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强化心理护理对再次行辅助生殖技术治疗患者的影响

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目的 探讨强化心理护理干预对再次行辅助生殖技术治疗不孕患者负性情绪、睡眠质量、生活质量的影响.方法 选取 2021 年 3 月—2022 年 3 月医院行辅助生殖技术治疗的不孕症患者 120 例,按组间基本资料匹配原则分为观察组和对照组各 60 例.对照组在治疗期间行常规护理,观察组在对照组的基础上行强化心理护理.比较两组患者负性情绪、睡眠质量、生活质量、希望水平评分、辅助生殖技术治疗结局及护理满意程度.结果 干预前两组患者汉密尔顿焦虑评分(HAMA)、汉密尔顿抑郁评分(HAMD)比较差异无统计学意义(P>0.05);干预后观察组HAMA、HAMD评分低于对照组,差异有统计学意义(P<0.05).干预前两组患者入睡时间、匹兹堡睡眠质量评分(PSQI)比较差异无统计学意义(P>0.05);干预后观察组患者入睡时间、PSQI评分低于对照组,差异有统计学意义(P<0.05).干预前两组患者世界卫生组织生活质量测定量表(WHO-QOL)、希望水平量表(Herth)评分比较差异无统计学意义(P>0.05);干预后观察组患者WHO-QOL、Herth评分均高于对照组,差异有统计学意义(P<0.05).观察组患者妊娠率高于对照组,差异有统计学意义(P<0.05);两组平均优质胚胎数比较差异无统计学意义(P>0.05).观察组患者护理满意程度高于对照组,差异有统计学意义(P<0.05).结论 对再次行辅助生殖技术治疗的不孕症患者实施强化心理护理,可纠正患者的负性情绪,继而改善患者的睡眠质量、生活质量、希望水平,最终有助于患者成功妊娠.
Effect of intensive psychological nursing on patients undergoing repeat assisted reproductive technology treatments
Objective To explore the effects of intensive psychological nursing intervention on negative emotions,sleep quality and quality of life in infertility patients undergoing repeat assisted reproductive technology treatments.Methods A total of 120 infertility patients undergoing repeat assisted reproductive technology treatments at the hospital from March 2021 to March 2022 were selected.They were divided into an observation group and a control group,each comprising 60 cases,based on the principle of matching basic data between groups.The control group implemented routine nursing care during the treatment period,while the observation group implemented intensive psychological nursing on the basis of the control group.The differences between the two groups of patients were compared in terms of the negative emotions,sleep quality,quality of life,scores of hope level,outcomes of assisted reproductive technology treatments and satisfaction with nursing care.Results Before the intervention,there was no statistically significant difference in scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)between the two groups(P>0.05).After the intervention,the HAMA and HAMD scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in sleep onset latency and Pittsburgh Sleep Quality Index(PSQI)scores between the two groups(P>0.05).After the intervention,the sleep onset latency and PSQI scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in scores of World Health Organization Quality of Life Scale(WHO-QOL)and Hope Level Scale(Herth)between the two groups(P>0.05).After the intervention,the WHO-QOL and Herth scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The pregnancy rate in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05);there was no statistically significant difference in the average number of high-quality embryos between the two groups(P>0.05).The nursing satisfaction in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The implementation of intensive psychological nursing for infertility patients undergoing repeat assisted reproductive technology treatments can address negative emotions,subsequently improving sleep quality,quality of life,and hope levels,ultimately aiding in successful pregnancy.

Assisted reproductive technologyInfertilityIntensive psychological nursingNegative emotionsSleep quality

林巧樱、周佳玲、陈丽萍、那旭红、郑娟、任建枝

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陆军第七十三集团军医院生殖医学中心(福建省厦门市,361000)

辅助生殖技术 不孕症 强化心理护理 负性情绪 睡眠质量

厦门市科学技术局医疗卫生指导性项目厦门市卫生和计划生育委员会医学优势亚专科建设项目

3502Z20214ZD1189厦卫科教[2018]296号文

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(9)