Effects of cognitive behavioral therapy on the psychological status and assisted reproductive outcomes of obese women with polycystic ovary syndrome
认知行为疗法对肥胖型多囊卵巢综合征不孕妇女心理状态和辅助生殖结局的影响

摘要

目的 探究认知行为疗法对肥胖型多囊卵巢综合征不孕妇女心理状态和对辅助生殖的影响。方法 本次对照实验中，共选取了74例肥胖型多囊卵巢综合征不孕妇女患者作为研究对象，按照随机数字法将其分配为参照组和研究组，每组37例患者，其中参照组使用常规护理，研究组则在常规护理方式的基础上增加认知行为疗法，并于护理后对比两组患者的STAI评分、辅助生殖治疗结局。结果 使用认知行为疗法的研究组，产妇特质焦虑评价（34.12±5.63）分，进入周期前（39.83±8.14）分，胚胎移植后（28.53±7.62）分；应用常规护理的参照组，产妇特质焦虑评价、进入周期前、胚胎移植后的STAI评分分别为（31.82±7.31）分、（41.29±9.86）分、（43.28±8.66）分，使用认知行为疗法的研究组，其STAI评分显著优于参照组，且数据间有明显统计学意义，（P＜0.05）。其次，研究组产妇的辅助生殖治疗结局也明显优于参照组，具有统计学意义，（P＜0.05）。结论 对肥胖型多囊卵巢综合征不孕妇女使用认知行为疗法来进行针对性的护理干预，可有效达到缓解患者病症，疏导心理状态的效果。

Abstract

Objective: To explore the effect of cognitive behavioral therapy on obese women with polycystic ovary syndrome and their psychological status and assisted reproduction.
Methods: In this controlled experiment, a total of 74 obese polycystic ovary syndrome infertile women were selected as the research object, and they were assigned to the reference group and the research group according to the random number method, 37 patients in each group, of which the reference The group used routine care, and the research group added cognitive behavioral therapy based on the conventional care, and compared the STAI score and assisted reproductive treatment outcomes of the two groups of patients after care.
Results: In the study group using cognitive behavioral therapy, the maternal trait anxiety evaluation (34.12 ± 5.63) points, before entering the cycle (39.83 ± 8.14) points, after embryo transfer (28.53 ± 7.62) points; the reference group applying routine care, maternal The trait anxiety evaluation, the STAI scores before entering the cycle and after embryo transfer were (31.82 ± 7.31) points, (41.29 ± 9.86) points, (43.28 ± 8.66) points. The study group using cognitive behavioral therapy had a significant STAI score It is better than the reference group, and there is obvious statistical significance between the data (P <0.05). Secondly, the outcomes of assisted reproductive treatment for women in the study group were also significantly better than those in the reference group, with statistical significance (P <0.05).
Conclusion  : The use of cognitive behavioral therapy for obese women with polycystic ovary syndrome to carry out targeted nursing intervention can effectively achieve the effect of alleviating the patient's illness and guiding the psychological state.