摘要
目的探讨输卵管阻塞性不孕症患者应用支持性心理治疗后的效果。方法采用随机数字表法将我院97例输卵管阻塞性不孕症患者分组,对照组48例患者给予宫腹腔镜术治疗,观察组49例患者在对照组基础上增加支持性心理治疗,观察两组患者治疗后焦虑抑郁情绪、睡眠质量、应对方式、生活质量变化,并对比术后两组患者输卵管通畅率及术后1年妊娠率。结果治疗后,观察组的SAS、SDS、PSQI评分以及MCMQ的回避、屈服项评分均低于对照组,而MCMQ的面对项、FertuQOL评分评分均高于对照组(P<0.05);两组患者术后输卵管通畅率及成功妊娠率没有明显差别(P>0.05)。结论支持性心理治疗能够有效缓解输卵管阻塞性不孕症患者的焦虑抑郁情绪,改善患者应对方式,提升睡眠和生活质量。
Objective To analyze the effect of supportive psychotherapy in patients with tubal obstructive infertility.Methods 97 patients with obstructive fallopian tube infertility in our hospital were divided into two groups by the random number table method.48 patients in the control group were treated with hysteroscopy,and 49 patients in the observation group added supportive psychotherapy on the basis of the control group.The anxiety/depression level,sleep quality,coping style,and quality of life were compared between two groups,and the fallopian tube patency rate and the 1-year pregnancy rate after operation were investigated.Results After treatment,the scores of SAS,SDS,PSQI and the avoidance and yield items scores in MCMQ in the observation group were lower than those in the control group(P<0.05).There were no different in patency rate and successful pregnancy rate between two groups(P>0.05).Conclusion Supportive psychotherapy can effectively relieve anxiety and depression of patients with obstructive tubal obstructive infertility,improve patients'coping style,establish a good mentality,and improve sleep quality and quality of life.
作者
栗浩然
相元翠
刘会敏
王雅莉
LI Haoran;XIANG Yuancui;LIU Huimin(Department of Obstetrics and Gynecology,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450001,China)
出处
《国际精神病学杂志》
2021年第1期115-118,共4页
Journal Of International Psychiatry
关键词
支持性心理治疗
输卵管阻塞性不孕症
负性情绪
应对方式
Supportive psychotherapy
Fallopian tube obstructive infertility
Negative emotion
Coping style
