中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
5期
809-814
,共6页
宋德花%魏丽丽%宋振兰%赵小丽
宋德花%魏麗麗%宋振蘭%趙小麗
송덕화%위려려%송진란%조소려
实验动物%组织构建%体外受精-胚胎移植%不孕症%进入周期首日%取卵日%胚胎移植后第7日%症状自评量表%人际关系%焦虑
實驗動物%組織構建%體外受精-胚胎移植%不孕癥%進入週期首日%取卵日%胚胎移植後第7日%癥狀自評量錶%人際關繫%焦慮
실험동물%조직구건%체외수정-배태이식%불잉증%진입주기수일%취란일%배태이식후제7일%증상자평량표%인제관계%초필
fertilization,in vitro%embryo transfer%interpersonal relations%anxiety
背景：随着体外受精-胚胎移植技术迅速发展，体外受精-胚胎移植患者心理压力不断增加，全面了解其心理特点，探索有效的心理干预模式，是生殖医学工作者面临的重要问题。<br> 目的：调查体外受精-胚胎移植患者心理健康状况。<br> 方法：选取2012年10至11月进入周期的体外受精-胚胎移植患者92名，采用症状自评量表(SCL-90)对患者心理健康状况进行调查。<br> 结果与结论：体外受精-胚胎移植患者进入周期首日症状自评量表中除精神病性因子外其他8个因子评分均高于国内常模(P <0.05)。体外受精-胚胎移植患者在进入周期首日、取卵日、胚胎移植后第7日3个阶段的症状自评量表评分中，除精神病性因子之外其他8个因子在治疗不同阶段评分差异有显著性意义(P<0.05)，且人际关系、抑郁、焦虑3个因子评分在进入周期首日、取卵日、胚胎移植后第7日依次升高(P <0.05)。提示体外受精-胚胎移植患者心理状况普遍较差，且在试管助孕的过程中，心理健康问题始终困扰着患者，并在取卵、等待妊娠结果的过程中呈加重的趋势，应根据不同治疗阶段针对性的采取干预措施，改善患者的心理健康。
揹景：隨著體外受精-胚胎移植技術迅速髮展，體外受精-胚胎移植患者心理壓力不斷增加，全麵瞭解其心理特點，探索有效的心理榦預模式，是生殖醫學工作者麵臨的重要問題。<br> 目的：調查體外受精-胚胎移植患者心理健康狀況。<br> 方法：選取2012年10至11月進入週期的體外受精-胚胎移植患者92名，採用癥狀自評量錶(SCL-90)對患者心理健康狀況進行調查。<br> 結果與結論：體外受精-胚胎移植患者進入週期首日癥狀自評量錶中除精神病性因子外其他8箇因子評分均高于國內常模(P <0.05)。體外受精-胚胎移植患者在進入週期首日、取卵日、胚胎移植後第7日3箇階段的癥狀自評量錶評分中，除精神病性因子之外其他8箇因子在治療不同階段評分差異有顯著性意義(P<0.05)，且人際關繫、抑鬱、焦慮3箇因子評分在進入週期首日、取卵日、胚胎移植後第7日依次升高(P <0.05)。提示體外受精-胚胎移植患者心理狀況普遍較差，且在試管助孕的過程中，心理健康問題始終睏擾著患者，併在取卵、等待妊娠結果的過程中呈加重的趨勢，應根據不同治療階段針對性的採取榦預措施，改善患者的心理健康。
배경：수착체외수정-배태이식기술신속발전，체외수정-배태이식환자심리압력불단증가，전면료해기심리특점，탐색유효적심리간예모식，시생식의학공작자면림적중요문제。<br> 목적：조사체외수정-배태이식환자심리건강상황。<br> 방법：선취2012년10지11월진입주기적체외수정-배태이식환자92명，채용증상자평량표(SCL-90)대환자심리건강상황진행조사。<br> 결과여결론：체외수정-배태이식환자진입주기수일증상자평량표중제정신병성인자외기타8개인자평분균고우국내상모(P <0.05)。체외수정-배태이식환자재진입주기수일、취란일、배태이식후제7일3개계단적증상자평량표평분중，제정신병성인자지외기타8개인자재치료불동계단평분차이유현저성의의(P<0.05)，차인제관계、억욱、초필3개인자평분재진입주기수일、취란일、배태이식후제7일의차승고(P <0.05)。제시체외수정-배태이식환자심리상황보편교차，차재시관조잉적과정중，심리건강문제시종곤우착환자，병재취란、등대임신결과적과정중정가중적추세，응근거불동치료계단침대성적채취간예조시，개선환자적심리건강。
BACKGROUND:With the improvement of in vitro fertilization-embryo transfer technology, patients with in vitro fertilization-embryo transfer are facing more and more psychological stress. To completely understand their mental features and to explore effective mental intervention are important problems faced workers of reproductive medicine. <br> OBJECTIVE:To investigate the psychological condition of in vitro fertilization-embryo transfer patients. <br> METHODS:A total of 92 in vitro fertilization-embryo transfer patients, who entered the cycle from October to <br> November 2012, were enrol ed in this study. The psychological conditions of these patients were evaluated using Symptom Checklist-90. <br> RESULTS AND CONCLUSION:Al the factor scores of the Symptom Checklist-90 in patients with in vitro fertilization-embryo transfer achieved significantly higher levels than national adult norm on their first day of in vitro fertilization-embryo transfer cycles (P<0.05), with the exception of Psychiatric state factor. Meanwhile, in addition to Psychiatric state, differences of al the factors of Symptom Checklist-90 in patients with in vitro fertilization-embryo transfer were statistical y significant in different stages of in vitro fertilization-embryo transfer cycles at the first day of entering cycle, the day of obtaining ovum, and the seventh day of embryo transfer, (P<0.05). Interpersonal relationship, Depression and Anxiety scores were increased at the first day of entering cycle, the day of obtaining ovum, and the seventh day of embryo transfer (P<0.05). These results showed that patients with in vitro fertilization-embryo transfer tend to have poor psychological status, which is a problem in patients during the different stages of in vitro fertilization-embryo transfer cycles and becomes aggravated during egg retrieval and waiting for the outcome. Interventional measures should be taken in different stages to improve patients’ mental health.
