需求满足理论指导下的心理干预在辅助生殖反复种植失败患者中的应用效果

doi:10.3969/j.issn.1671-7171.2025.07.015

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (1224 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要【目的】探讨基于需求满足理论指导下的心理干预在辅助生殖反复种植失败(RIF)患者中的应用效果。【方法】选取2024年4月至2025年2月本中心收治的82例RIF患者,按照随机数字表法分为观察组(在常规护理的基础上接受需求满足理论指导下的心理干预)和对照组(接受常规护理),每组41例。比较两组干预前后的心理健康状况[采用症状自评量表(SCL-90)评估]、心理弹性水平[采用Connor-Davidson心理弹性量表(CD-RISC)评估]、生育相关生活质量[采用生育生活质量问卷(FertiQoL)评估],两组患者获卵数、优质胚胎率、人绒毛膜促性腺激(β-hCG)阳性率及胎心确认率。【结果】干预后,观察组SCL-90各维度评分均低于对照组,CD-RISC各维度评分、 FertiQoL各维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组获卵数、优质胚胎率、β-hCG阳性率及胎心确认率均高于对照组,差异均有统计学意义(P<0.05)。【结论】需求满足理论指导下的心理干预可有效改善RIF患者的心理健康状况,提升心理弹性水平和生育生活质量,并提高胚胎质量和早期妊娠成功率,为RIF患者的综合管理提供了新思路。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	朱莉文

关键词 ：心理疗法, 胚胎移植, 生殖技术,辅助, 治疗失败

Abstract：【Objective】To explore the application effect of psychological intervention guided by need satisfaction theory in patients with recurrent implantation failure (RIF) in assisted reproduction. 【Methods】A total of 82 RIF patients admitted to our center from April 2024 to February 2025 were selected and divided into the observation group (receiving psychological intervention guided by need satisfaction theory on the basis of routine nursing) and the control group (receiving routine nursing) according to the random number table method, with 41 cases in each group. The mental health status [assessed by Symptom Checklist (SCL-90)], psychological resilience [assessed by Connor-Davidson Resilience Scale (CD-RISC)], fertility-related quality of life [assessed by Fertility Quality of Life Questionnaire (FertiQoL) scores] before and after intervention, as well as the number of retrieved oocytes, number of high-quality embryos, β-hCG positive rate and fetal heart confirmation rate were compared between the two groups. 【Results】 After intervention, the scores of all dimensions of SCL-90 in the observation group were lower than those in the control group, and the scores of all dimensions of CD-RISC and FertiQoL in the observation group were higher than those in the control group, with statistically significant differences (P<0.05). The number of retrieved oocytes, high-quality embryo rate, β-hCG positive rate and fetal heart confirmation rate in the observation group were higher than those in the control group, with statistically significant differences (P<0.05). 【Conclusion】 Psychological intervention guided by need satisfaction theory can effectively improve the mental health status, enhance the level of psychological resilience and fertility quality of life of RIF patients, and increase the embryo quality and early pregnancy success rate, which provides a new idea for the comprehensive management of RIF patients.

Key words： Psychotherapy Embryo Transfer Reproductive Techniques, Assisted Treatment Failure

收稿日期: 2025-05-09

中图分类号:

R711.74

引用本文:

朱莉文. 需求满足理论指导下的心理干预在辅助生殖反复种植失败患者中的应用效果[J]. 医学临床研究, 2025, 42(7): 1157-1160.
ZHU Liwen. Application Effect of Psychological Intervention Guided by Need Satisfaction Theory in Patients with Recurrent Implantation Failure in Assisted Reproduction. JOURNAL OF CLINICAL RESEARCH, 2025, 42(7): 1157-1160.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.07.015 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I7/1157

[1] 沈印华,李莉. 叙事护理在反复种植失败患者中的应用进展[J].生殖医学杂志,2024,33(12):1695-1698.
[2] 孙致敏,梁玉玲,杨丽. 125例辅助生殖反复种植失败患者不良心理及生活质量调查[J].中国计划生育学杂志,2021,29(12):2536-2541.
[3] 邢雅纯,凌秀凤,苏雁,等. 冻融胚胎移植中降调节激素替代周期的研究进展[J].国际生殖健康/计划生育杂志,2020,39(3):233-237.
[4] 文壹,毛增辉,周丽媛,等. 生长激素联合低分子肝素在反复种植失败患者冻胚周期中的应用价值[J].医学临床研究,2020,17(11):1608-1611.
[5] 韩委彤,杨新燕,杨娟. 心理干预对反复种植失败患者负性情绪与妊娠结局影响的Meta分析[J].中国计划生育和妇产科,2025,17(3):46-51.
[6] 刘肖,张龙苗,林慧. 基于PERMA理念的正念减压在反复种植失败不孕患者中的应用[J].基层医学论坛,2024,28(35):97-99.
[7] 王圆圆,刘洪园,蒋朝霞,等. 基本心理需求满足在孕妇心理弹性与分娩恐惧间的中介作用[J].护理管理杂志,2024,24(10):916-920.
[8] POLANSKI L T, BAUMGARTEN M N, QUENBY S, et al. What exactly do we mean by 'recurrent implantation failure'? A systematic review and opinion[J].Reprod Biomed Online,2014,28(4):409-423.
[9] DANG W M, XU Y J, JI J, et al. Study of the SCL-90 scale and changes in the Chinese Norms[J].Front Psychiatry,2021,11:524395.
[10] CONNOR K M, DAVIDSON J R. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC)[J].Depress Anxiety,2003,18(2):76-82.
[11] BOIVIN J, TAKEFMAN J, BRAVERMAN A. The fertility quality of life (FertiQoL) tool: development and general psychometric properties[J].Hum Reprod,2011,26(8):2084-2091.
[12] 连泽荣,袁真,郑莉兰,等. 反复胚胎种植失败患者的生育生活质量及相关因素[J].中国心理卫生杂志,2022,36(6):491-495.
[13] 蔡晨婷,唐传玲,赵美,等. 个体化心理干预对反复种植失败患者妊娠结局的影响[J].中国计划生育和妇产科,2020,12(7):48-51.
[14] 刘智慧,李昆明,董跃彦,等. 辅助生殖反复种植失败患者心理弹性与生育生活质量关系的研究[J].解放军护理杂志,2020,37(10):35-38.
[15] 易海星,蒋欢欢,李彩华,等. 母胎界面异常导致反复种植失败的免疫因素及治疗进展[J].安徽医科大学学报,2024,59(6):935-938.