心理行为干预对IVF-ET早孕保胎孕妇焦虑改善及妊娠结局的影响

Effect of psycho-behavioral intervention on improvement of anxiety and outcome of pregnancy of pregnant women treated with IVF-ET

目的:探讨心理行为干预对受精-胚胎移植(IVF-ET)早孕保胎孕妇焦虑改善及妊娠结局的影响。方法:将50例接受体外IVF-ET早孕保胎孕妇随机分为观察组和对照组各25例,观察组在住院全程进行心理行为干预,对照组采用传统健康教育模式护理,观察干预前后两组孕妇焦虑、抑郁心理变化。结果:观察组干预后焦虑、抑郁状态评分分别为28.93±3.51和22.42±9.54,而对照组分别为41.08±4.25和42.26±9.67,两组比较差异有显著性(P<0.05);观察组足月出生率明显高于对照组(P<0.05),早产率、流产率明显低于对照组(P<0.05)。结论:积极进行心理行为干预能有效改善IVF-ET早孕保胎孕妇焦虑和抑郁,使孕妇顺利度过妊娠期。

Objective: To explore the effect of psycho-behavioral intervention on improvement of anxiety and outcome of pregnancy of pregnant women treated with IVF-ET.Methods: Fifty pregnant women treated with IVF-ET were randomly divided into observation group(n=25) and control group(n=25).The pregnant women in observation group were given psycho-behavioral intervention during hospitalization and conventional health education was applied in control group,and such psychological change as anxiety and depression of pregnant women in the two groups were observed before and after intervention.Results: The scores of anxiety and depression were respectively 28.93 ± 3.51 and 22.42 ± 9.54 in observation group,41.08 ± 4.25 and 42.26 ± 9.67 in control group.There were significant difference in the comparison between the two groups(P<0.05).The full-term birth rate was higher in observation group than that in control group(P<0.05).The premature birth rate and rate of abortion were lower in observation group than that in control group(P<0.05).Conclusion: Active psycho-behavioral intervention can effectively reduce anxiety and depression of pregnant women treated with IVF-ET,which can help them finish pregnancy safely.