摘要
目的探讨希望疗法在卵巢储备功能低下不孕症患者中的应用效果。方法选取郑州大学第一附属医院2018年1月至2019年9月收治的95例卵巢储备功能低下不孕症患者作为研究对象,按照护理方案分为两组。常规护理组(47例)接受常规护理,希望护理组(48例)接受希望疗法。比较两组干预前后心理韧性、应对方式、负性情绪(焦虑、抑郁)及妊娠情况。结果干预后希望护理组心理韧性评分高于常规护理组(P<0.05);干预后希望护理组积极应对评分高于常规护理组,消极应对评分低于常规护理组(P<0.05);干预后希望护理组贝克焦虑量表(BAI)、贝克抑郁量表21版项(BDI-21)评分低于常规护理组(P<0.05);希望护理组妊娠率[58.33%(28/48)]、分娩成功率[92.86%(26/28)]高于常规护理组[36.17%(17/47)、58.82%(10/17)],流产率[7.14%(2/28)]低于常规护理组[41.18%(7/17)](P<0.05)。结论希望疗法能缓解卵巢储备功能低下不孕症患者的负性情绪,提高其心理韧性,促使患者积极应对疾病,改善其妊娠情况。
Objective To explore the effect of the hope therapy on infertile patients with diminished ovarian reserve.Methods A total of 95 infertility patients with diminished ovarian reserve from January 2018 to September 2019 in the First Affiliated Hospital of Zhengzhou University were selected and divided into two groups according to the nursing method.The conventional nursing group(47 patients)received routine care,and the hope nursing group(48 patients)received hope therapy.The mental toughness,coping style,negative emotions(anxiety,depression)and pregnancy were compared between the two groups before and after intervention.Results After intervention,the mental toughness score of the hope nursing group was higher than that of the conventional nursing group(P<0.05).After the intervention,the positive coping score of the hope nursing group was higher than that of the conventional nursing group,and the negative coping score was lower than that of the conventional nursing group(P<0.05).After the intervention,the BAI and BDI-21 scores of the hope nursing group were lower than those of the conventional nursing group(P<0.05).The pregnancy rate and the delivery success rate of hope nursing group[58.33%(28/48),92.86%(26/28)]were higher than those of the conventional nursing group[36.17%(17/47),58.82%(10/17)],the abortion rate[7.14%(2/28)]was lower than that of the conventional nursing group[41.18%(7/17)](P<0.05).Conclusion Hope Therapy can alleviate the negative emotions of infertility patients with diminished ovarian reserve,improve their mental toughness,prompt them to actively cope with the disease,and improve their pregnancy.
作者
张倩
杨萍
ZHANG Qian;YANG Ping(Department of Reproductive Center,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2021年第25期4779-4781,共3页
Henan Medical Research