社会支持护理对不孕症病人远期预后的影响

Influence of social supportive care on long term prognosis of infertility patients

[目的]探讨社会支持护理对不孕症病人远期预后的影响。[方法]选择2012年9月—2015年1月在我院诊治的不孕症病人178例,按1∶1原则根据随机数字表法分为支持组与对照组各89例,对照组实施常规治疗与一般健康教育,支持组在其基础上给予社会支持护理,两组的护理观察时间均为1个月。[结果]护理后两组病人焦虑、抑郁评分及客观支持、主观支持、社会支持利用度评分比较差异有统计学意义(P<0.05);随访半年与1年两组宫内妊娠率比较差异有统计学意义(P<0.05);随访1年,支持组躯体化、强迫症状、人际关系敏感、敌对、恐怖、偏执、精神病性评分低于对照组(P<0.05);Pearson相关分析结果显示:客观支持评分与躯体化、强迫症状、人际关系敏感评分呈负相关(P<0.05),主观支持评分与敌对、恐怖、偏执评分呈负相关(P<0.05)。[结论]社会支持护理有助于提高不孕症病人的社会支持状况,缓解焦虑、抑郁情绪,进而改善病人心理健康,且社会支持情况与病人心理健康存在相关性。

Objective:To probe into the influence of social support nursing on long-term prognosis of infertility patients.Methods:A total of 178 cases of patients with infertility in our hospital from September 2012 to January2015were selected;according to 1∶1principle and random number table method,patients were divided into support group and control group,89 cases,in each the patients in control group was treated with routine treatment and general health education,the patients in support group were given social supportive care on the basis of routine treatment and general health education,nursing observation time of two group was 1month.Results:After nursing,there were statistically significant difference in scores of anxiety and depression,and scores of objective support,subjective support and social support utilization between both groups(P<0.05);there was statistically significant difference in the rate of intrauterine pregnancy between both groups after six months and 1years of follow-up(P<0.05);During 1year follow-up,scores of somatizootion,obsessive-compulsive symptoms,interpersonal sensitivity,hostility,phobia,paranoid ideation and psychiatric of support group were lower than those control group(P<0.05).Pearson correlation analysis showed that:objective support score was negatively correlated with scores of physical,compulsive symptoms and interpersonal relationship(P<0.05),subjective support score was negatively correlated with hostility,terror,paranoid score(P<0.05).Conclusion:Social supportive care could help to improve infertility patients' social support status,relieve anxiety and depression,and improve mental health of them,and social support existed correlation with mental health of patients.