聚焦解决模式对体外受精-胚胎移植治疗的女性不孕症患者负性情绪和生命质量的影响

Focusing on the effect of the model on the negative emotions and quality of life of female infertility patients treated with in vitro fertilization and embryo transfer

目的探讨聚焦解决模式对体外受精-胚胎移植（IVF—ET）治疗的女性不孕症患者负性情绪和生命质量的应用效果。方法采用便利抽样的方法选取2016年10-12月在北京协和医院辅助生殖中心行IVF-ET治疗的40例患者纳入对照组，2017年卜2月治疗的40例患者纳人干预组。2组均进行常规护理，干预组在此基础上，按照聚焦解决模式的5个步骤进行干预。分别在IVF-ET治疗周期开始前及胚胎移植前用焦虑自评量表（SAS）、抑郁自评量表（SDS）、世界卫生组织生命质量测量简表（WHOQOL．BREF）（中文版）测评患者焦虑、抑郁水平及生命质量。结果2组患者干预前SAS、SDS、WHOQOL—BREF得分比较差异无统计学意义（P〉0．05）；干预后，干预组患者的SAS、SDS得分分别为（34．28±6．17）、（36．28±1．05）分，均低于对照组的（43．98±12．04）、（42．75±15．39）分，干预组患者的WHOQOL-BREF得分为（67．83±6．60）分，高于对照组的（60．37±5．22）分，差异均有统计学意义（t=4．535、2．162、-5．606，均P〈0．01）。结论聚焦解决模式能明显改善IVF—ET治疗的女性不孕症患者负性情绪，提高其生命质量。

Objective To explore the effect of focusing solution on negative emotion and quality of life in female infertility patients treated with in vitro fertilization and embryo transfer （IVF-ET）. Methods The 80 female infertility patients were selected for IVF-ET treatment at the assisted reproductive center of Peking Union Medical College Hospital. The two groups were divided into by convenience sampling method, 40 cases in each group. Both groups were given routine care. The intervention group was given five steps to focus on the solution based on the routine care. Patient anxiety, depression levels and quality of life were evaluated before the start of the IVF-ET treatment cycle and embryo transfer using the Self- rating Anxiety Scale （SAS）, Self-rating Depression Scale （SDS）, and the World Health Organization Quality of Life （WHOQOL）-BREF （Chinese version）. Results There were no significant difference in the SAS, SDS, WHOQOL-BREF before intervention between the two groups（P〉0.05）. The scores of SAS and SDS in the intervention group were （34.28±6.17） and （36.28±11.05） points, which were significantly lower than those in the control group （43.98±12.04）, （42.75±15.39） points. The WHOQOL-BREF score of the intervention group was （67.83±6.60） points, significantly higher than the control group （60.37±5.22） points. The difference was significant（ t=4.535, 2.162, -5.606, P 〈0.01）. Conclusions Focusing on the solution model can improve the negative emotion and the quality of lifeof female infertility patients treated by IVF-ET.