夫妻同步健康教育联合心理干预对胚胎移植术后患者心理状态及妊娠率的影响

Effect of husband and wife synchronous health education combined with psychological intervention on psychological status and pregnancy rate of patients after embryo transfer

目的探讨夫妻同步健康教育联合心理干预对胚胎移植术后患者心理状态及妊娠率的影响。方法选取2019年7月至2021年2月广西柳州市人民医院中医科收治的60例胚胎移植术后的患者及其配偶作为研究对象,采用随机数字表法分为观察组和对照组,每组各30例。观察组采用夫妻同步健康知识教育联合心理干预;对照组采用常规健康知识教育联合心理干预,配偶未参与健康知识教育和心理干预。比较两组患者及配偶干预前后的健康知识知晓率、心理状态及妊娠结局。评价夫妻同步健康知识教育联合心理干预能否改善胚胎移植术后患者的不良心理状态及提高患者临床妊娠率。结果干预后,两组健康知识知晓率高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05);干预后,两组焦虑自评量表、抑郁自评量表、症状自评量表评分低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05);干预后,观察组临床妊娠例数多于对照组,差异有统计学意义(P<0.05)。结论夫妻同步健康知识教育联合心理干预能有效地改善胚胎移植术后患者的不良心理状态,提高患者临床妊娠率。

Objective To explore the effect of husband and wife synchronous health education combined with psychological intervention on the psychological state and pregnancy rate of patients after embryo transfer.Methods A total of 60 patients admitted to the Department of Traditional Chinese Medicine,Liuzhou People’s Hospital,Guangxi Zhuang Autonomous Region from July 2019 to February 2021 after embryo transfer were selected as the research objects.They were divided into observation group and control group by random number table method,with 30 cases in each group.In the observation group,husband and wife synchronous health knowledge education combined with psychological intervention was used;the control group was treated with routine health knowledge education combined with psychological intervention,and the spouse did not participate in health knowledge education and psychological intervention.The awareness rate of health knowledge,psychological status and pregnancy outcome were compared between the two groups before and after intervention.Whether husband and wife synchronous health knowledge education combined with psychological intervention can improve the adverse psychological state and clinical pregnancy rate of patients after embryo transfer were evaluated.Results After intervention,the health knowledge awareness rate of two groups was higher than before intervention,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05);the scores of self-rating anxiety scale,self-rating depression scale and symptom check-list in the two groups were lower than before intervention,and the observation group was lower than the control group,the differences were statistically significant(P<0.05);after the intervention,the number of clinical pregnancies in the observation group was more than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Simultaneous health education of husband and wife combined with psychological intervention can effectively improve the adverse psychological state of patients after embryo transfer and increase the clinical pregnancy rate of patients.