压力接种训练对不孕症患者心理状况及生育生活质量的影响

Effect of stress inoculation training on psychological state and the fertility quality of life in infertility patients

目的探讨压力接种训练对女性不孕症患者焦虑状态、应对方式及生育生活质量的影响。方法本研究为前瞻性非随机化对照研究,选取2017年9月—2018年6月在某三级甲等医院住院诊治的126例女性不孕症患者作为研究对象,按入院先后顺序分为对照组与干预组,各63例。对照组采用常规护理干预,干预组在常规护理的基础上接受2个月的压力接种训练。两组患者均在干预前、干预后采用状态-特质焦虑问卷(STAI)、特质应对方式量表(TCSQ)以及生育生活质量量表(FertiQoL)进行评估。结果经过2个月的压力接种训练后,干预组患者STAI中状态焦虑量表(S-AI)得分为(38.91±10.54)分、特质焦虑量表(T-AI)得分为(38.98±8.43)分,TCSQ中积极应对得分为(36.40±6.80)分,FertiQoL中情感维度、环境维度、治疗耐受性维度、治疗FertiQoL模块以及FertiQoL总分得分分别为(68.24±9.68)、(69.10±7.86)、(66.98±14.63)、(68.04±8.36)、(69.92±6.80)分,均优于对照组,差异均有统计学意义(P<0.05)。结论压力接种训练可降低不孕症患者的焦虑状态,提高患者的积极应对,能够改善患者的生育生活质量,但仍提示医护人员应关注不孕症患者远期夫妻关系与社交关系。

Objective To explore the effects of stress inoculation training(SIT)on anxiety,coping style and the infertility quality of life of the female patients.Methods This study was a prospective non randomized control study.Totally 126 female infertility patients who were hospitalized in a ClassⅢGrade A hospital from September 2017 to June 2018 were selected as the study objects.According to the order of admission,they were divided into control group and intervention group,with 63 cases in each group.The control group received routine nursing intervention,and the intervention group received 2 months of SIT on the basis of routine nursing.Before and after intervention,the patients in the two groups were assessed with the State-Trait Anxiety Inventory(STAI),Trait Coping Style Questionnaire(TCSQ)and Fertility Quality of Life Questionnaire(FertiQoL).Results After 2 months of SIT,the scores of S-AI and T-AI in STAI of the intervention group were(38.91±10.54),(38.98±8.43),the score of PC in TCSQ was(36.40±6.80),the scores of emotional subscale,the treatment environment subscale and the treatment tolerability subscale in FertiQoL were(68.24±9.68),(69.10±7.86),(66.98±14.63),the scores of the treatment FertiQoL and the total FertiQoL were(68.04±8.36),(69.92±6.80)respectively,which were better than those in the control group with statistical significance(P<0.05).Conclusions SIT can reduce the anxiety state of patients with infertility,improve the positive response of patients,and improve the quality of reproductive life of patients,but it still suggests that medical staff should pay attention to the long-term relationship between husband and wife and social relations of patients with infertility.