聚焦解决模式的心理干预在体外受精胚胎移植孕产妇患者中的应用效果  

Effects of psychological intervention based on solution-focused mode on pregnant women with in vitro fertilization-embryo transfer

作　　者：何锦雅 王凤[1] HE Jinya;WANG Feng(Ward I,Department of Obstetrics,the First Affiliated Hospital of Xinjiang Medical University,Xinjiang,Urumqi 830000,China)

机构地区：[1]新疆医科大学第一附属医院产科一病区,乌鲁木齐市830000

出　　处：《河北医药》2025年第2期330-333,共4页Hebei Medical Journal

基　　金：新疆医科大学人文社会科学基金项目(编号:2017XYFG106)。

摘　　要：目的分析聚焦解决模式的心理干预对体外受精胚胎移植(IVF-ET)孕产妇患者的应用效果。方法选择2022年3月至2023年3月我院行IVF-ET技术的孕产妇患者82例,根据随机数字表法分为对照组(常规护理干预)和观察组(常规护理+聚焦解决模式的心理干预),每组41例。对比2组患者心理状态、妊娠相关指标情况、妊娠结果、护理服务满意度。结果护理结束后,2组心理状态评估量表(MSSNS)总评分均较护理前下降,且观察组低于对照组(P<0.05);观察组的促性腺激素(Gn)总剂量、Gn天数、取卵数及移植胚胎数与对照组比较,差异无统计学意义(P>0.05);观察组的受精率、卵裂率、优胚率及临床妊娠成功率均高于对照组(P<0.05);观察组护理服务总满意度为95.12%,高于对照组的73.17%(P<0.05)。结论在IVF-ET孕产妇患者中,采用聚焦解决模式的心理干预可显著改善患者焦虑等不良心理健康问题,并在妊娠成功率方面取得良好的效果。Objective To analyze the application effect of psychological intervention based on solution-focused mode on pregnant women with in vitro fertilization-embryo transfer(IVF-ET).Methods According to the random number table method,82 pregnant women who underwent IVF-ET technology in our hospital from March 2022 to March 2023 were divided into control group(routine nursing intervention)and observation group(routine nursing+psychological intervention based on solution-focused mode),with 41 cases in each group.The psychological status,pregnancy related indicators,pregnancy outcome and nursing service satisfaction were compared between the two groups.Results After nursing,the total score of the Mental Status Scale in Non-Psychiatric Settings(MSSNS)in the two groups was significantly decreased compared with that before nursing,which was significantly lower in the observation group than the control group(P<0.05).There were no significant differences in the total dose of gonadotropin(Gn),duration of Gn administration,and the number of oocytes retrieved and embryos transferred between groups(P>0.05).The fertilization rate,cleavage rate,high-quality embryo rate and clinical pregnancy success rate of the observation group were significantly higher than those of the control group(P<0.05).The total satisfaction of nursing service was significantly higher in the observation group than that of the control group(95.12%vs 73.17%,P<0.05).Conclusion The psychological intervention based on solution-focused mode can significantly improve anxiety and other adverse mental health problems in pregnant women undergoing IVF-ET,and achieve good results in terms of pregnancy success rate.

关 键 词：聚焦解决模式 心理干预 体外受精胚胎移植 心理状态 妊娠结果 满意度 

分 类 号：R821.3[医药卫生—临床医学]