阶段式健康教育对行IVF-ET助孕的高龄女性患者负性情绪及睡眠质量的

Effects of staged health education on negative emotion and sleep quality in elderly female patients undergoing IVF-ET assisted pregnancy

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(3)
作者
作者单位

郑州大学第二附属医院生殖医学部 ;

摘要
[摘要] 探讨阶段式健康教育对行体外受精-胚胎移植(IVF-ET)助孕的高龄患者负性情绪及睡眠质量的影响。方法 选取2019年2月~2021年2月在郑州大学第二附属医院生殖中心行IVF-ET助孕的86例高龄女性患者,随机抽样分为观察组与对照组,各43例。对照组采用常规健康教育模式,观察组选择阶段式健康教育。分别比较两组各阶段健康知识评分,两组干预前后负性情绪评分[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]及IVF-ET助孕相关指标(获胚数、优胚数、移植胚胎数、及周期取消、临床妊娠、胚胎停育情况)。结果:观察组各阶段健康知识评分均显著高于对照组,差异有统计学意义(P<0.05);两组干预前SAS评分、SDS评分比较差异无统计学意义(P>0.05);两组干预后与干预前相比SAS评分、SDS评分显著降低,差异有统计学意义(P<0.05);观察组干预后SAS评分、SDS评分显著均低于对照组,差异有统计学意义(P<0.05);两组干预前入睡时间、睡眠时间、睡眠质量、睡眠效率、日间功能、睡眠障碍及PSQI总分比较无统计学意义(P>0.05);两组干预后与干预前相比入睡时间、睡眠时间、睡眠质量、睡眠效率、日间功能、睡眠障碍及PSQI总分显著降低,差异有统计学意义(P<0.05);观察组干预后入睡时间、睡眠时间、睡眠质量、睡眠效率、日间功能、睡眠障碍及PSQI总分显著均低于对照组,差异有统计学意义(P<0.05);两组获胚数、优胚数、移植胚胎数、周期取消周期取消、临床妊娠、胚胎停育情况差异无统计学意义(P>0.05)。结论 阶段式健康教育可有效减轻行IVF-ET助孕的高龄患者负性情绪,提高其睡眠质量,在临床上有一定的应用价值。
Abstract
[Abstract] Objective To investigate the effect of stage-style health education on negative emotion and sleep quality in elderly patients undergoing IVF-ET pregnancy. Methods from February 2019 to February 2021, 86 elderly female patients who received IVF-ET assisted pregnancy in the Reproductive Center of the Second Affiliated Hospital of Zhengzhou University were randomly divided into observation group and control group, with 43 cases in each group. The control group adopted routine health education mode, and the observation group chose staged health education. Health knowledge scores of the two groups at different stages were compared respectively. Negative mood score [SELF-rating Anxiety Scale (SAS), self-rating Depression Scale (SDS)], sleep quality [Pittsburgh Sleep Quality Index (PSQI)] and ivF-ET pregnancy related indicators (number of obtained embryos, number of optimal embryos, number of embryos transferred, and cycle cancellation, clinical pregnancy and embryo termination) were compared between the two groups before and after intervention.Results: The health knowledge score of observation group was significantly higher than that of control group, and the difference was statistically significant (P < 0.05). There was no significant difference in SAS score and SDS score between the two groups before intervention (P > 0.05). SAS and SDS scores of the two groups were significantly decreased after intervention compared with before intervention, with statistical significance (P < 0.05). SAS score and SDS score of observation group were significantly lower than control group after intervention, the differences were statistically significant (P < 0.05). There were no statistically significant differences in sleep time, sleep time, sleep quality, sleep efficiency, daytime function, sleep disorder and PSQI scores between the two groups before intervention (P > 0.05). After intervention, compared with before intervention, sleep time, sleep quality, sleep efficiency, daytime function, sleep disorder and PSQI total score were significantly decreased in both groups, with statistical significance (P < 0.05). The sleep time, sleep time, sleep quality, sleep efficiency, daytime function, sleep disorder and PSQI total score in the observation group were significantly lower than those in the control group after intervention, with statistical significance (P < 0.05). There were no significant differences in number of obtained embryos, number of optimal embryos, number of transplanted embryos, cycle cancellation, clinical pregnancy and embryo termination between the two groups (P > 0.05). Conclusion: Staged health education can effectively relieve negative emotions and improve sleep quality in elderly patients receiving IVF-ET pregnancy assistance, which has certain clinical application value.
关键词
[关键词] 阶段式健康教育;高龄;女性;IVF-ET;负性情绪;睡眠质量;
KeyWord
Key words: Staged health education; Old age; Women; IVF - ET. Negative emotion; The quality of sleep
基金项目
页码 501-503
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刘静*. 阶段式健康教育对行IVF-ET助孕的高龄女性患者负性情绪及睡眠质量的 [J]. 国际精神病学杂志. 2023; 50; (3). 501 - 503.

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