体外受精-胚胎移植孕妇负性心理影响因素及护理干预对策研究

Analysis of influencing factors and nursing intervention of negative mentality in pregnant women underwent in vitro fertilization-embryo transfer

目的探讨体外受精-胚胎移植(IVF-ET)孕妇出现负性心理的影响因素及护理干预对策。方法本研究选取2020年1—12月河南省某医院收治的230例IVF-ET助孕成功的孕妇为研究对象。根据孕妇是否合并负性心理[焦虑和(或)抑郁]将其分为负性心理组(n=94)和非负性心理组(n=136)。收集2组孕妇的一般资料,包括年龄、居住地、文化程度、流产史或胎停史、不孕年限、丈夫对IVF-ET治疗的态度、职业、治疗不孕花费情况及舆论压力等。采用多因素Logistic回归分析IVF-ET孕妇出现负性心理的危险因素。结果230例IVF-ET孕妇中出现负性心理共94例,负性心理检出率为40.87%。其中56例孕妇存在焦虑,其检出率为24.35%,SAS评分为(55.23±2.26)分;38例孕妇存在抑郁,其检出率为16.52%,SDS评分为(57.51±1.29)分。多因素Logistic回归分析结果显示:丈夫对IVF-ET治疗的态度一般、治疗不孕花费≥3万元及舆论压力较大是IVF-ET孕妇出现负性心理的危险因素(P<0.05)。结论丈夫对IVF-ET治疗的态度一般、治疗不孕花费≥3万元及舆论压力较大是IVF-ET孕妇出现负性心理的危险因素,临床可据此给予IVF-ET孕妇针对性的护理干预对策,以预防孕妇负性心理的出现。

Objective To investigate the influencing factors and nursing intervention of negative mentality in pregnant women underwent in vitro fertilization-embryo transfer(IVF-ET).Methods A total of 230 pregnant women with successful IVF-ET assisted conception admitted to a hospital in Henan Province from January to December 2020 were selected as subjects.They were assigned to a negative mentality group(n=94)and a non-negative mentality group(n=136)based upon whether the pregnant women had combined negative mentality[anxiety and/or depression].The general data of pregnant women in the 2 groups were collected,including age,place of residence,education level,history of miscarriage or abortion,years of infertility,husband’s attitude toward IVF-ET treatment,occupation,cost of treatment for infertility,and public pressure.Multi-factor logistic regression was adopted to analyze the risk factors for negative mentality among pregnant women with IVF-ET.Results A total of 94 subjects with negative mentalities were found among 230 subjects underwent IVF-ET,and the detection rate of negative mentalities was 40.87%.Among them,56 pregnant women showed anxiety,with a detection rate of 24.35%and a SAS score of(55.23±2.26);38 pregnant women showed depression,with a detection rate of 16.52%and a SDS score of(57.51±1.29).The results of multi-factor logistic regression analysis showed that the husband’s attitude toward IVF-ET treatment was neutral,the cost of treating infertility over 30,000 yuan and public pressure were risk factors for negative mentalities in pregnant women underwent IVF-ET(P<0.05).Conclusion The husband’s neutral attitude toward IVF-ET treatment,the cost of infertility treatment over 30,000 RMB,and high public pressure were risk factors for negative mentalities among pregnant women underwent IVF-ET,and targeted nursing interventions for pregnant women underwent this procedure can be provided clinically to prevent the emergence of negative mentalities among them.