理性情绪行为疗法结合肌肉放松训练对体外受精-胚胎移植患者的干预效果

Effect of Rational Emotive Behavior Therapy Combined with Muscle Relaxation Training on Patients with in Vitro Fertilization and Embryo Transfer

目的:分析理性情绪行为疗法结合肌肉放松训练对体外受精-胚胎移植(IVF-ET)患者心境状态及睡眠质量的影响。方法:选取2022年6月至2023年6月厦门大学附属第一医院生殖医学中心收治的行体外受精-胚胎移植(IVF-ET)患者60例作为研究对象,按照随机数字表法分为对照组和观察组,每组30例。对照组给予常规护理干预,观察组给予理性情绪行为疗法结合肌肉放松训练,采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用心境状态量表(POMS)评价2组患者干预前后积极、消极情绪的变化。结果:干预后,观察组PSQI评分显著低于对照组,观察组POMS量表中压抑、疲倦、愤怒、紧张、慌乱评分显著低于对照组,其中精力及自尊感评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:给予IVF-ET患者理性情绪行为疗法联合肌肉放松训练后,其心境状态和睡眠质量均得到显著改善,值得推广应用。

Objective:To analyze the effects of rational emotive behavior therapy combined with muscle relaxation training on mood state and sleep quality in patients with in vitro fertilization and embryo transfer(IVF-ET).Methods:From June 2022 to June 2023 in the Reproductive Medicine Center of the First Affiliated Hospital of Xiamen University,60 patients undergoing in vitro fertilization-embryo transfer(IVF-ET)were selected as examples and divided into control group and observation group according to random number table method,with 30 cases in each group.The control group was given routine nursing intervention,and the observation group was given rational emotive behavior therapy combined with muscle relaxation training.Pittsburgh Sleep Quality Index(PSQI)was used to compare the difference in sleep quality between the two groups,and mood state Scale(POMS)was used to evaluate the changes of positive and negative emotions before and after the intervention.Results:After intervention,PSQI scores in the observation group were significantly lower than those in the control group,POMS scores of depression,fatigue,anger,tension and panic in the observation group were significantly lower than those in the control group,and energy and self-esteem scores were significantly higher than those in the control group,with statistical significance(P<0.05).Conclusion:After giving rational emotive behavior therapy combined with muscle relaxation training to IVF-ET patients,their mood state and sleep quality have been significantly improved,which is worthy of popularization and application.