综合心理护理干预对辅助生殖治疗患者焦虑与预后的影响  

The effect of comprehensive psychological nursing intervention on anxiety and prognosis inpatients with assisted reproductive technology

作　　者：宁一鹤 樊丽 张翠翠 武雁 张建芳 NING Yihe;FAN Li;ZHANG Cuicui(The First Afiliated Hospital of Air Force Military Medical University,Obstetrics and Gynecology Reproduction Center,Xi'an 710032,China)

机构地区：[1]空军军医大学第一附属医院妇产科生殖中心,西安710032

出　　处：《国际精神病学杂志》2024年第2期639-642,共4页Journal Of International Psychiatry

基　　金：陕西省科技厅项目(编号:2019ZDLSF01-06)。

摘　　要：目的探讨在辅助生殖技术展开过程中,为患者提供综合心理护理干预的价值。方法在随机情况下选择2021年1月~2022年3月这一时间范围内,在我院接受辅助生殖技术的60例患者,以治疗周期病历号随机按照单双数分组后每组30例,对照组实施常规护理,观察组实施综合心理护理干预。评估两组焦虑及抑郁状态评分、幸福感、应对方式,同时记录妊娠成功率、胚胎优质率、流产率。结果观察组30例患者经综合心理护理干预后,记录的妊娠成功率(83.33%)、胚胎优质率(86.67%),高于对照组;流产率(6.67%)低于对照组(P<0.05);观察组记录的焦虑、抑郁评分结果,低于对照组(P<0.05);观察组记录的幸福感评分结果,与对照组相比明显升高(P<0.05);观察组记录的应对方式中面对评分,与对照组相比升高;回避、屈服评分,与对照组相比明显降低(P<0.05)。结论在实施辅助生殖技术中,为患者提供综合心理护理干预方案,可明显改善其焦虑、抑郁状态,亦可引导患者正确面对自身病情,达到提高妊娠成功率的目的。Objective To explore the value of providing comprehensive psychological nursing interventions for patients during the implementation of assisted reproductive technology.Methods Sixty patients who received assisted reproductive technology in our hospital from January 2021 to March 2022 were randomly selected.They were randomly divided into odd and even groups according to the treatment cycle medical record number,with 30 patients in each group.The control group received routine care,while the observation group received comprehensive psychological nursing intervention.Evaluate two groups of anxiety and depression scores,happiness,and coping styles,while recording pregnancy success rate,embryo quality rate,and miscarriage rate.Results After comprehensive psychological nursing intervention,the pregnancy success rate(83.33%)and embryo quality rate(86.67%)recorded in the observation group of 30 patients were higher than those in the control group.The abortion rate(6.67%)was lower than that of the control group(P<0.05).The anxiety and depression scores recorded in the observation group were lower than those in the control group(P<0.05).The happiness score recorded in the observation group increased compared to the control group(P<0.05).The coping style scores recorded in the observation group were higher than those in the control group.The avoidance and yield scores decreased compared to the control group(P<0.05).Conclusion In the implementation of assisted reproductive technology,providing comprehensive psychological nursing intervention plans for patients can significantly improve their anxiety and depression states,and can also guide patients to correctly face their own conditions,achieving the goal of increasing the success rate of pregnancy.

关 键 词：综合心理护理干预 辅助生殖技术 焦虑 预后 

分 类 号：R749.99[医药卫生—神经病学与精神病学]