国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2016, Vol. 35 ›› Issue (5): 372-374.

• 论著 • 上一篇    下一篇

好孕课堂改善IVF助孕患者情绪状态及患者满意度

张宇晖，韩笑，常琼，陈圆辉，张翠莲   

  1. 450003 郑州，河南省人民医院生殖医学中心
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-10-25 发布日期:2016-10-25
  • 通讯作者: 张翠莲

Reproductive Medical Lessons Improve Emotional Status and Satisfaction of Patients Undergoing IVF Treatment

ZHANG Yu-hui, HAN Xiao, CHANG Qiong, CHEN Yuan-hui, ZHANG Cui-lian   

  1. Reproductive Center, Henan Provincial People′s Hospital, Zhengzhou 450003, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-10-25 Online:2016-10-25
  • Contact: ZHANG Cui-lian

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摘要： 目的：探讨开展好孕课堂对改善体外受精-胚胎移植（IVF-ET）助孕患者情绪状态、患者满意度及其妊娠结局的作用。方法：随机选择2014年12月—2015年12月在河南省人民医院生殖中心接受IVF助孕治疗并参加好孕课堂的新鲜周期移植患者512例，根据参加好孕课堂次数将其分为3组，A组患者共68例（参加好孕课堂次数为0次）；B组患者共260例（参加好孕课堂次数≤4次），C组患者共184例（8次好孕课堂全部参加）。比较3组患者焦虑与抑郁情绪状态、患者满意度及妊娠结局。结果：3组患者焦虑及抑郁状态评分C组＜B组＜A组（P＜0.05），而患者满意度B组与C组均显著高于A组（P＜0.001），3组生化妊娠率、临床妊娠率及早期流产率间比较差异无统计学意义（均P＞0.05）。结论：开展好孕课堂可显著改善IVF助孕患者的情绪状态，提高患者满意度，值得临床推广。

关键词: 受精, 体外, 胚胎移植, 情绪, 病人满意度, 好孕课堂

Abstract: Objective: To investigate the salutary effect of the reproductive medical lessons on emotional state and satisfaction degree of patients undergoing IVF treatment. Methods: A total of 512 patients who underwent IVF treatment and joined the reproductive medical lessons were retrospectively analyzed from Dec. 2014 to Dec. 2015 in our center. Patients were divided into three groups according to the times for attending the lessons. Patients in the group A （68 patients） attend for 0 times, patients in the group B （260 patients） attend for less than or equal to 4 times, while patients in the group C （１８４ ｐａｔｉｅｎｔｓ） attend for 8 times. The emotional state, satisfaction degree and pregnancy outcomes were compared. Results: The score of anxiety and depression is highest in the group A and lowest in the group C （P＜0.05）, while the satisfaction degree in the group B or C is higher than that in the group A（P＜0.001）. There was no difference in the biochemical pregnancy rate, clinical pregnancy rate and early abortion rate among the three groups （P＞0.05）. Conclusions: The reproductive medical lessons can significantly improve the emotional state and satisfaction degree of patients undergoing IVF treatment. It is benefit to extend the reproductive medical lessons in ART centers.

Key words: Fertilization in vitro, Embryo transfer, Emotions, Patient satisfaction, Reproductive medical lessons