以夫妻为中心的心理干预对夫精宫腔内人工授精患者情绪应对方式及婚姻质量的影响

Effects of couple-centered psychological intervention on emotion,coping style and marital quality of patients with artificial insemination by husband

目的探讨以夫妻为中心的心理干预对夫精宫腔内人工授精患者情绪、应对方式及婚姻质量的影响。方法将83例夫精宫腔内人工授精患者按干预方法不同分为两组,对照组(39例)予以常规护理,观察组(44例)在对照组基础上予以以夫妻为中心的心理干预,观察6周。比较干预前后两组患者、配偶对宫腔内人工授精知识认知度,以及患者正性负性情绪量表、医学应对问卷、婚姻主观感受量表评分。结果干预后两组患者及配偶宫腔内人工授精知识总掌握率较干预前显著升高(P<0.05),观察组显著高于对照组(P<0.05)。干预后两组正性负性情绪量表的正性情绪维度评分较干预前显著升高(P<0.01),观察组显著高于对照组(P<0.05),两组负性情绪维度评分较干预前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。干预后两组医学应对问卷的面对维度评分较干预前显著升高(P<0.01),观察组显著高于对照组(P<0.01),两组医学应对问卷的屈服、回避维度评分较干预前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。干预后两组婚姻主观感受量表评分均较干预前显著升高(P<0.01),观察组显著高于对照组(P<0.05)。结论以夫妻为中心的心理干预能提高夫精宫腔内人工授精患者及配偶知识认知度,缓解其负性情绪,转变其应对方式,提高婚姻质量。

Objective To investigate the effect of couple-centered psychological intervention on emotion,coping style and marital quality of patients with artificial insemination by husband(AIH).Methods A total of 83 AIH patients were divided into two groups according to different intervention methods.The control group(39 cases)received routine nursing,and the observation group(44 cases)received couple-centered psychological intervention on the basis of the control group for 6 weeks.The knowledge awareness of the patients and their spouses,the positive and negative affect scale(PANAS)score,the medical coping modes questionnaire(MCMQ)score,and the marriage perception scale(MPS)score before and after the intervention were compared between the two groups.Results After the intervention,the total mastery rate of intrauterine insemination(IUI)knowledge of the two groups of patients and their spouses was significantly higher than that before the intervention(P<0.05),and the observation group was significantly higher than the control group(P<0.05).After the intervention,the positive emotion dimension scores of PANAS in the two groups were significantly higher than those before the intervention(P<0.01),and the observation group was significantly higher than the control group(P<0.01).The negative emotion dimension scores in the two groups were significantly lower than those before the intervention(P<0.01),and the observation group was significantly lower than the control group(P<0.01).After the intervention,the face dimension scores of MCMQ in the two groups were significantly higher than those before the intervention(P<0.01),and the observation group was significantly higher than the control group(P<0.01).The yield and avoidance dimension scores of MCMQ in the two groups were significantly lower than those before the intervention(P<0.01),and the observation group was significantly lower than the control group(P<0.01).After the intervention,the MPS scores of the two groups were significantly higher than those before the intervention(P<0.01),and the observation group was significantly higher than the control group(P<0.05).Conclusions Couple-centered psychological intervention can improve the knowledge awareness of AIH patients and their spouses,relieve their negative emotions,change their coping styles,and improve their marital quality.