定向差异性护理干预对不孕不育症患者焦虑、抑郁及治疗依从性的应用效果

Application effect of directional differential nursing intervention on anxiety, depression and treatment compliance in infertility patients

目的探讨定向差异性护理干预对不孕不育症患者焦虑、抑郁及治疗依从性的应用效果。方法92例不孕不育症患者,按照随机数字表法分为观察组和对照组,每组46例。对照组患者予以常规护理,观察组患者予以定向差异性护理干预。比较两组患者干预前后的心理状态变化情况及治疗依从性。结果干预前,两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较差异均无统计学意义(P>0.05)。干预后,两组患者的SAS、SDS评分均明显低于干预前,且观察组患者的SAS、SDS评分分别为(30.34±5.29)、(28.95±4.64)分,均明显低于对照组的(39.15±6.34)、(37.07±5.17)分,差异均有统计学意义(P<0.05)。观察组患者的治疗依从率为95.65%,明显高于对照组的82.61%,差异有统计学意义(χ^2=4.039, P=0.045<0.05)。结论定向差异性护理干预应用于不孕不育症患者中可显著减轻其焦虑、抑郁等不良情绪,同时有利于提高患者治疗依从性。

Objective To discuss the application effect of directional differential nursing intervention on anxiety, depression and treatment compliance in infertility patients. Methods A total of 92 infertility patients were divided by random number table method into observation group and control group, with 46 cases in each group. The control group received conventional nursing, and the observation group received directional differential nursing intervention. The changes of mental state and treatment compliance before and after intervention were compared between the two groups. Results Before intervention, both groups had no statistically significant difference in self-rating anxiety scale(SAS) score, self-rating depression scale(SDS) score(P>0.05). After intervention, both groups had obviously lower SAS and SDS score than those before intervention, and the observation group had obviously lower SAS and SDS score respectively as(30.34±5.29) and(28.95±4.64) points than(39.15±6.34) and(37.07±5.17) points in the control group. Their difference was statistically significant(P<0.05). The observation group had obviously higher treatment compliance rate as 95.65% than 82.61% in the control group, and the difference was statistically significant(χ^2=4.039, P=0.045<0.05). Conclusion Application of directional differential nursing intervention in infertility patients can significantly reduce their anxiety and depression, and help to improve their treatment compliance.