摘要
目的探讨正念认知干预在体外受精-胚胎移植术(IVF-ET)不孕患者护理中的应用效果。方法选取2021年1—12月IVF-ET不孕患者104例,按照组间基本特征具有可比性的原则分为观察组与对照组,每组52例。对照组行常规健康指导,观察组行正念认知干预。比较两组干预前后心理弹性、应对方式、疾病不确定感评分及妊娠结局。结果干预前,两组患者心理弹性、应对方式(包括面对、屈服、回避)、疾病不确定感评分的比较,差异无统计学意义(P>0.05);干预后,观察组屈服、回避与疾病不确定感总评分和相关维度评分低于对照组(P<0.05),心理弹性总评分和相关维度评分、面对评分高于对照组(P<0.05)。观察组足月分娩率高于对照组(P<0.05),早产率及终止妊娠率低于对照组(P<0.05)。结论正念认知干预能提高IVF-ET不孕患者的心理弹性,减轻患者疾病不确定感,使患者能以积极方式面对疾病,从而改善妊娠结局。
Objective To explore the effect of positive cognitive intervention in the care of infertile patients undergoing in vitro fertilization-embryo transfer(IVF-ET).Methods 104 patients with IVF-ET infertility from January to December 2021 were selected and divided into observation and control groups according to the principle of comparability of basic characteristics between the groups,with 52 cases in each group.The control group was given conventional health guidance and the observation group was given positive cognitive intervention.The psychological resilience,coping style,illness uncertainty score and pregnancy outcome were compared between the two groups before and after the intervention.Results Before the intervention,there was no statistically significant difference in the scores of psychological resilience,coping styles(including confrontation,submission and avoidance)and uncertainty about illness between the two groups(P>0.05).After the intervention,the total scores and related dimension scores of submission,avoidance and uncertainty about illness in the observation group were lower than in the control group(P<0.05),and the total scores and related dimension scores of psychological resilience and confrontation were higher than the control group(P<0.05).The rate of full-term delivery was higher in the observation group than the control group(P<0.05),and the rate of preterm delivery and termination of pregnancy was lower than the control group(P<0.05).Conclusion Positive cognitive intervention could improve the psychological resilience of IVF-ET infertile patients,reduce their uncertainty about the disease,and enable them to face the disease in a positive way,thus improving pregnancy outcomes.
作者
梁兰兰
LIANG Lanlan(The First Hospital of Lanzhou University,Lanzhou,730030,China)
出处
《护理实践与研究》
2023年第5期733-737,共5页
Nursing Practice and Research
