AIDET沟通模式对伴抑郁的多囊卵巢综合征所致不孕症患者的效果

The value of AIDET communication mode in infertile patients with polycystic ovary syndrome combined with depression

目的探讨问候-自我介绍-过程讲解-解释-感谢(AIDET)沟通模式用于多囊卵巢综合征(Polycystic ovary syndrome,PCOS)所致不孕症合并抑郁患者的价值。方法纳入PCOS不孕合并抑郁患者100例,纳入时间2019年11月~2020年12月,按随机数字表方法分观察、对照两组,均50例。对照组给予常规心理干预,观察组在对照组基础上联合AIDET沟通模式。比较两组焦虑自评量表(Self Rating Anxiety Scale,SAS)、抑郁自评量表(Self Rating Depression Scale,SDS),另外评估其简易应对方式问卷(Simplified Coping Style Questionnaire,SCSQ)以及生活质量综合评定问卷(Comprehensive Quality of Life Assessment Questionnaire,GQOLI-74)。结果干预后,观察组相比对照组,SDS、SAS评分更低(P<0.05);干预后,观察组相比对照组,观察组积极应对评分更高,消极应对评分更低(P<0.05);干预后,观察组相比对照组,GQOLI-74各维度评分更高(P<0.05)。结论AIDET沟通模式用于PCOS所致不孕症合并抑郁不仅能有效改善患者焦虑、抑郁情绪,还能改善其应对疾病方式,提高生活质量,从而改善妊娠结局。

Objective To explore the value of the AIDET communication model for infertile patients with poly-cystic ovary syndrome(PCOS)complicated with depression.Methods 100 patients with PCOS infertility and de-pression were included from November 2019 to December 2020.They were divided into observation and control groups using a random number table method,with 50 cases in both groups.The control group received routine psychological intervention,while the observation group combined with AIDET communication mode on the basis of the control group.The scores of Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS),as well as evaluate their Sim-plified Coping Style Questionnaire(SCSQ)and Comprehensive Quality of Life Assessment Questionnaire(GQOLI-74)were compared between two groups.Results After intervention,the observation group had lower SDS and SAS scores compared to the control group(P<0.05).After intervention,the observation group had a higher score for positive cop-ing and a lower score for negative coping compared to the control group(P<0.05).After intervention,the observation group showed higher scores in all dimensions of GQOLI-74 compared to the control group(P<0.05).Conclusion The AIDET communication mode used for PCOS infertility combined with depression can not only effectively improve patients'anxiety and depression emotions,but also improve their coping styles and quality of life.