时限为建库至2023年1月。由2名研究人员进行证据的提取、汇总和质量评价。结果初步检索共获得文献797篇,最终纳入文献27篇,其中临床最佳实践1篇、指南2篇、推荐实践1篇、系统评价23篇,证据总结汇总了16条最佳证据,包括ART患者的心理评估、心理干预、药物治疗和人员培训4个方面,其中50%为1类证据,87.5%的证据推荐强度为A。结论辅助生殖机构加强人员培训,医护人员尽早识别不孕患者的心理状态并针对性地给予心理干预或药物治疗,是改善ART患者心理状况的关键。Objective To summarize the best evidence of psychological intervention for patients receiving assisted reproductive technology(ART).Methods All evidence on psychological interventions for patients receiving ART was searched in UpToDate,BMJ Best Practice,Joanna Briggs Institute,GIN,NICE,NGC,SIGN,CMA Infobase,Cochrane Library,PubMed,Web of Science,CINHAL,Embase,psycINFO,China Guideline Clearinghouse(CGC),guides in medlive.cn,CNKI,Wanfang Data,SinoMed,and VIP databases.The evidence retrieved included clinical practice,recommendations,guidelines,expert opinions,consensus,systematic reviews and meta-analyses,and the search time limit was from the establishment of the database to January 2023.Two researchers conducted evidence extraction,aggregation,and quality evaluation.Results A total of 797 references were obtained at the initial retrieval,and 27 papers were finally included,including 1 clinical best practice,2 guidelines,1 recommended practice,and 23 systematic evaluations.The evidence summary summarized 16 best evidences,including four aspects of psychological assessment,psychological intervention,drug treatment and personnel training for ART patients,of which 50%were class 1 evidences and 87.5%of the evidences were recommended with strength A.Conclusions Enhanced personnel training in assisted reproduction facilities and early identification of the psychological state of infertile patients by medical staff and targeted psychological intervention or medication are the key to improving the psychological status of ART patients.

关 键 词：辅助生殖技术 不孕症 心理干预 循证医学 

分 类 号：R473.71[医药卫生—护理学]