正念減壓法對糖尿病試管嬰兒孕婦的心理及知覺壓力作用觀察

[摘要] 目的 探析正念減壓法（MBSR）對糖尿病試管嬰兒孕婦的心理狀態(tài)和知覺壓力作用。方法 將2018年6月—2019年6月在該院接收的800例糖尿病試管嬰兒孕婦納入觀察研究中，通過隨著數(shù)字表法分成實(shí)驗(yàn)組和對照組，均為400例;兩組均給予糖尿病干預(yù)，對照組開展常規(guī)孕期護(hù)理，實(shí)驗(yàn)組同時(shí)采用MBSR，應(yīng)用心理狀態(tài)評估量表（MSSNS）、知覺壓力量表（CPSS）評測護(hù)理前后孕婦心理狀態(tài)和知覺壓力，隨訪掌握兩組血糖控制率和試管嬰兒成功率。結(jié)果 護(hù)理后測評，兩組孕婦的MSSNS、CRSS評分均有降低，但實(shí)驗(yàn)組更低于對照組（P<0.05）;實(shí)驗(yàn)組血糖控制率為94.50%，顯著高于對照組的85.75%（P<0.05）;兩組試管嬰兒成功率差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。結(jié)論 對糖尿病試管嬰兒孕婦開展MBSR干預(yù)，有助于改善心理狀態(tài)，減輕知覺壓力，穩(wěn)定血糖水平，對試管嬰兒有積極作用。

[關(guān)鍵詞] 正念減壓療法;試管嬰兒;糖尿病;心理狀態(tài);知覺壓力

[中圖分類號] R47? ? ? ? ? [文獻(xiàn)標(biāo)識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）02（a）-0175-03

Observation on Psychological and Perceived Stress of Diabetic IVF Pregnant Women by Mindfulness Decompression

LIU Fang

Reproductive Medicine Center， Army 73rd Military Hospital， Chinese People's Liberation Army， Xiamen， Fujian Province， 361000 China

[Abstract] Objective To analyze the effects of mindfulness decompression method （MBSR） on the psychological status and perceived stress of diabetic IVF pregnant women. Methods 800 cases of diabetic IVF pregnant women received in the hospital from June 2018 to June 2019 were included in the observational study. They were divided into experimental group and control group with the numerical table method， both of which were 400 cases. Two groups were given diabetes intervention. The control group carried out routine pregnancy nursing. The experimental group also adopted MBSR. The psychological state assessment scale（MSSNS） and the perceptual stress scale （CPSS）， and IVF success rates were used to evaluate the psychological status and perceptual pressure of pregnant women before and after nursing. Results After evaluation， the MSSNS and CRSS scores of the two groups of pregnant women decreased， but the experimental group was lower than the control group（P<0.05）; the blood glucose control rate of the experimental group was 94.50%， which was significantly higher than the control group's 85.75%（P<0.05）; there was no statistically significant difference in the success rate of IVF between the two groups（P>0.05）. Conclusion MBSR intervention for pregnant women with diabetic IVF can help to improve their mental state， reduce their perceptual pressure， stabilize blood glucose levels， and have a positive effect on IVF.

[Key words] Mindfulness decompression therapy; IVF; Diabetes; Psychological state; Perceived stress

近年來，隨著二孩政策的實(shí)施，越來越多高齡婦女面臨生育障礙問題，而試管嬰兒是當(dāng)前治療不孕癥重要手段，日益被人所接受。對于患有糖尿病并不孕女性而言，試管嬰兒的風(fēng)險(xiǎn)較大，即便受孕成功孕婦也會(huì)承受很大壓力，擔(dān)心自身病情影響妊娠，而易出現(xiàn)不良心理，心理壓力增大，不利于試管嬰兒成功。因而，在積極干預(yù)糖尿病同時(shí)，必須密切注意患者心理狀態(tài)，及時(shí)給予針對性護(hù)理干預(yù)，以減輕患者心理壓力，穩(wěn)定血糖，提高試管嬰兒成功性。正念是一種覺知力，其核心在于注意力集中于當(dāng)下，并對當(dāng)下所表現(xiàn)的一切觀念均不評價(jià)。MBSR就是基于正念的系統(tǒng)性冥想訓(xùn)練。……