健康教育联合家庭关怀干预对辅助生殖患者希望水平情绪及睡眠质量的影响  

Effect of health education combined with family care on the hope level,emotions and sleep quality of assisted reproductive patients

作　　者：吴丹[1] 张倩[1] 郭利洁 左敏 Wu Dan;Zhang Qian;Guo Lijie;Zuo Min(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《临床心身疾病杂志》2025年第2期152-156,共5页Journal of Clinical Psychosomatic Diseases

摘　　要：目的 探讨基于罗森塔尔效应的健康教育联合家庭关怀干预对不孕症辅助生殖患者希望水平、情绪及睡眠质量的影响。方法 将124例不孕症辅助生殖患者按随机数字表法分为观察组和对照组,每组62例。对照组开展常规干预,观察组在常规干预基础上开展基于罗森塔尔效应的健康教育联合家庭关怀干预,观察3个月。干预前后,采用Herth希望指数量表(HHI)、心理弹性量表(CD-RISC)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)评定两组患者的希望水平、心理弹性、焦虑情绪、抑郁情绪及睡眠质量。比较两组患者遵医行为及干预前后上述量表评分。结果 观察组患者在按时用药、合理饮食、按时复诊方面遵医率高于对照组(P<0.05)。干预后,两组患者HHI各维度、CD-RISC评分较干预前升高,且观察组高于对照组(P<0.05或0.01)。干预后,两组患者SAS、SDS、PSQI评分较干预前降低,且观察组低于对照组(P<0.05或0.01)。结论 基于罗森塔尔效应的健康教育联合家庭关怀干预可以提高不孕症辅助生殖患者的希望水平和心理弹性,改善患者负性情绪、睡眠质量,值得临床推广。Objective To investigate the inf luence of health education based on Rosenthal effect plus family care on the hope level,emotions and sleep quality of infer tility patients with assisted reproduction.Methods A total of 124 infertility patients undergoing assisted reproduction were grouped according to random number table method,with 62 ones in each group.Controls received routine intervention and observation group did health education based on Rosenthal effect plus family care on the basis of routine intervention,for 3 months.Before and after intervention,the Herth Hope Index(HHI),Connor-Davidson Resilience Scale(CD-RISC),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and Pittsburgh Sleep Quality Index(PSQI)were used to assess the hope level,mental resilience,anxious and depressive emotions,and sleep quality of the patients,respectively.Compliance and pre-and post-intervention above-mentioned scales scores were compared between two groups.Results The compliance rates of taking drug on time,reasonable diet and revisiting on time were higher in observation than control group(P<0.05).After intervention,the HHI and CD-RISC scores of both groups elevated compared with pre-intervention and those were higher in observation than control group(P<0.05 or 0.01).After intervention,the SAS,SDS and PSQI scores of both groups lowered compared with pre-intervention and those were lower in observation than control group(P<0.05 or 0.01).Conclusion Health education based on Rosenthal effect combined with home care can improve the hope level,mental resilience,negative emotions and sleep quality of infertility patients undergoing assisted reproduction and is worthy of clinical promotion.

关 键 词：不孕症 罗森塔尔效应 健康教育 家庭关怀 希望水平 情绪 睡眠质量 

分 类 号：R271.14[医药卫生—中医妇科学] R473[医药卫生—中医学]