论文部分内容阅读
目的:探讨激惹、抑郁和焦虑量表(IDA)用于解冻胚胎移植(FET)患者心理调查的可行性,并考察有效的心理护理对FET患者激惹、焦虑、抑郁水平及临床结局的影响。方法:选择2014年1月至2014年7月广州医科大学附属第三医院生殖中心就诊的FET患者215个周期,随机分为两组,均填写IDA量表进行心理评估。对照组107例按常规FET方案进行治疗,观察组108例另外给予心理护理,比较心理干预前后IDA量表评分及两组患者的临床妊娠情况。结果:观察组患者经心理干预后,IDA量表各项评分均显著降低,差异具有统计学意义(P<0.05)。尽管两组FET患者的临床妊娠率比较没有统计学差异,但经心理干预措施后观察组的临床妊娠率(42.6%)与对照组(36.4%)相比具有增高的趋势。结论:IDA量表可应用于FET患者的心理调查,有效的心理护理有助于降低FET患者的激惹、焦虑及抑郁量表。
OBJECTIVE: To investigate the feasibility of applying IDA to thawed embryo transfer (FET) patients and investigate the effect of effective psychological nursing on FET patients' irritability, anxiety, depression and clinical outcomes . METHODS: 215 cycles of FET patients attending the Reproductive Center of the Third Affiliated Hospital of Guangzhou Medical University from January 2014 to July 2014 were randomly divided into two groups. The IDA scale was used for psychological assessment. Control group of 107 patients treated by conventional FET program, the observation group of 108 cases were given additional psychological care, psychological intervention before and after comparison of IDA scale scores and clinical pregnancy in both groups. Results: All the scores of IDA scale in observation group were significantly decreased after psychological intervention, the difference was statistically significant (P <0.05). Although the clinical pregnancy rates were not statistically different between the two FET groups, the clinical pregnancy rate (42.6%) in the observation group after psychotherapy was higher than that in the control group (36.4%). Conclusion: The IDA scale can be applied to the psychological investigation of FET patients. Effective psychological nursing can help to reduce the irritability, anxiety and depression scale of FET patients.