以夫妻为中心的心理干预在体外受精－胚胎移植患者中的应用效果

Applying psychological intervention of husband and wife for the center to patients with in vitro fertilization and embryo transfer

目的：探讨以夫妻为中心的心理干预模式在体外受精－胚胎移植患者中的应用效果。方法选择拟做体外受精－胚胎移植的不孕夫妇80例，按照患者建档的先后顺序编号，奇数为干预组，偶数为对照组，每组40例，2组均给予体外受精－胚胎移植常规健康教育，干预组在此基础上，应用以夫妻为中心的心理干预模式进行干预，干预时间5周，在干预前后应用抑郁自评量表（SDS）、焦虑自评量表（SAS）、应对方式问卷和婚姻主观感受量表进行调查。结果干预组干预后的 SDS 评分和 SAS 评分分别为（30.43±8.92）、（33.48±9.92）分，低于对照组的（40.26±9.54）、（41.51±7.24）分，差异有统计学意义（t=7.611、6.245，P＜0.01）。干预组干预后应对方式的求助因子得分（0.63±0.19）分，高于对照组的（0.51±0.21）分，自责因子、幻想因子、退避因子、合理化因子得分分别为（0.25±0.21）、（0.41±0.22）、（0.43±0.24）、（0.42±0.21）分，低于对照组的（0.38±0.22）、（0.51±0.19）、（0.55±0.23）、（0.55±0.22）分，2组比较差异有统计学意义（t=3.008～3.668，P＜0.05）。干预组干预后婚姻主观感受总分和家庭关系因子得分分别为（64.79±9.75）、（34.37±5.12）分，高于对照组的（58.09±11.42）、（29.23±4.97）分，夫妻冲突因子得分（14.78±5.33）分，低于对照组的（27.43±6.42）分，2组比较差异有统计学意义（t=7.212、3.463、15.234，P＜0.05）。结论运用以夫妻为中心的心理干预模式能有效改善体外受精－胚胎移植患者的心理状态，降低抑郁和焦虑情绪，帮助患者采取积极的应对方式，提高婚姻质量。

Objective To evaluate the application effect of psychological intervention of husband and wife for the center to patients with in vitro fertilization and embryo transfer. Methods Eighty infertile couples with in vitro fertilization and embryo transfer were selected and divided into intervention group and control group with 40 cases in each group according to the document order numbers, the two groups were given conventional health education of in vitro fertilization and embryo transfer, in addition,the patients in the intervention group received psychological intervention of husband and wife for the center, the intervention time was 5 weeks. Questionnaire investigation about Self- rating Depression Scale (SDS), Self- rating Anxiety Scale (SAS),Coping Style Scale and Subjective Feeling of Marriage Scale were conducted before and after the intervention. Results The scores of SDS and SAS were (30.43±8.92), (33.48±9.92) points after the intervention in the intervention group, and (40.26±9.54), (41.51±7.24) points in the control group,and there were significant differences (t=7.611, 6.245, P<0.01).The scores of help seeking, self- accusation, fantasy, wince and rationalization in Coping Style Scale were (0.63±0.19), (0.25±0.21), (0.41±0.22), (0.43±0.24), (0.42±0.21) points after the intervention in the intervention group, and (0.51±0.21), (0.38±0.22), (0.51±0.19), (0.55±0.23), (0.55±0.22) points in the control group, and there were significant differences(t=3.008-3.668, P < 0.05). The scores of subjective feelings of marriage and family relationship were (64.79±9.75), (34.37±5.12) points after inntervention in the intervention group, and (58.09±11.42), (29.23±4.97) points in the control group, and there were significant differences (t=7.212, 3.463, 15.234, P < 0.05). Conclusions Applying psychological intervention of husband and wife for the center to patients with in vitro fertilization and embryo transfer can improve the psychological state, reduce depression and anxiety, adopt positive coping style, increase the quality of marriage.