希望疗法指导下的护理在体外受精-胚胎移植不孕症患者中的应用效果及对自我效能感的影响

Application effect of nursing under the guidance of hope therapy on infertility patients undergoing in vitro fertilization-embryo transfer and its influence on self-efficacy

目的探讨希望疗法指导下的护理在体外受精-胚胎移植不孕症患者中的应用效果及对自我效能感的影响。方法选取2021年7月至2022年7月在本院接受体外受精-胚胎移植治疗的30例不孕症患者作为研究对象,以随机数字表法将其分为对照组和观察组,各15例。两组患者均接受体外受精-胚胎移植治疗,对照组采用常规护理,观察组在对照组基础上采用希望疗法指导下的护理。比较两组的护理效果。结果护理后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,自我效能感量表(GSES)评分高于对照组(P<0.05)。护理后,观察组的解决问题、求助、合理化评分高于对照组,自责、幻想、退避评分低于对照组(P<0.05)。护理后,观察组的Herth希望量表各维度评分高于对照组(P<0.05);观察组的妊娠率高于对照组(P<0.05)。结论希望疗法指导下的护理可改善体外受精-胚胎移植不孕症患者的负性情绪,提升其自我效能与希望水平,有效改善患者应对方式,提高妊娠率。

Objective To explore the application effect of nursing under the guidance of hope therapy on infertility patients undergoing in vitro fertilization-embryo transfer and its influence on self-efficacy.Methods A total of 30 infertility patients who underwent in vitro fertilization-embryo transfer in our hospital from July 2021 to July 2022 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 15 cases in each group.Both groups received in vitro fertilization-embryo transfer treatment,the control group received routine nursing,and the observation group received nursing under the guidance of hope therapy on the basis of the control group.The nursing effects of the two groups were compared.Results After nursing,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the observation group were lower than those in the control group,and the score of General Self-Efficacy Scale(GSES)was higher than that in the control group(P<0.05).After nursing,the scores of problem-solving,help-seeking and rationalization in the observation group were higher than those in the control group,and the scores of self-blame,fantasy and retreat were lower than those in the control group(P<0.05).After nursing,the scores of each dimension of Herth hope scale in the observation group were higher than those in the control group(P<0.05);the pregnancy rate of the observation group was higher than that of the control group(P<0.05).Conclusion The nursing under the guidance of hope therapy can improve the negative emotional of infertile patients undergoing in vitro fertilization-embryo transfer,promote self-efficacy and hope level,effectively ameliorate patients'coping style and improve the pregnancy rate.