不孕及辅助生育治疗的社会工作介入——“综合身心灵全人健康”自助干预模式的应用

Social Work Intervention in Infertility and Assisted Fertility Treatment:Application of Self-help Intervention Model of “Integrative Body-Mind-Spirit Health”

体外受精(IVF)的辅助生殖技术给女性带来巨大痛苦,特别是在胚胎移植至妊娠试验的两周等待期里。立足于以往研究经验,采用前瞻性三臂随机对照试验方式,试图探索一种基于“身心灵”互动的自助干预方法。分别在项目说明会、胚胎移植当天、第一次妊娠试验前进行三次前瞻性心理健康评估,201名受访者参与研究。研究证明了在接受IVF治疗过程中,女性的焦虑水平逐渐增加,并在妊娠试验前达到峰值。尽管干预组的结果并未呈现出显著变化,但由于本研究的自助干预方式开创性地为接受不孕不育治疗的女性提供了一种更加便捷、节省开支的心理健康干预方法,也更符合中国的文化环境,因此值得进一步推广发展。

Assisted reproductive technology of in vitro fertilization (IVF) causes enormous physical and psychological distress in women, especially during the two-week waiting period from embryo transfer to pregnancy testing. Based on previous research experience, this study uses a prospective three-arm randomized controlled trial to explore a self-help intervention based on the comprehensive body-mind-spirit interactive health model. Three prospective mental health assessments were performed at the project briefing, the day of embryo transfer, and the first pregnancy testing, and 201 respondents were involved in the study. This study has supported that women’s anxiety level gradually increases during IVF treatment and peaks before pregnancy testing. Although the intervention groups did not demonstrate statistical significant changes, this pioneering cultural relevant self-help intervention may provide a viable and cost-effective mental health intervention protocol for women who receive infertility treatment, and is worthy of further development.