IVF-ET妇女的心理状况、影响因素及临床意义的研究

发布时间：2018-01-06 18:22

本文关键词：IVF-ET妇女的心理状况、影响因素及临床意义的研究　出处：《天津医科大学》2006年硕士论文　论文类型：学位论文

【摘要】：不孕症是指育龄夫妇在无保护性生活1年以上未妊娠或生育者。“不孕症”对大多数不育夫妇来说是一种心理创伤,是他们生活中经历的最有压力的事件之一,导致他们出现情绪不稳定和精神压力。近年来,由于辅助生殖技术(assisted reproductive technology,ART)的发展,特别是体外受精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET),为不育夫妇提供了最后的希望。然而这项技术的实施同样会带给病人不同程度的心理压力。IVF妇女心理问题的研究在国外已开展多年,但我国大部分研究仅限于心理问题调查和干预方法的一般探讨,缺乏从心理学和临床医学相结合的角度进行的深入研究。本研究目的是通过调查我国IVF妇女的一般心理状况、在治疗周期中的心理变化特点、影响因素,并进一步分析情绪反应及相关因素与治疗结局的关系,为达到增加治疗依从性、减少退出率,最终提高受孕率,探索出适合我国现状的临床心理干预措施提供理论依据。选取2005年3月～12月在天津市中心妇产科医院生殖医学中心进行IVF-ET/ICSI治疗的118位不孕症妇女作为研究组,同期按均衡原则选取50例已婚妇女为对照组,分别进行一般情况、心理状况和婚姻质量的调查和对照研究;再对进入治疗周期后的研究组妇女在三个时间段内分别使用量表进行心理测试和血浆皮质醇激素测定,并作自身对照。结果如下: 1.通过研究组和对照组妇女的一般心理状况和婚姻质量调查对比发现: 研究组妇女SCL-90的总均分、强迫症状、抑郁、焦虑、敌对、偏执因子分值较对照组高,而恐怖因子分值较对照组低,有统计学差异(p0.05)。其中躯体化症状与拟生时间呈负相关;研究组妇女婚姻质量的5因子总分高于对照组,有统计学差异(p0.05)。其中婚姻满意度和解决冲突方式明显好于对照组(p0.01)。拟生育时间与性生活满意度呈负相关。
[Abstract]:Infertility refers to couples of childbearing age who have not been pregnant or given birth for more than one year without protection. Infertility is a kind of psychological trauma for most infertile couples, and it is one of the most stressful events in their life. This has led to emotional instability and stress. In recent years, assisted reproductive technology has been developed as a result of assisted reproductive techniques. The development of ART, especially in vitro fertilization-embryo transfer IVF-ETs. It offers last hope for infertile couples. However, the implementation of this technique will also bring patients varying degrees of psychological stress. The study of women's psychological problems in IVF has been carried out for many years abroad. However, most of the studies in China are limited to the investigation of psychological problems and the general methods of intervention, and lack of in-depth research from the angle of combining psychology with clinical medicine. The purpose of this study was to investigate the general psychological status of IVF women in China, the psychological characteristics and influencing factors during the treatment cycle, and to further analyze the relationship between emotional reaction and related factors and the outcome of treatment. In order to increase treatment compliance, reduce withdrawal rate, ultimately improve pregnancy rate, explore the clinical psychological intervention measures suitable for the present situation of our country to provide the theoretical basis. From March 2005 to December, 118 infertile women who were treated with IVF-ET/ICSI in the Center of Reproductive Medicine of Tianjin Obstetrics and Gynecology Hospital were selected as the study group. At the same time, 50 married women were selected as the control group according to the principle of equilibrium, and the general situation, psychological status and marital quality were investigated and compared respectively. After entering the treatment cycle, the women in the study group were tested with psychological tests and plasma cortisol respectively over three periods of time. The results were as follows: 1. By comparing the general psychological status and marital quality of women in the study group and the control group, it was found that: The total mean score, obsessive-compulsive symptom, depression, anxiety, hostility and paranoid ideation of women in study group were higher than those in control group, but the scores of phobic factor were lower than those in control group. There was a statistical difference (p0.05), in which somatization was negatively correlated with the time of birth. The total score of five factors in the study group was higher than that in the control group. There was a significant difference between marriage satisfaction and conflict resolution, which was significantly better than that in control group (p 0.01). There was a negative correlation between reproductive time and sexual satisfaction.
【学位授予单位】：天津医科大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R714.8;R395

【引证文献】