IVF—ET术后先兆流产患者社会心理状况分析

目的观察比较体外受精．胚胎移植（IVF-ET）术后先兆流产患者、自然妊娠先兆流产患者、正常早期妊娠患者社会心理状况的差异。方法选取2014年7月至2015年-7月IVF-ET术后先兆流产患者、自然妊娠先兆流产患者、以及正常早期妊娠妇女，通过焦虑量表（SAS）和抑郁自评量表（SDS）、社会支持量表（PSSS）进行心理状况及社会支持评测。结果IVF-ET术后先兆流产患者、自然妊娠先兆流产患者与正常早期妊娠妇女比较，SAS和SDS评分差异均有统计学意义（P〈0．01）。自然妊娠先兆流产与IVF-ET术后先兆流产患者的SAS、SDS评分项比较，差异有统计学意义（P〈0．01）。结论IVF-ET术后先兆流产患者的焦虑、抑郁状况比自然妊娠先兆流产患者更明显。而患者焦虑、抑郁状况与社会支持呈负相关，感受社会支持越高，焦虑抑郁状况就越轻。

Objective To observe the differences of social and psychological status in threatened abortion after IVF-ET, threatened abortion natural pregnancy, normal pregnancy. Methods Threatened abortion patients after IVF-ET, threatened abortion natural pregnancy and normal pregnancy hospitalized in our department from July 2014 to July 2015 were selected into the study and assessed through Anxiety Scale （ SAS ） and Self- Rating Depression Scale （ SDS ） , Social Support Scale （ PSSS ） psychological status and social support evaluation. Results Threatened abortion after IVF-ET and natural pregnancy threatened abortion were compared to normal early pregnancy women, SAS and SDS differences were statistically significant （P〈0.01） . Natural pregnancy, threatened abortion and IVF-ET pregnancy threatened abortion patients SAS, SDS score items, the difference was statistically significant （ P〈0.01 ） . Conclusion The anxiety and depression status of threatened abortion patients after IVF-ET is more obvious than that of natural pregnancy threatened abortion. The patient＇s anxiety, depression and social support were negatively related to feelings of social support, the higher the perceived social support, the less anxiety and depression.