本文關(guān)鍵詞：IVF-ET婦女的心理狀況、影響因素及臨床意義的研究　出處：《天津醫(yī)科大學(xué)》2006年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 體外受精-胚胎移植 焦慮 抑郁 婚姻質(zhì)量 皮質(zhì)醇

【摘要】：不孕癥是指育齡夫婦在無保護(hù)性生活1年以上未妊娠或生育者。“不孕癥”對(duì)大多數(shù)不育夫婦來說是一種心理創(chuàng)傷,是他們生活中經(jīng)歷的最有壓力的事件之一,導(dǎo)致他們出現(xiàn)情緒不穩(wěn)定和精神壓力。近年來,由于輔助生殖技術(shù)(assisted reproductive technology,ART)的發(fā)展,特別是體外受精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET),為不育夫婦提供了最后的希望。然而這項(xiàng)技術(shù)的實(shí)施同樣會(huì)帶給病人不同程度的心理壓力。IVF婦女心理問題的研究在國外已開展多年,但我國大部分研究僅限于心理問題調(diào)查和干預(yù)方法的一般探討,缺乏從心理學(xué)和臨床醫(yī)學(xué)相結(jié)合的角度進(jìn)行的深入研究。 本研究目的是通過調(diào)查我國IVF婦女的一般心理狀況、在治療周期中的心理變化特點(diǎn)、影響因素,并進(jìn)一步分析情緒反應(yīng)及相關(guān)因素與治療結(jié)局的關(guān)系,為達(dá)到增加治療依從性、減少退出率,最終提高受孕率,探索出適合我國現(xiàn)狀的臨床心理干預(yù)措施提供理論依據(jù)。 選取2005年3月～12月在天津市中心婦產(chǎn)科醫(yī)院生殖醫(yī)學(xué)中心進(jìn)行IVF-ET/ICSI治療的118位不孕癥婦女作為研究組,同期按均衡原則選取50例已婚婦女為對(duì)照組,分別進(jìn)行一般情況、心理狀況和婚姻質(zhì)量的調(diào)查和對(duì)照研究;再對(duì)進(jìn)入治療周期后的研究組婦女在三個(gè)時(shí)間段內(nèi)分別使用量表進(jìn)行心理測試和血漿皮質(zhì)醇激素測定,并作自身對(duì)照。結(jié)果如下: 1.通過研究組和對(duì)照組婦女的一般心理狀況和婚姻質(zhì)量調(diào)查對(duì)比發(fā)現(xiàn): 研究組婦女SCL-90的總均分、強(qiáng)迫癥狀、抑郁、焦慮、敵對(duì)、偏執(zhí)因子分值較對(duì)照組高,而恐怖因子分值較對(duì)照組低,有統(tǒng)計(jì)學(xué)差異(p0.05)。其中軀體化癥狀與擬生時(shí)間呈負(fù)相關(guān);研究組婦女婚姻質(zhì)量的5因子總分高于對(duì)照組,有統(tǒng)計(jì)學(xué)差異(p0.05)。其中婚姻滿意度和解決沖突方式明顯好于對(duì)照組(p0.01)。擬生育時(shí)間與性生活滿意度呈負(fù)相關(guān)。
[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.
【學(xué)位授予單位】：天津醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2006
【分類號(hào)】：R714.8;R395

【引證文獻(xiàn)】

相關(guān)碩士學(xué)位論文 前1條

1 洪瓊;異位妊娠患者診療過程心理狀況及相關(guān)因素分析[D];安徽醫(yī)科大學(xué);2012年

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本文編號(hào)：1388952