首页|认知行为团体心理护理干预在不孕患者中实施辅助生殖技术治疗的应用效果

认知行为团体心理护理干预在不孕患者中实施辅助生殖技术治疗的应用效果

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目的:研究并分析认知行为团体心理护理在不孕患者中实施辅助生殖技术的效果.方法:选取2015年3月—2021年3月郑州大学第三附属医院收治的85例选择辅助生殖技术的不孕患者作为研究对象,根据入院时间分为观察组(43例)和对照组(42例).观察组实施认知行为团体心理护理,对照组患者实施常规护理.比较两组患者护理前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹茨堡睡眠质量指数(PSQI)量表情况及两组患者满意度.结果:干预后,两组患者中度+重度焦虑和中度+重度抑郁患者均减少,且观察组正常+轻度焦虑及正常+轻度抑郁患者数多于对照组,差异有统计学意义(χ2=40.467、40.368、4.248、6.046,P<0.05);护理后,两组患者PSQI量表日间功能障碍、睡眠情况、主观睡眠质量评分及总分均较护理前下降,且观察组各项评分更低,差异有统计学意义(t=6.583、6.064、5.659、8.123,P<0.05);干预后,观察组患者满意度高于对照组,差异有统计学意义(t=2.258,P<0.05).结论:认知行为团体心理护理可有效缓解选择辅助生殖技术不孕患者的焦虑和抑郁等不良情绪,明显提高患者睡眠质量及护理满意度.
Application Effect of Cognitive Behavior Group Psychological Nursing Intervention on Assisted Reproductive Tech-nology Treatment in Infertile Patients
Objective:To study and analyze the effect of cognitive-behavioral group psychological nursing on the implementation of assisted reproductive technology in infertile patients.Methods:From March 2015 to March 2021,85 cases of infertility treated by assisted reproductive technology in the hospital were selected.The selected patients were randomly divided into the observation group and the control group according to the time of admission.The observation group received cognitive-behavioral group psychological nursing,while the control group received routine nursing.Before and after nursing,the patients in the two groups were investigated with self-anxiety scale(SAS),self-depression scale(SDS),and Pittsburgh sleep quality index(PSQI).Their satisfaction was observed and compared.Results:After intervention,the patients with moderate and severe anxiety and moderate and severe depression decreased in both groups,and the number of patients with mild anxiety,normal and mild depression in the observation group was more than that in the control group,the difference was statistically significant(χ2=40.467,40.368,4.248,6.046;P<0.05).After nursing,PSQI daytime dysfunction,sleep status,subjective sleep quality scores and total scores of patients in both groups were decreased compared with those before nursing,and all scores in the observation group were lower,the difference was statistically significant(t=6.583,6.064,5.659,8.123;P<0.05).After intervention,the satisfaction of patients in the observation group was higher than that in the control group,and the difference was statistically significant(t=2.258,P<0.05).Conclusion:Cognitive-behavioral group psychological nursing can effectively alleviate the anxiety and depression of infertile patients who choose assisted reproductive technology,and significantly improve the sleep quality and nursing satisfaction of patients.

Cognitive behavior interventionGroup psychological nursingInfertilityAssisted reproductive technologySleep quality

李想、窦姗姗、杨恒、吴园园、鲍晓

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郑州大学第三附属医院生殖医学科,河南 郑州 450000

郑州大学第一附属医院生殖与遗传专科,河南 郑州 450052

认知行为干预 团体心理护理 不孕 辅助生殖技术 睡眠质量

2019年河南省医学科技攻关计划联合共建项目

LHGJ20190121

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(7)
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