体外受精-胚胎移植助孕患者治疗期间心理体验的质性研究

Psychological Experience of Patients Undergoing in Vitro Fertilization-embryo Transfer:A Qualitative Study

目的了解体外受精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET)助孕患者治疗期间的心理体验,为采取针对性措施提供依据。方法 2016年1-4月,采用目的抽样法,选择在上海瑞金医院生殖医学中心行IVF-ET的10例助孕患者为研究对象。采用现象学研究方法对其进行半结构式访谈,现场录音,借助NVivo 8.0统计软件,根据Colaizzi的7步分析法对资料进行分析,提炼主题。结果 IVF-ET助孕患者治疗期间普遍存在心理压力,其心理体验可归纳为5个主题:(1)来自年龄与妊娠成功率的压力;(2)来自家庭、社会和周围环境的压力;(3)来自对自身健康影响、承受能力的压力;(4)来自经济、职业生涯的压力;(5)来自辅助生殖知识缺乏的压力。结论医护人员及患者家属应针对IVF-ET助孕患者治疗期间的主要心理压力,给予相应的健康指导和心理支持,采取干预措施,帮助患者积极面对治疗,提高妊娠率。

Objective To understand the psychological experience of patients undergoing in vitro fertilization-embryo transfer（IVF）treatment,in order to provide reference for taking targeted interventions.Method By using purposive sampling method,10 cases were selected and investigated by semi-structure interview with on-site record.The data were analyzed by Colaizzi 7steps method,and the themes were extracted.Result Five themes were extracted：1.pregnancy success rate;2.stress from family,social and general environment;3.the effect of treatment on their self-healthy status and their career;4.stress from economic status and career;5.lack of knowledge on assist reproductive technology.Conclusions Medical personnel and patients＇ family should understand the stress of IVF patients and provide the pertinent health education and psychological supports,as well as take targeted inetvetions,thereby improving the pregnancy rate.