催眠训练对冻融胚胎移植患者身心状态的影响研究  

Study on effect of hypnotic training on physical and mental state of patients undergoing frozen-thawed embryo transfer

作　　者：马为梅[1] 李莉 李翠萍[1] 邵衬衬 吕小红[1] 孔俏俏 续锦[1] MA Wei-mei;LI Li;LI Cui-ping(Tai'an City Central Hospital,Tai'an 271000,China)

机构地区：[1]泰安市中心医院,271000 [2]泰山职业护理学院,271000

出　　处：《中国实用医药》2024年第8期33-37,共5页China Practical Medicine

基　　金：山东省自然科学基金青年项目(项目编号:ZR2020QC102);泰安市科技计划(项目编号:2020NS221)。

摘　　要：目的研究催眠训练对冻融胚胎移植(FET)患者焦虑、抑郁等身心状态的影响,探索心理干预在辅助生殖领域应用的可行性。方法195例FET患者,在周期治疗中各环节点均常规给予健康宣教和心理护理。入组患者移植日术前增加一堂约20 min的催眠训练课。比较所有FET患者催眠训练前后贝克抑郁量表(BDI)、贝克焦虑量表(BAI)评分,BDI分度,BAI分度,脉率,选择负性情绪词汇情况,选择正性情绪词汇情况。结果FET患者BDI评分由催眠训练前的(3.58±4.87)分下降至催眠训练后的(1.03±2.43)分,BAI评分由催眠训练前的(8.02±8.04)分下降至催眠训练后的(2.59±4.41)分(P<0.05)。催眠训练后,BDI分度为0~10分的患者占比97.95%与催眠训练前的91.28%相比较显著升高,11~45分的患者占比2.05%与催眠训练前的8.72%相比显著降低(P<0.05)。FET患者催眠训练后BAI分度为0~10分占比85.13%相较于催眠训练前的44.62%升高,11~20分的占比12.82%较催眠训练前的49.74%下降(P<0.05);催眠训练后21~30分、31~50分的占比也呈下降趋势,但由于样本量少,与催眠训练前相比无明显差异(P>0.05)。FET患者催眠训练后的脉率为(75.5±7.8)次/min较催眠训练前的(79.7±8.1)次/min显著下降,有明显差异(P<0.05)。催眠训练后选择负性情绪词汇人次明显减少,其中担心、紧张、焦虑、紧绷、心慌、烦躁、害怕、泄气、悲伤选择率分别为21.03%、9.23%、2.56%、8.21%、0、4.10%、6.67%、1.54%、0,均低于催眠训练前的76.41%、62.56%、34.87%、28.72%、23.59%、21.03%、17.95%、6.15%、5.13%,有明显差异(P<0.05);由于选择崩溃的人次较少,催眠训练前后数据无明显差异(P>0.05)。所列10个正性词汇中,催眠训练后有放松、平静、舒适、踏实、信心、温暖、安全、愉快选择率80.51%、78.97%、40.51%、36.41%、32.31%、22.05%、12.82%、21.03%,与催眠训练前的13.33%、26.15%、7.69%、6.67%、19.49%、6.67%、5.13%、12.82%比较,有�Objective To study the influence of hypnotic training on anxiety and depression of frozen-thawed embryo transfer(FET)patients,and explore the feasibility of psychological intervention in the field of assisted reproduction.Methods 195 patients undergoing FET were routinely given health education and psychological nursing at all points in the cycle treatment.A 20 min of hypnotic training was conducted before the FET on the day of transfer.All FET patients were compared before and after hypnotic training in terms of Beck depression inventory(BDI)score,Beck anxiety inventory(BAI)score,BDI scoring,BAI scoring,pulse rate,selection of negative emotional words and selection of positive emotional words.Results The FET patients'BDI scores decreased from(3.58±4.87)points before hypnotic training to(1.03±2.43)points after hypnotic training,and BAI scores decreased from(8.02±8.04)points before hypnotic training to(2.59±4.41)points after hypnotic training(P<0.05).After hypnotic training,the percentage of patients with BDI scoring of 0-10 points was 97.95%,which was significantly higher than 91.28%before hypnotic training;the percentage of patients with BDI scoring of 11-45 points was 2.05%,which was significantly lower than 8.72%before hypnotic training(P<0.05).After hypnotic training,patients with BAI scoreing of 0-10 points accounted for 85.13%,which increased compared with 44.62%before hypnotic training;patients with BAI scoreing of 11-20 points accounted for 12.82%,which decreased compared with 49.74%before hypnotic training(P<0.05).After hypnotic training,patients with BAI scoreing of 21-30 points and 31-50 points also showed a downward trend,but because of the small sample size,there was no significant difference compared with before hypnotic training(P>0.05).The pulse rate of FET patients after hypnotic training was(75.5±7.8)beats/min,which decreased significantly compared with(79.7±8.1)beats/min before hypnotic training,and the difference was significant(P<0.05).After hypnotic training,the selection of negative e

关 键 词：冻融胚胎移植 催眠 焦虑 抑郁 

分 类 号：R473.71[医药卫生—护理学]