摘要
目的:分析反复种植失败患者的心理特征,找出影响其心理健康的相关因素,总结有效心理干预治疗模式。方法:通过症状自评量表(Scl-90)、艾森克个性问卷(EPQ)对100例反复种植失败患者及70例自然妊娠孕妇进行心理测评,随机抽取部分反复种植失败患者进行心理干预治疗,比较干预组及未干预组的心理指标及胚胎植入后的临床妊娠率、种植率和胎儿出生率。结果:反复种植失败患者心理特征:Scl-90自评量表中反复种植失败患者焦虑、抑郁、睡眠及躯体化因子较正常孕妇明显升高(P均=0)。影响反复种植失败患者心理健康的相关因素:主要危险因素为年龄>35岁、家庭经济差,主要保护因素是性格内向、夫妻关系好。心理干预治疗结果:干预组Scl-90自评量表中焦虑及抑郁因子较未干预组显著下降;干预组临床妊娠率及胎儿出生率较未干预组显著上升(P均<0.05)。结论:反复种植失败患者的主要心理不良特征为焦虑及抑郁,针对患者个人心理提出可行、有效的干预模式,可提高临床妊娠率和胎儿出生率。
Objective To analyze the psychological state of patients with repeated implantation failure, and find out the factors that effected on the patients＇ psychological health,and to summarize the effective psychological intervention treatment. Method 100 patients with repeated implantation failure and 70 natural pregnancy controllers were investigated with symptom check list -90（ SCL -90） and Ey- senck Personality, then randomly selected patients with repeated implantation failure, psychological intervention was carried out on them, psychological state, clinical pregnancy rate, embryo implantation rate and fetal birth rate were compared between the intervention group and non - intervention group. Results （ 1 ） Psychological state of patients with repeated implantation failure：The patients with repeated implan- tation failure were obviously higher than norm on depressive factor, anxiety factor,sleep factor and hostile factor of SCL - 90 （ P = 0）. （2） The relative factors effecting psychological health of patients with repeated implantation failure：Age above 35 years and family financial dif- ficuhies were the important risk fantors, while introverted disposition and good conjugal relation were the important protective factors. （3） Results after the intervention ：The intervention group were obviously lower than the non - intervention group on anxiety factor and depressive factor of SCL -90 （ P = 0） ;while the elinical pregnancy rate and fetal birth rate were higher（ P 〈 0. 05 ）. Conclusion Depression and anxi- ety are the mainly unhealthy psychology of patients with repeated implantation failure, and intervening measures should be eondueted ae- cording to the personal psychology of patients, to achieve a good clinical pregnaney rate and fetal birth rate.
出处
《吉林医学》
CAS
2013年第16期3236-3239,共4页
Jilin Medical Journal
关键词
反复种植失败
心理健康状况
心理干预
Repeated implantation failure
Psychological state
Psychological intervention
