宫腔内人工授精患者心理状态的调查及护理

Investigation and nursing of mental state in intrauterine artificial insemination patients

目的调查宫腔内人工授精患者激惹、抑郁和焦虑的心理状况并给予心理护理。方法选择2008年8月至2009年9月在我院不孕专科门诊就诊进行官腔内人工授精（IUI）的120例不孕症患者，随机分为两组。两组患者均填写激惹、抑郁和焦虑量表（IDA）进行评分。对照组60例按常规IUI方案进行治疗；研究组60例另外给予心理护理，比较心理干预前后IDA量表评分及两组患者的临床妊娠情况。结果研究组患者经心理治疗后，IDA量表评分明显降低（P〈0．05）。研究组患者周期妊娠率明显高于对照组（P〈0．05）。结论IDA量表可应用于人工授精患者的心理调查，有效的心理护理有助于宫腔内人工授精的成功。

Objective To investigate the psychologic status of irritability, depression and anxiety in patients who underwent intrauterine insemination （IUI） and to provide mental nursing care. Methods This study included 120 infertile patients who underwent IUI treatment from August 2008 to September 2009 in infertility clinics. All patients were divided into two groups randomly and assessed with the Irritability, Depression and Anxiety Scale （IDA）. The 60 patients in control group were treated according to the standard IUI procedure, while the patients in study group were given mental nursing additionally. IDA scores before and after psychological intervention and clinical pregnancy rate were compared between the two groups. Results The IDA scores decreased obviously after mental nursing in study group （ P 〈 0. 05 ）. The clinical pregnancy rate per cycle was much higher in study group than that in control group （ P 〈 0. 05 ）. Conclusions IDA can be applied to the psyehological investigation of IUI patients. Efficient mental nursing care is beneficial to the success of IUI.