摘要
Abstract
Objective To explore the effect of mental health management system on pregnancy outcomes of patients receiving in vitro fertilization and embryo transfer ( IVF-ET) .Methods Patients treated with IVF-ET in Xingtai Infertility Specialist Hospital from July 2015 to June 2016 were retrospectively analyzed .All patients were assessed with self-rating anxiety scale ( SAS) and self-rating depression scale (SDS).A total of 220 patients with scores of SAS and SDS above 50 were screened out and randomly divided into two groups , with 110 cases in each group .Group A was experimental group accepting reproductive mental health management system , and group B was control group using no special treatment .All patients adopted diphereline long luteal phase scheme .Experiment began at 2 weeks before patients getting into IVF medication cycle , and ended at 4 weeks after transplantation when clinical pregnancy was determined .Results of SDS, SAS and pregnancy outcomes in two groups were compared .Results After intervention , results of SDS and SAS in group A were significantly lower than those in group B (F value was 285.936 and 410.133, respectively, both P<0.05).Scores of SAS and SDS in group A showed statistically significant differences before and after intervention (t value was 19.137 and 18.139, respectively, both P<0.05).There were no significant differences in age , duration of infertility, body mass index (BMI), basic follicle stimulating hormone (FSH) value, down regulation days, gonadotropin (Gn) days, luteinizing hormone (LH), estradiol (E2) and progesterone (P) on HCG day, endometrial thickness , number of oocytes retrieved and number of embryos transferred between two groups .Multivariate analysis of variance was used to exclude influence of above factors , and results showed that number of high quality embryos and clinical pregnancy rate in group A were significantly higher than those in group B (F=4.640,P<0.05; χ2 =3.189,P<0.05).Conclusion Mental health management system plays a positive role in improving emotions of IVF-ET patients , and may boost patient ' s clinical pregnancy rate .关键词
IVF-ET/心理健康管理系统/焦虑/抑郁/妊娠率Key words
in vitro fertilization and embryo transfer ( IVF-ET)/mental health management system/anxiety/depression/pregnancy rate分类
医药卫生
