摘要
目的:探讨配偶支持及认知行为疗法对体外受精-胚胎移植(IVF-ET)患者心理弹性、应对方式及妊娠结局的影响。方法:选取2022年4月-2023年7月本院接受IVF-ET治疗的女性患者105例,随机数字表法分干预组52例和对照组53例。两组均采用常规护理,干预组同时采用配偶支持及认知行为疗法,均干预1个月,对比两组干预前后疾病知识掌握情况、心理弹性、应对方式及生育生活质量变化,并观察妊娠结局。结果:干预1个月后,干预组不孕因素了解程度、移植后日常注意事项、治疗方案、用药安全维度评分均高于对照组,心理弹性量表评分高于对照组,应对方式评定量表评分低于对照组,生育生活质量量表评分均高于对照组,胚胎着床率(75.0%)、妊娠率(65.4%)均高于对照组(56.6%、41.5%)(均P<0.05);两组流产率无差异(P>0.05)。结论:采用配偶支持及认知行为疗法干预能够提高IVF-ET患者疾病知识程度及心理弹性,利于患者疾病应对方式及生育生存质量改善,提高患者胚胎着床率及妊娠率。
Objective:To explore the effects of the spouse support and the cognitive behavioral therapy for patients with in vitro fertilization and embryo transfer(IVF-ET)on their mental resilience,coping style and pregnancy outcomes.Methods:A total of 105 patients who received IVF-ET treatment in the hospital from April 2022 to July 2023 were selected and were divided into observation group(52 patients with the spouse support and cognitive behavioral therapy for 1 month)and control group(53 patients with the routine nursing for 1 month)by random number table method.The acquisition situation of disease knowledge,the mental resilience,the coping style and the reproductive life quality change before and after intervention of the patients were compared between the two groups.The pregnancy outcomes of the patients in the two groups were observed.Results:After 1 month of intervention,the scores of the infertility factors,the daily precautions after transplantation,the treatment plan and the medication safety dimensions of the patients in the observation group were significantly higher than those of the patients in the control group.The psychological resilience scale and the reproductive quality of life scale scores of the patients in the observation group were significantly higher than those of the patients in the control group,but the coping style rating scale score of the patients in the observation group was significantly lower.The implantation rate(75.0%)and the pregnancy rate(65.4%)of the patients in the observation group were significantly higher than those(56.6% and 41.5%)of the patients in the control group(all P<0.05).There was no significant difference in the abortion rate of the patients between the two groups(P>0.05).Conclusion:The intervention of the spousal support and the cognitive behavioral therapy for the patients with IVF-ET can improve their disease knowledge and mental resilience,and which is beneficial to the improvements of the disease coping style and reproductive life quality,and to increase the embryo implantation rate and pregnancy rate of the patients.
作者
胡正丽
刘亮
何玉萍
王秀梅
HU Zhengli;LIU Liang;HE Yuping;WANG Xiumei(Tangdu Hospital,Air Force Medical University,Xi'an,Shanxi Province,710038)
出处
《中国计划生育学杂志》
2025年第7期1468-1473,共6页
Chinese Journal of Family Planning
关键词
体外受精-胚胎移植
配偶支持
认知行为疗法
心理弹性
应对方式
妊娠结局
In vitro fertilization-embryo transfer
Spousal support
Cognitive behavioral therapy
Mental resilience
Coping style
Pregnancy outcomes
