宫腹腔镜联合支持性心理治疗输卵管阻塞性不孕症的临床疗效及对患者焦虑抑郁情绪、应对方式和生活质量的影响

Clinical curative effect of hysteroscopy-laparoscopy combined with supportive psychotherapy in the treatment of oviduct obstructive infertility and the influence on anxiety,depression,coping style and quality of life

目的:研究宫腹腔镜联合支持性心理治疗输卵管阻塞性不孕症的临床疗效及对患者焦虑抑郁情绪、应对方式和生活质量的影响。方法:选取我院2015年1月至2017年1月120例输卵管阻塞性不孕症患者为研究对象,按随机数表法分为观察组与对照组,每组60例。所有患者均在经期结束后5d左右开展宫腹腔镜手术,对照组术后给予常规干预,观察组在对照组基础上给予支持性心理治疗,持续3个月。评估患者术前与术后3个月应对方式、焦虑与抑郁评分,比较两组生活质量与临床疗效,对患者进行为期1年随访,统计患者妊娠率。结果:观察组术后3个月面对评分、生活质量(FertiQOL)总分显著高于对照组的得分(t=-2.644,-2.142;P<0.05),焦虑、抑郁评分分显著低于对照组得分(t=2.064,3.269;P<0.05)。结论:宫腹腔镜联合支持性心理治疗可以帮助患者建立良好心态,以积极应对方式面对输卵管阻塞性不孕症,缓解焦虑、抑郁情绪,改善患者生活质量。

Objective:To study the clinical curative effect of hysteroscopy-laparoscopy combined with supportivepsychotherapy in the treatment of oviduct obstructive infertility and the effect on anxiety,depression,coping styleand quality of life.Methods:A total of 120patients with oviduct obstructive infertility admitted to the hospital fromJanuary 2015to January 2017were selected as the subjects,They were divided into the observation group and thecontrol group by the random number table method,with 60cases in each group,All patients were treated by hysteroscopy and laparoscopy operation at about 5dafter menstruation,The control group was given routine intervention,while the observation group was given supportive psychotherapy on the basis of routine nursing intervention afteroperation,for 3months,The scores of coping style,anxiety and depression were evaluated before operation and at 3months after operation,The quality of life and clinical curative effect were compared between the two groups,All thepatients were followed up for 1year,and the pregnancy rate was statistically analyzed.Results:The confrontationscore and total score of quality of life(FertiQOL)of the observation group at 3months after operation were significantly higher than those of the control group(t=2.644,2.142,P<0.05),while the scores of anxiety and depressionwere significantly lower than those of the control group(t=-2.064,-3.269;P<0.05).Conclusion:Hysteroscopy-laparoscopy combined with supportive psychotherapy can help patients establish a good mental state,face oviduct obstructive infertility with positive352 ' coping style,relieve anxiety and depression,and improve the quality of life of patients.