IVF周期中睡眠障碍患者心理分析及护理干预

The Psychological Analysis and Nursing Intervention of Sleep Disorders Patients Undergoing IVF-ET

目的:探讨体外受精-胚胎移植(IVF-ET)周期中睡眠障碍患者的心理问题及护理对策。方法:通过PSQI量表筛选出60例体外受精-胚胎移植睡眠障碍患者作为研究对象,通过SCL-90症状自评量表,了解和分析他们的心理状态。按就诊顺序将所有患者随机分为试验组和对照组各30例。试验组在常规护理的基础上实施心理干预,并将试验组接受干预前后的PSQI评分结果以及试验组与未进行心理干预的对照组IVF-ET结局进行比较。结果:30例试验组接受心理干预后,其睡眠质量得到明显改善(P<0.05),相对于对照组其IVF周期结局得到了显著改善,E2峰值水平、>15 mm的卵泡数量、获卵数、MII的卵子数量均有显著增加。结论:对IVF周期中睡眠障碍患者适时进行心理分析和实施心理干预,能明显消除其负性心理,改善睡眠,改善IVF周期结局。

Objective：To discuss psychological problems of sleep disorders patients undergoing IVF-ET and their nursing countermeasures. Method：Sixty sleep disorder cases in vitro fertilization embryo transfer were selected By PSQI scale;their psychological state was analyzed through the SCL-90 symptoms self evaluation scale.All the patients were randomly divided into the experimental group and the control group,30 cases in each group. Then the experimental group was given the conventional nursing and psychological intervention,the control group was only given the conventional nursing. The PSQI scores of experimental group before and after the psychological intervention were compared,the IVF-ET results between the experimental group and control group were compared,too.Result：After psychological intervention,the IVF-ET results and sleep quality of the experimental group was improved significantly,compared with the control group（P〈0.05）;E2 peak,the follicle number of〉15 mm,number of retrieving eggs and MⅡeggs increased significantly.Conclusion：Giving timely psychological intervention to sleep disorder patients undergoing IVF-ET,it can significantly eliminate the negative psychological state,improve sleep disorder patients’ sleep and IVF-ET results.