配偶同步认知行为疗法辅助生长激素对反复胚胎种植失败患者受孕结局及其心理状况的影响  

Effect of Spousal Synchronous Cognitive Behavioral Therapy Assisted Growth Hormone on Pregnancy Outcome and Psychological Status of Patients with Repeated Implantation Failure

作　　者：王培娜 吴娅娟 王亚茹 WANG Peina;WU Yajuan;WANG Yaru(Department of Reproductive Medicine,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院生殖医学科,河南郑州450000

出　　处：《河南医学研究》2025年第6期1116-1119,共4页Henan Medical Research

摘　　要：目的探究配偶同步认知行为疗法(CBT)辅助生长激素(GH)对反复胚胎种植失败(RIF)患者受孕结局及其心理状况的影响。方法选取河南中医药大学第一附属医院2020年2月至2022年12月RIF患者96例,根据患者意愿分为试验组(48例)、对照组(48例)。对照组接受常规护理,并加以GH治疗,试验组在对照组基础上实施CBT,比较两组受孕结局(妊娠率、流产率)、心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、生育压力[生育压力量表(FPI)]、婚姻质量、护理满意度。结果与对照组相比,干预后试验组妊娠率升高、流产率降低(P<0.05);与对照组相比,干预后试验组FPI、SDS、SAS评分降低(P<0.05);干预后,试验组婚姻满意度、夫妻交流、性生活评分高于对照组(P<0.05);干预后,试验组满意度(97.92%)高于对照组(83.33%)(P<0.05)。结论配偶同步CBT辅助GH能改善RIF患者受孕结局、心理状态,减轻生育压力,提高婚姻质量,提升护理满意度。Objective To explore the effects of spousal synchronous cognitive behavioral therapy(CBT)assisted growth hormone(GH)on pregnancy outcomes and psychological status of patients with repeated implantation failure(RIF).Methods Ninety-six patients with RIF were selected from February 2020 to December 2022 in the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,and were divided into the experimental group(48 cases)and the control group(48 cases)according to the patients’wishes.The control group received conventional care with GH treatment,and the experimental group implemented CBT on the basis of the control group.The pregnancy outcome(pregnancy rate,abortion rate),mental state[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],fertility stress[fertility problem inventory(FPI)],marital quality and nursing satisfaction of the two groups were compared.Results Compared with the control group,the pregnancy rate of the experimental group was increased and the abortion rate was decreased(P<0.05).Compared with the control group,the scores of FPI,SDS and SAS in the experimental group were decreased after intervention(P<0.05).After intervention,the scores of marital satisfaction,marital communication and sexual life of the experimental group were higher than those of the control group(P<0.05).After intervention,the satisfaction of the experimental group(97.92%)was higher than that of the control group(83.33%)(P<0.05).Conclusion Spousal synchronous CBT-assisted GH can improve pregnancy outcome,psychological state,reduce fertility pressure,improve marriage quality and nursing satisfaction in RIF patients.

关 键 词：胚胎种植 认知行为疗法 生长激素 受孕结局 心理状况 

分 类 号：R714[医药卫生—妇产科学]