摘要
目的:探讨配偶同步认知疗法联合正性心理暗示对试管婴儿(IVF-ET)患者妊娠率及情绪感受的影响。方法:选取我院进行IVF-ET患者1144例(2017年8月-2018年8月),依据随机数字表法分组,各572例。对照组予以常规护理干预,观察组基于对照组予以配偶同步认知疗法联合正性心理暗示。统计对比两组妊娠率、患者及配偶相关知识掌握度及干预满意度,并对比两组干预前后负性情绪(SAS、SDS评分)、压力感受(CPSS评分)。结果:①妊娠率:观察组妊娠率79.01%高于对照组43.24%(χ~2=152.123,P<0.001);②知识掌握度:观察组患者及配偶相关知识掌握度90.56%、94.58%高于对照组79.20%、85.14%(χ~2=28.773,27.975;P<0.001);③负性情绪:观察组干预12周后SAS、SDS评分较对照组低(t=-20.934,-17.598;P<0.001);④压力感受:观察组干预12周后CPSS评分较对照组低(t=-34.588,P<0.001);⑤满意度:观察组干预满意度91.26%高于对照组81.29%(χ~2=23.986,P<0.001)。结论:配偶同步认知疗法联合正性心理暗示首次应用于IVF-ET患者,能显著强化患者及配偶相关知识掌握度,减轻负性情绪,缓解压力感受,提高妊娠率,且能提高干预满意度。
Objective:To explore the effects of spouse synchronous cognitive therapy combined with positive psychological cues on pregnancy rate and emotional feelings of IVF-ET patients.Methods:A total of 1144 patients with IVF-ET in our hospital(August 2017-August 2018)were selected and divided into 572 cases according to random number table.The control group was given routine nursing intervention,while the observation group was given spouse synchronous cognitive therapy combined with positive psychological suggestion based on the control group.Pregnancy rate,knowledge mastery of patients and spouses and satisfaction with intervention were compared between the two groups.Negative emotions(SAS,SDS scores)and stress perception(CPSS scores)before and after intervention were compared between the two groups.Results:①The pregnancy rate was 79.01%in the observation group which was higher than 43.24%in the control group(χ~2=152.123,P<0.001).②The knowledge of the observation group patients and spouses was 90.56%,94.58%,which were higher than those in the control group with 79.20%and 85.14%(χ~2=28.773,27.975;P<0.001);③SAS and SDS scores were lower in the observation group than that in the control group 12 weeks after intervention(t=-20.934,-17.598,P<0.001);④The CPSS score of the observation group was lower than that of the control group 12 weeks after intervention(t=-34.588,P<0.001);⑤Intervention satisfaction in observation group was 91.26%,higher than 81.29%in the control group(χ~2=23.986,P<0.001).Conclusion:Spouse synchronous cognitive therapy combined with positive psychological cue is the first time used in IVF-ET patients.It can significantly enhance the knowledge of patients and spouses,reduce negative emotions,relieve stress feelings,improve pregnancy rate,and promote the satisfaction of intervention.
作者
肖冰
邢伟
XIAOBing;XING Wei(Department of Reproductive Medicine,Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)
出处
《中国健康心理学杂志》
2020年第4期511-515,共5页
China Journal of Health Psychology
关键词
配偶同步认知疗法
正性心理暗示
试管婴儿
受精率
妊娠率
情绪感受
Spouse synchronous cognitive therapy
Positive psychological cues
IVF
Fertilization rate
Pregnancy rate
Emotional feelings
