正念减压疗法对试管婴儿患者知觉压力及心理状态的影响

目的:探讨正念减压疗法(MBSR)对试管婴儿患者知觉压力及心理状态的影响。方法:选取2014年5月到2016年12月在我院行试管婴儿技术(IVF-ET)辅助生育的不孕女性83例作为研究对象,根据随机数字表法将其分为对照组41例和观察组42例。对照组患者均给予常规的综合护理干预,观察组在对照组的基础上给予MBSR干预。对比两组患者干预前后抑郁自评量表(SDS)、焦虑自评量表(SAS)和知觉压力量表(CPSS)评分。结果:干预前两组患者的SDS评分、SAS评分、CPSS评分比较无统计学差异(P0.05)。干预后观察组患者SDS评分、SAS评分、CPSS评分为(43.53±4.89)分、(42.38±4.34)分、(27.53±4.89)分,低于干预前的(57.96±7.30)分、(56.42±5.49)分、(37.96±7.30)分,差异均有统计学意义(P0.05);干预后对照组患者的SDS评分、SAS评分、CPSS评分为(51.13±5.52)分、(50.31±4.48)分、(31.13±5.52)分,低于干预前的(58.83±7.28)分、(56.45±5.51)分、(38.83±7.28)分,差异均有统计学意义(P0.05),且干预后观察组以上评分均低于对照组,差异均有统计学意义(P0.05)。结论:MBSR干预可有效改善试管婴儿患者患者的焦虑、抑郁和知觉压力情况,有利于提高IVF-ET成功率,值得临床推广应用。

Effect of Mindfulness-based Stress Reduction on Perceived Stress and Mental State of Patients with in Vitro Fertilization

ABSTRACT Objective: To investigate the effect of Mindfulness-based stress reduction (MBSR) on perceived stress and mental state of patients with in vitro fertilization. Methods: 83 cases women who were assisted reproduction with in vitro fertilization and embryo transfer (IVF-ET) in our hospital from May 2014 to December 2016 were selected as research objects. All the subjects were divided into control group and observation group according to the random number table method, with 41 cases in the control group and 42 cases in the observation group. Patients in the control group were given routine comprehensive nursing intervention, while the observation group was given MBSR intervention on the basis of the control group. The scores of self rating depression scale (SDS), self rating anxiety scale (SAS) and Chinese perceived stress scale (CPSS) before and after the intervention in the two groups were compared. Results: There was no significant difference in SDS score, SAS score and CPSS score between the two groups before intervention (P>0.05). The scores of SDS, SAS and CPSS in observation group after intervention were (43.53±4.89), (42.38±4.34) and (27.53±4.89), which were lower than (57.96±7.30), (56.42±5.49), (37.96±7.30) before intervention, and the differences were statistically significant (P<0.05). The scores of SDS, SAS and CPSS in control group after intervention were (51.13±5.52), (51.13±5.52) and (31.13±5.52), which were lower than (58.83±7.28), (56.45±5.51), (38.83±7.28) before intervention, and the differences were statistically significant(P<0.05). And those scores in were lower in observation group than in control group, the differences were statistically significant (P<0.05). Conclusion: MBSR intervention can effectively improve the anxiety, depression and perceived stress of patients with in vitro fertilization,which is helpful in improving the success rate of IVF-ET, and it is worthy of clinical application.