希望感提升式心理护理对不孕症患者婚姻质量、希望水平及成功妊娠率的影响  

Effects of hope-enhancing psychological nursingon marital quality,hope levelandsuccessful pregnancy rate of infertile patients

作　　者：康晶晶[1] 鲁婧[1] 刘小小 吴曌婷 KANG Jingjing;LU Jing;LIU Xiaoxiao;WU Zhaoting(Reproductive Medicine Center,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院生殖医学中心,450000

出　　处：《中国健康心理学杂志》2024年第8期1158-1162,共5页China Journal of Health Psychology

基　　金：国家自然科学基金(编号:31601182)。

摘　　要：目的:观察希望感提升式心理护理对不孕症患者婚姻质量、希望水平及成功妊娠率的影响。方法:选取郑州大学第一附属医院生殖医学中心收治的156例不孕症患者作为本次研究对象,采集时间为2022年11月-2023年11月,以单双数作为分组标准,将符合标准的患者随机分成观察组与对照组,两组各78例,其中对照组接受临床常规干预,观察组在以上基础联合希望感提升式心理护理,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、Olson婚姻质量问卷(ENRICH)、Herth希望量表评估两组干预前后负性情绪、婚姻质量、希望水平的变化,并随访统计两组成功妊娠率及住院满意度。结果:干预前两组SAS评分、SDS评分、ENRICH各项目评分、Herth各项目评分比较,差异无统计学意义(P>0.05),干预后两组指标评分均明显改善,且观察组SAS评分、SDS评分均低于对照组,ENRICH各项目评分、Herth各项目评分均高于对照组,差异有统计学意义(t=6.580,5.846,3.877,4.572,8.492,11.423,8.007,7.757;P<0.05);随访计算观察组成功妊娠50例(64.10%),对照组成功妊娠32例(41.03%),两组相比差异有统计学意义(χ^(2)=8.330,P<0.05);统计满意度可知,两组总满意度相比,差异有统计学意义(χ^(2)=4.112,P<0.05)。结论:经研究结果可知,不孕症患者在希望感提升式心理护理联合常规干预下,能显著改善患者心理状态,明显提升其婚姻质量,在改善希望水平的同时还能提高成功妊娠率,对促进妊娠有着良好影响,且患者接受度较高。Objective:To observe the effects of hope-enhancing psychological nursing on marital quality,hope level and successful pregnancy rate of infertile patients.Methods:A total of 156 infertile patients admitted to the Department of Reproductive Medicine at the First Affiliated Hospital of Zhengzhou University from November 2022 to November 2023 were selected as the research subjects.They were randomly assigned to the observation group and the control group,with 78 cases in each group.The control group received routine clinical interventionand the observation group received hope-enhancing psychological nursingon this basis.The Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),OlsonEnrich Marital inventory(ENRICH)and Herth Hope Scale were used to evaluatenegative emotions,marital qualityand hope level in the two groups before and after intervention.The successful pregnancy rates and satisfaction rates in the two groups were calculated.Results:There were no statistically significant difference in SAS scores,SDS scores,ENRICH scores,or Herth scores between two groups before intervention(P>0.05).After intervention,above scores of both groups were significantly improved.Compared to control group,SAS scores and SDS scores of the observation group were lower.ENRICH scores and Herth scores of the observation group were higher(t=6.580,5.846,3.877,4.572,8.492,11.423,8.007,7.757;P<0.05).The successful pregnancy rates in the observation group and the control group were 64.10%and 41.03%,with a statistically significant difference between groups(χ^(2)=8.330,P<0.05).Satisfaction rates of the two groups were significantly different(χ^(2)=4.112,P<0.05).Conclusion:Hope-enhancing psychological nursing can significantly improve psychological status and marital quality of infertile patients.Meanwhile,it can improve hope level and increase successful pregnancy rate.It is highly accepted by patients.

关 键 词：希望感提升式心理护理 不孕症 负性情绪 婚姻质量 希望水平 成功妊娠率 

分 类 号：R395.5[哲学宗教—心理学]