影响不孕不育患者的精神因素及相关心理干预探讨

目的探讨不孕不育患者的精神因素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,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,显著高于男性分值(P<0.05);观察组患者治疗后生活满意度总分(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。

Mental factors influencing infertility patients and related psychological interventions

Objective To explore the gender differences in stress sources of mental factors in infertility patients,to establish related psychological intervention measures,and to observe the effects of interventions. Methods Selected150 infertility patients from our hospital to understand the emotional status,depression and anxiety of the patients through questionnaires,divided them into the observation group(given psychological intervention)andthe control group(given routine nursing care)according to the random numerical table method,75 patientsfor each group,and compared the life satisfaction and success rate of conception between the two groups before and after treatment. Results The male were mainly characterized by fatigue,anger and extroversion,and there were significant differences compared with the female(P<0.05). The female were mainlycharacterized by stress,depression,anxiety and introversion,and the scores were significantly higher than those of the male(P<0.05). The total score of life satisfaction in the observation group after treatment was significantly higher than that in the control group [(156.74±29.46)points vs(140.37±20.14)points](t=-4.167,P=0.000). Thesuccess rates of conception after treatment were 77.33%(58 cases)in the observation group and 61.33%(46 cases)in the control group,so the success rate of conception inthe observation group was significantly higher than that inthe control group(χ2= 4.515,P=0.033). Conclusion Infertility had different sources of stress on mental factors of different genders. For patients of different genders,it was necessary to distinguish the sources of stress and establish reasonable psychological intervention mechanism so as to help patients to obtain subjective well-being and good success rate ofconception.