影响不孕不育患者的精神因素及相关心理干预探讨

Mental Factors Influencing Infertility Patients and Related Psychological Intervention

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(2)
作者
作者单位

民权县中医院 ;
郑州大学第一附属医院 ;

摘要
摘要:目的:探讨不孕不育患者的精神因素的压力来源的性别差异,建立相关心理干预措施,并观察其干预效果;方法:选取本院就诊的不孕不育患者150例,通过问卷调查的方式,了解患者的情绪状态、抑郁及焦虑情况,并采用随机数字表法将患者分为观察组(进行心理干预)、对照组(进行常规护理),均为75例,对比两组患者治疗前后的生活满意度及受孕成功率情况;结果:男性主要以疲乏、愤怒、外向性刺激为主,且与女性比较存在显著差异(P<0.05);女性主要以紧张、压抑、焦虑、内向性刺激为主,且显著高于男性分值(P<0.05);观察组患者治疗后总分(156.74±29.46)分显著高于对照组治疗后总分(140.37±20.14)分(t=-4.167,P=0.000),观察组患者治疗后受孕成功率为77.33%(58例),对照组治疗后受孕成功率为61.33%(46例);观察组显著高于对照组(χ²=4.515,P=0.033);结论:不孕不育对于不同性别产生的精神因素的压力来源不同,对于不同性别患者需要区别其压力来源,建立合理的心理干预机制有助于患者获得主观幸福感以及良好的受孕成功率。
Abstract
Abstract: Objective: To explore the gender differences in stress factors of psychiatric factors in infertility patients, to establish relevant psychological interventions, and to observe the effect of intervention.Methods: 150 cases of infertility patients were selected, and the emotional status, depression and anxiety were observed by questionnaire.The patients were divided into observation group (psychological intervention), control group (routine nursing), 75 cases were compared, compared between the two groups before and after treatment of life satisfaction and success rate of conception.Results: Male was mainly characterized by fatigue, anger and extroversion, and there was significant difference compared with female (P <0.05).The total score (156.74 ± 29.46) in the observation group was significantly higher than that in the control group (P <0.05). The scores of the patients in the observation group were significantly higher than those in the control group (140.37 ± 20.14) points (t = -4.167, P = 0.000).The success rate of conception after treatment was 77.33% (58 cases). The success rate of conception after treatment was 61.33% (46 cases).The observation group was significantly higher than the control group (χ² = 4.515, P = 0.033).Conclusion: Infertility has different sources of stress for different factors. For different sex patients, it is necessary to distinguish the source of stress and establish reasonable psychological intervention mechanism to help patients acquire subjective well-being and good success rate of pregnancy.
关键词
关键词:不孕不育;精神因素;心理干预;
KeyWord
Key words: infertility; mental factors; psychological intervention;
基金项目
页码 355-357
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朱新全,苏迎春*,李辉洁,贾玉春. 影响不孕不育患者的精神因素及相关心理干预探讨 [J]. 国际精神病学杂志. 2020; 47; (2). 355 - 357.

  • 文献评论

闫**天津中医****** 已认证✔

2025-12-01 10:15:44

该研究探讨了不孕不育患者的心理问题并评估了心理干预的效果,选题具有临床意义。 然而,从研究设计、数据报告到结论推导,存在不足之处。1、不孕不育是夫妻双方共同面对的问题,受孕成功率是“配偶对(”水平的结局指标。但该研究将150例患者(76男,74女)作为独立个体进行随机分组和分析,例如观察组包含40男35女。2、报告的生活满意度总分(如治疗后观察组为156.74±29.46)远超标准SWLS量表(5个条目,7点评分,满分为35分)的可能范围。

于**中国中医****** 已认证✔

2025-11-04 05:48:46

本研究选题具有较好的临床价值,聚焦不孕不育诊疗过程中易被于忽视的问题。研究设计较严谨,表达较清晰,统计方法较得当,结论较可靠,为在不孕不育临床实践中推行并标准化心理干预提供了依据,对改善患者心身健康、提升生殖医学整体服务质量具有重要的借鉴和推广价值。

2**

2022-11-01 10:43:48

创新性一般,但文字叙述还算简洁。

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