三线放松训练结合自我效能干预对体外受精-胚胎移植患者妊娠率的影响

Effect of Three Line Relaxation Training Combined with Self-Efficacy Intervention on Pregnancy Rate of IVF-ET Patients

目的:探讨三线放松训练结合自我效能干预在体外受精-胚胎移植(IVF-ET)患者中的应用效果。方法:将2017年1月至2019年3月实施IVF-ET的98例患者予以分组,对照组49例,行常规护理;观察组49例,在对照组基础上实施三线放松训练结合自我效能干预,观察2组干预前后知觉压力、负性情绪、自我效能变化及妊娠结局。结果:干预4周后,观察组中文版知觉压力量表(CPSS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分与同期对照组对比,明显较低(P<0.05);观察组一般自我效能感量表(GSES)评分与同期对照组对比,明显较高(P<0.05);观察组临床妊娠率(57.14%)高于对照组(36.73%)(P<0.05);观察组早期流产率7.14%与对照组的11.11%无差异(P>0.05)。结论:三线放松训练结合自我效能干预可有效减轻IVF-ET患者知觉压力,减少负性情绪,改善妊娠结局,值得推广。

[Objective] To explore the effect of three line relaxation training combined with self-efficacy intervention in IVF-ET patients. [Method] 98 patients with IVF-ET from January 2017 to March 2019 were divided into control group(49 cases) and observation group(49 cases). On the basis of the control group, three-line relaxation training combined with self-efficacy intervention were carried out to observe the changes of perceived pressure, negative emotion, self-efficacy and pregnancy outcome before and after the intervention. [Result] After 4 weeks of intervention, the scores of CPSS, SDS and SAS in the observation group were significantly lower than those in the control group(P < 0.05);the scores of CdSeS and GSEs in the observation group were significantly higher than those in the control group(P<0.05). The clinical pregnancy rate of the observation group(57.14%) was higher than that of the control group(36.73%)(P< 0.05), and the early abortion rate of the observation group(7.14%) was not different from that of the control group(11.11%)(P>0.05). [Conclusion] Three line relaxation training combined with self-efficacy intervention can effectively reduce the perceived pressure of IVF-ET patients, reduce negative emotions and improve the pregnancy outcome, which is worth popularizing.