正念减压疗法对行试管婴儿技术女性生活质量及妊娠结局的影响

The Effect of Mindfulness Decompression Therapy on the Quality of Life and Pregnancy Outcome of Women Undergoing in Vitro Fertilization and Embryo Transfer

目的:研究正念减压疗法对行试管婴儿技术(IVF-ET)女性生活质量及妊娠结局的影响.方法:选取2016年1月-2017年1月于笔者所在医院行IVF-ET女性患者86例,按简单随机化方法分为常规组和观察组,每组43例.常规组行常规护理,观察组在常规组基础上行正念减压疗法.比较两组负性情绪、知觉压力、生活质量及妊娠结局情况.结果:干预1个月后,观察组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及知觉压力量表(CPSS)评分均低于常规组,生活质量评分高于常规组(P<0.05);随访1年后,观察组终止妊娠率低于常规组,顺产率高于常规组(P<0.05).结论:将正念减压疗法运用于IVF-ET中能有效改善不孕女性的负性情绪和压力情况,提高生活质量,且对妊娠结局有积极作用.

Objective:To study the effect of mindfulness decompression therapy on the quality of life and pregnancy outcome of women undergoing in vitro fertilization and embryo transfer(IVF-ET).Method:A total of 86 women who underwent IVF-ET in our hospital from January 2016 to January 2017 were selected and divided into the routine group and the observation group according to simple randomization method,43 cases in each group.Routine nursing was performed in the routine group,and mindfulness decompression therapy was performed in the observation group on the basis of the routine group.The negative emotions,perceived stress,quality of life and pregnancy outcome were compared between the two groups.Result:After one month of intervention,the scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)and Chinese perceived stress scale(CPSS)in the observation group were lower than those of the routine group,and the scores of quality of life were higher than those of the routine group(P<0.05).After one year of follow-up,the rate of termination of pregnancy in the observation group was lower than that of the routine group,and the rate of spontaneous delivery was higher than that of the routine group(P<0.05).Conclusion:The application of mindfulness decompression therapy in IVF-ET can effectively improve the negative emotions and stress of infertile women,improve the quality of life,and have a positive effect on the pregnancy outcome.