CAJ | 학술논문

目的：探讨个体化心理干预在复发性流产（RSA）继发不孕症患者中的应用方法及效果。方法：将139例 RSA 继发不孕症患者随机分为对照组69例和观察组70例，对照组采取传统护理模式，观察组在此基础上给予个体化心理干预，比较两组干预效果。结果：观察组护理满意度、再次妊娠率、疾病认知度高于对照组（P ﹤0.01）；观察组干预后焦虑自评量表（SAS）、抑郁自评量表（SDS）评分低于干预前和对照组（P ﹤0.01）。结论：个体化心理干预可以提高 RSA 继发不孕症患者的护理理满意度、再次妊娠率、疾病认知度，缓解焦虑、抑郁情绪。
목적：탐토개체화심리간예재복발성유산（RSA）계발불잉증환자중적응용방법급효과。방법：장139례 RSA 계발불잉증환자수궤분위대조조69례화관찰조70례，대조조채취전통호리모식，관찰조재차기출상급여개체화심리간예，비교량조간예효과。결과：관찰조호리만의도、재차임신솔、질병인지도고우대조조（P ﹤0.01）；관찰조간예후초필자평량표（SAS）、억욱자평량표（SDS）평분저우간예전화대조조（P ﹤0.01）。결론：개체화심리간예가이제고 RSA 계발불잉증환자적호리리만의도、재차임신솔、질병인지도，완해초필、억욱정서。
Objective:To explore the method of applying the individualized psychological intervention and investigate its effect in the treatment of patients with unexplained secondary infertility after recurrent spontaneous abortion(RSA). Methods:139 patients with unex-plained secondary infertility after RSA were randomly divided into the control group(n = 69)and the observation group(n = 70). The con-ventional nursing model was used in the control group and the individualized psychological intervention was additionally adopted in the ob-servation group,the effect of the intervention was compared between the two groups. Results:The nursing satisfaction,pregnancy rate and awareness of the disease of the patients in the observation group were higher and better than those in the control group(P ﹤ 0. 01);the scores of SAS and SDS were lower after the intervention than those before the intervention in the observation group and the scores were low-er in the observation group than the control group after the intervention(P ﹤ 0. 01). Conclusion:The individualized psychological interven-tion can improve the patient's satisfaction,pregnancy rate and awareness of the disease and can relieve anxiety and depression of the pa-tients in the treatment of unexplained secondary infertility after RSA.