曼陀罗彩绘疗法对体外受精-胚胎移植患者焦虑、抑郁情绪干预效果的研究

The Effect of Mandala Painting Therapy on Relieving Anxiety and Depression in Patients with In Vitro Fertilization-Embryo Transfer

目的探究曼陀罗彩绘疗法在缓解体外受精-胚胎移植患者焦虑、抑郁情绪中的应用效果。方法便利抽样选取2020年5-12月在兰州市某三甲医院生殖医学中心行体外受精-胚胎移植术的126例不孕症女性患者作为研究对象,随机分为观察组(n=60)和对照组(n=61)。对照组给予常规护理,观察组在此基础上给予曼陀罗彩绘疗法干预。干预前后采用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、生育生活质量量表(fertility quality of life scale,FertiQoL)及匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)对两组患者进行调查,并比较其得分。结果干预后,观察组焦虑、抑郁水平得分明显低于对照组(P<0.05);睡眠质量、生活质量得分明显高于对照组(P<0.05)。两组临床妊娠率差异无统计学意义(P>0.05)。结论曼陀罗彩绘疗法可缓解体外受精-胚胎移植患者的焦虑、抑郁情绪,改善其睡眠和生活质量,但对临床妊娠率无显著改善效果。

Objective To explore the application of mandala painting therapy on relieving anxiety and depression of patients with in vitro fertilization-embryo transfer.Methods From May to December 2020,126 infertile female patients who received in vitro fertilization-embryo transfer treatment in a reproductive medicine center of a Grade A hospital in Lanzhou were selected and randomly divided into two groups,the experimental group(n=60)and the control group(n=61).The control group was given routine nursing measures,and the experimental group was given mandala painting therapy on this basis.Before and after the intervention,Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Fertility Quality of Life Scale(FertiQoL)and Pittsburgh Sleep Quality Index(PSQI)were used to evaluate and compare the negative emotional states,fertility quality of life,and sleep quality of the two groups.Results After intervention,the scores of anxiety and depression in experimental group were significantly lower than those of the control group(P<0.05).The scores of sleep quality and life quality were significantly higher than those of the control group(P<0.05).There was no significant difference in clinical pregnancy rate between the two groups(P>0.05).Conclusions Mandala painting therapy can alleviate the anxiety and depression of patients with in vitro fertilization embryo transfer,improve their sleep and quality of life,but it has no significant effect on the clinical pregnancy rate.