AIH治疗患者心理健康状态及心理干预措施研究

Study on the psychological health status and interventional measures among the patients treated with artificial insemination of husband

目的:探讨心理干预对接受夫精人工授精(Artificial Insemination of Husband AIH)治疗的患者心理状态及妊娠结局的影响。方法:采用90项症状自评量表(SCL-90)对符合并接受AIH治疗的不孕妇女进行问卷调查。比较受调查者和国内常模间的自评量表得分,分析AIH患者的心理健康状态。按照心理干预时机及干预频率的不同,将患者随机分为4组,实施AIH后5周比较4组患者心理状态及临床妊娠率。结果:受调查者的心理健康状态与国内常模相比差异有统计学意义。心理干预后受调查者的心理健康状态较干预前得到改善,其中以抑郁因子改善最为明显,差异有统计学意义(P<0.05)。4组患者中,C组妊娠率最高,A组、B组次之,但组间比较无统计学意义(P>0.05)。结论:接受AIH治疗的患者存在不同程度的心理亚健康问题;系统的心理干预能够改善患者的心理状态,获得较高的临床妊娠率。

Objective：To explore the effect of psychological intervention on psychological status and pregnancy outcome of the patients after artificial insemination of husband（AIH）.Methods：SCL-90 was used to survey the infertile women after AIH treatment.The scores of self-evaluation questionnaire of the respondents and norm were compared,the psychological health status of the patients after AIH was analyzed.All the patients were divided into four groups according to the opportunity and frequency of psychological intervention,the psychological status and clinical pregnancy rates in the four groups were compared after five weeks.Results：There was significant difference in psychological health status between the respondents and norm.After psychological intervention,the psychological health status of the respondents was improved,especially depressive factor,there was significant difference（P〈0.05）.Among the four groups,the pregnancy rate in group C was the highest,followed by group A and group B,but there was no significant difference among the four groups（P〈0.05）.Conclusion：The patients after AIH treatment have psychological subhealth problems at different degrees;systematic psychological intervention can improve psychological status of the patients and achieve high clinical pregnancy rate.