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目的:探讨心理干预对接受夫精人工授精(Artificial Insemination of Husband AIH)治疗的患者心理状态及妊娠结局的影响。方法:采用90项症状自评量表(SCL-90)对符合并接受AIH治疗的不孕妇女进行问卷调查。比较受调查者和国内常模间的自评量表得分,分析AIH患者的心理健康状态。按照心理干预时机及干预频率的不同,将患者随机分为4组,实施AIH后5周比较4组患者心理状态及临床妊娠率。结果:受调查者的心理健康状态与国内常模相比差异有统计学意义。心理干预后受调查者的心理健康状态较干预前得到改善,其中以抑郁因子改善最为明显,差异有统计学意义(P<0.05)。4组患者中,C组妊娠率最高,A组、B组次之,但组间比较无统计学意义(P>0.05)。结论:接受AIH治疗的患者存在不同程度的心理亚健康问题;系统的心理干预能够改善患者的心理状态,获得较高的临床妊娠率。
Objective: To investigate the effect of psychological intervention on psychological status and pregnancy outcome in patients treated with Artificial Insemination of Husband AIH. METHODS: 90 infertile women who met and received AIH were surveyed using 90 symptom checklist (SCL-90). The self-rating scale between the respondents and the domestic norm was compared to analyze the mental health of AIH patients. According to the timing of psychological intervention and the frequency of intervention, the patients were randomly divided into 4 groups. The psychological status and clinical pregnancy rate were compared between the 4 groups after 5 weeks of AIH. Results: The mental health status of the respondents was significantly different from that of the domestic norm. Mental health status of respondents after psychological intervention was better than before intervention, of which the most obvious improvement was depression, the difference was statistically significant (P <0.05). Among the four groups, the pregnancy rate was the highest in group C, followed by group A and group B, but there was no significant difference between groups (P> 0.05). CONCLUSIONS: There are varying degrees of psychological sub-health problems in AIH-treated patients. The systematic psychological intervention can improve the psychological status of patients and achieve a higher clinical pregnancy rate.