进入体外受精-胚胎移植治疗周期后患者焦虑情绪的分析

目的探讨不孕症患者进入体外受精-胚胎移植（IVF-ET）治疗周期后不同时点状态焦虑的特点，及其与特质性焦虑的关系。方法采用状态-特质焦虑量表对96例接受IVF—ET治疗的患者进行测评，包括降调当日、取卵前1h内、移植后第12天3个时点。结果，本组特质焦虑分值的均数为（37．66±9．11）分；降调当日状态焦虑得分为（36．44±9．20）分，取卵前1h内为（39．37±11．27）分，移植后第12天为（40．98±12．73）分，差异均有统计学意义；特质焦虑分值≥38分组降调当日的状态焦虑分值与取卵前1h内比较，以及与移植后第12天比较，差异均有统计学意义；将特质焦虑分值≥38分和〈38分两组在3个时点的状态焦虑分值之间进行比较，其状态焦虑分值的差异均有统计学意义。结论护理人员应关注进入IVF—ET治疗周期患者的心理状态，采取各种措施减轻他们的心理压力，以提高治疗依从性和妊娠成功率。

Analysis and countermeasures to the femme with anxiety receiving in vitro fertilization-embryo transfer cycle treatment

Objective To analyze various state of anxiety of infertility women＇ s access to an in vitro fertilization and embryo transfer （IVF-ET） after the treatment cycle, and the relattionship between personality trait and anxiety. Methods A total of 96 patients who received the IVF-ET treatment were surveyed by questionnaire for the day state-trait anxiety at the start of treatment cycle. The patients were investigated with the questionnaire at the day, before an hour ova harvest, waiting for ？ human chorionic gonadotropin （13-HCG） at 13 days after post transplant respectively. Results （ 1 ） the mean of trait anxiety was 37.66 ±9.11. Three points in the survey had gradually increased （36.44± 9. 20, 39. 37 ± 11. 27 and 40. 98± 12.73 respectively）, the difference showed significant. （2） According to research group： a highly significant difference among the level of patients＇ anxiety was showed between those with high-trait anxiety value and low- trait anxiety value （ P 〈 0. 05 ）. Conclusions Nurses should pay close attention to psychological state of infertility women＇ s received IVF-ET and carry out measures to alleviate their psychological pressure so as to improve their treatment compliance and pregnancy success rate.