体外受精-胚胎移植患者心理因素与妊娠结局的调查

A survey of psychological factors and pregnancy outcomes in in vitro fertilization-embryo transfer patients

目的:探讨体外受精-胚胎移植(IVF-ET)患者心理因素与妊娠结局的关系。方法:以康奈尔医学指数(CMI)为效标对180名IVF-ET患者进行心理评估。结果:CMI得分与妊娠结局分析具有统计学意义(P<0.05),Logistic回归分析结果提示,IVF-ET患者经济收入及CMI测评得分是患者妊娠成功的主要影响因素。结论:通过对患者心理状态评估,给予适当的护理、医疗干预,可以提高患者身心治疗的积极性和依从性,最终提高妊娠成功率。

Objective： To investigate the association between psychological factors and successful pregnancy rate among in vitro fertilization and embryo transfer （IVF-ET） patients. Methods： Cornell medical index （CMI） was used as the criterion indicator to assess the psychological risk in 180 patients undergoing IVF-ET. Data were analyzed by x^2 test and Logistic regression. Results： CMI scores had a significant association with pregnancy outcomes （P〈0.05）. Economic factor and CMI assessment score were the main factors affecting the success of the patients with pregnancy. Conclusion： Evaluating psychological state of patients undergoing IVF- ET and providing proper medical care and intervention can improve patients＇ the enthusiasm and compliance of patients, eventually improve the success rate of pregnancy.