书写表达对反复胚胎移植失败女性生育压力与负性情绪的干预效果

目的：探讨书写表达对反复胚胎移植失败(RIF)女性患者生育压力与负性情绪的干预效果。方法：选取2021年1月至2022年4月温州医科大学附属第一医院生殖医学中心RIF女性患者213例为研究对象，按照患者病案号奇偶数分为观察组105例和对照组108例。对照组采取常规辅助生殖健康宣教，观察组在对照组的基础上进行书写表达干预；比较干预前后两组患者的焦虑、生育压力情况及患者满意度,分析各评分间的相关性，以及分析影响满意度的相关因素。结果：两组患者在年龄、不孕年限、文化程度、移植次数等方面差异无统计学意义(P>0.05)；观察组患者在干预后的焦虑自评量表(SAS)和生育困难相关压力量表(FPI)评分均低于同期对照组，而满意度则高于对照组(均P<0.05)；两组患者干预前后的焦虑变化程度与生育压力变化程度存在正相关(r=0.192,P=0.005)，且干预前后的焦虑变化程度(OR=0.895,95%CI=0.821～0.975,P=0.011)和书写表达干预(OR=0.201,95%CI=0.041～0.983,P=0.048)对患者满意度的影响具有统计学意义。结论：书写表达干预使RI...

Intervention effect of written expression on reproductive stress and negative emotions in female patients with recurrent implantation failure

Objective: To explore the effect of written expression on reproductive stress and negative emotions in female patients with recurrent embryo transfer failure (RIF). Methods: A total of 213 female patients with RIF who were for treatment in Reproductive Medicine Center of the First Affiliated Hospital of Wenzhou Medical University from January 2021 to April 2022 were included. They were allocated into the observation group (n=105) and the control group (n=108) according to the odd and even number of medical record number.The control group received routine assisted reproductive health education, while the observation group was given additional written expression intervention. The anxiety, reproductive stress and patient satisfaction were compared between the two groups before and after intervention. Assessment of the correlation between the observed scores was made and the factors associated with patient satisfaction were analyzed. Results: There were no significant differences in age, years of infertility, educational level, number of embryo transfer between the two groups, and the scores of self-rating anxiety scale (SAS) and fertility problem inventory (FPI) in the observation group were significantly lower than the control group (P<0.05) while the patient satisfaction was significantly higher in observation group (P<0.05). The degree of anxiety that changed before and after intervention was positively correlated with the change degree of reproductive stress in both groups (r=0.192, P=0.005). The SAS score changes (OR=0.895, 95%CI=0.821-0.975, P=0.011) and written expression intervention (OR=0.201,95%CI=0.041-0.983, P=0.048) had statistically significant impact on patient satisfaction. Conclusion: Writtenexpression can reduce reproductive stress and improve patient satisfaction of female patients with RIF by releasing negative emotions such as anxiety and depression.