综合心理护理对辅助生殖技术治疗不孕症患者疗效 负性情绪及生活质量的影响

Effect of comprehensive psychological nursing on efficacy and negative emotion and quality of life of patients with infertility treated with assisted reproduction technology

目的探讨综台心理护理对辅助生殖技术治疗不孕症患者疗效、负性情绪及生活质量的影响.方法将86例行辅时生殖技术治疗的女性不孕症患者按随机数字表法分为观察组和对照组,每组43例,对照组接受常规护理干预,观察组在此基础上进行综台心理护理,两组护理干预时间均持续至治疗结束.护理干预前后采用焦虑自评量表评定焦虑状况,抑郁自评量表评定抑郁状况,健康调查简表评定生活质量,统计两组妊娠率和优质胚胎率.结果护理干预后两组焦虑自评量表、抑郁自评量表评分较干预前显著下降(P<0.01),观察组评分均显著低于对照组(P<0.01);健康调查简表评分较干预前显著升高(P<0.01),观察组评分显著高于对照组(P<0.01).观察组妊娠率(93.0%)、优质胚胎率(75.0%)均显著高于对照组(69.8%、50.0%)(P<0.05或0.01).结论综合心理护理能有效改善辅助生殖技术治疗不孕症患者的负性情绪,显著提高妊娠率、优质胚胎率和生活质量,具有临床推广价值.

Objective To observe the effect of comprehensive psychological nursing on efficacy and negative emotion and quality of life of patients with infertility treated with assisted reproduction technology.Methods A total of 86 female infertility patients treated with assisted reproductive technology were divided into observation group and control group,43 cases each.The control group received routine nursing,the observation group received comprehensive psychological nursing intervention on the basis of routine nursing.Nursing intervention time of both groups lasted until the end of treatment.Before and after the nursing intervention,SAS,SDS,and SF-36 were used to evaluate the quality of life,and the pregnancy rate and high-quality embryo rate of the two groups were counted.Results After the nursing intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention(P<0.01).The scores of the observation group were significantly lower than those of the control group(P<0.01).The SF-36 score was significantly higher than that before the intervention(P<0.01),the scores of the observation group were significantly higher than those of the control group(P<0.01).The pregnancy rate(93.0%)and high-quality embryo rate(75.0%)in the observation group were.significantly higher than those in the control group(69.8%,50.0%)(P<0.05 or 0.01).Conclusions Comprehensive psychological nursing can effectively improve the negative emotion and quality of life of infertility patients treated with assisted reproductive technology,and significantly increase the pregnancy rate and high-quality embryo rate,which has clinical promotion value.