河北医科大学学报

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体外受精-胚胎移植患者的心理现状与妊娠结局

  

  1. 河北医科大学第二医院生殖医学科,河北 石家庄 050000
  • 出版日期:2016-11-25 发布日期:2016-12-14
  • 作者简介:杨丛品( 1984- ),女,河北保定人,河北医科大学第 二医院主管护师,医学学士,从事临床护理学研究。

Analysis on the relationship between the psychological status and the pregnancy outcome of IVFET patients

  1. Department of Reproductive Medicine, the Second Hospital of Hebei Medical University, Shijiazhuang 050000,China
  • Online:2016-11-25 Published:2016-12-14

摘要: [摘要] 目的 观察不孕患者在接受体外受精 - 胚胎移植( invitrofertilization-embryotransfer , IVF-ET )治疗
过程中心理变化的特点,并分析其妊娠结局,为日后临床护理工作提供依据。方法 选取 IVF-ET 患者 80 例,根据
妊娠结局分为妊娠组与未妊娠组,采用心理相关量表对患者在治疗过程中的心理特点进行调查,包括一般情况问
卷、艾森克人格问卷、症状自评量表、焦虑自评量表、抑郁自评量表。结果 妊娠组与未妊娠组的 E (内外向)分值、 N
(神经质)分值、 P (精神质)分值、 L (说谎)分值间差异无统计学意义( P >0.05 );未妊娠组 SCL-90 各因子分、总分、
总均分均明显高于妊娠组( P <0.05 );未妊娠组与妊娠组焦虑程度差异无统计学意义(
P >0.05 ),而未妊娠组抑郁
程度显著重于妊娠组( P <0.05 )。结论 患者的心理状态与妊娠结局有关,这对护理工作具有指导意义,临床治疗
应与心理干预相结合,关注患者心理健康对妊娠结局的影响,提高妊娠率。

关键词: 不育, 女(雌)性, 体外受精, 胚胎移植, 心理过程

Abstract: [ Abstract ] Objective Toinvestigate the psychologicalchanges ofinfertile patients
undergoinginvitrofertilization-embryotransfer ( IVF-ET ) andtoanalyzethepregnancyoutcome
inordertoprovidebasisforfutureclinicalpractice.Methods EightypatientsforIVF-ET
treatmentwerechosen.Accordingtothepregnancyoutcome , patientsweredividedintopregnant
groupandnon-pregnantgroup , byusingpsychologicalscales , thestudy wastostudythe
psychologicalcharacteristicsofthosepatientsduringthetreatmentprocess , includinginformation
questionnaire , EysenckPersonalityQuestionnaire ( EPQ ), SymptomChecklist-90 (
SCL90 ), Self-
RatinganxietyScale ( SAS ) and Self-Rating Depression Scale ( SDS ) .Andthenanalyzedthe
correlationbetweentheindexesofthetwogroups.Results Thereisnosignificantdifference
(
P >0.05 ) inE ( extroversion ) store , N ( neuroticism ) score , P ( psychoticism ) scoreandL ( lie )
scorebetweenpregnantwomenandnon-pregnantwomen.Everyfactormarks , thetotalmarks
andmeanmarksofSCL-90fornon-pregnantwomenwashigherthanthoseofpregnantwomen
(
P <0.05 ); thereisno differencein SASscorebetweenthetwo groups , SDSscoreof
nonpregnantwomenwassignificantlyhigherthanthatofpregnantwomen ( P <0.05 ) .Conclusion
Thereissignificantcorrelationbetweenthepsychologicalstateofthepatientandpregnancy outcome.Thisfindinghasguidingsignificancefornursing.Inordertoimprovethepregnancy
rate , clinicaltreatmentshouldbecombinedwithpsychotherapy.Attentionshouldbepaidtothe
impactofpatients'mentalhealthonpregnancyoutcomes

Key words: infertility, female , fertilizationinvitro , embryotransfer , mentalprocesses