Lim Gaik Suan, Kayanoth Reshmi Karayan, Broekman Birit Fp, Chee Cornelia Yi
Department of Psychological Medicine, National University Hospital, Singapore.
Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore.
Singapore Med J. 2018 Jun;59(6):316-321. doi: 10.11622/smedj.2017076. Epub 2017 Jul 25.
This study aimed to investigate patients' evaluation of a compulsory pre-in vitro fertilisation (IVF) counselling session in Singapore and determine their attitudes towards attending a support group during IVF treatment.
464 patients due to undergo their first IVF treatment were recruited at the Clinic for Human Reproduction, National University Hospital, Singapore. Prior to IVF treatment, all patients attended a counselling session conducted by a clinical psychologist trained in infertility counselling. The Depression Anxiety Stress Scales 21 was used to measure patients' psychological symptoms of depression, anxiety and stress. A feedback form was administered after the session to determine their evaluation of the session and interest in attending a support group.
After the pre-IVF counselling session, 90.9% of patients reported that the session was useful, with over 80% of participants reporting that the session had helped them to better prepare for the IVF treatment, enhanced their coping and enabled them to better communicate their needs to their spouse. Overall, 64.1% of patients expressed interest in attending a support group, with male patients showing more interest. Financial resources and the level of psychological symptoms experienced were found to influence patients' motivation to attend a support group.
The single pre-IVF counselling session was well received and found to be useful by patients. Hence, it is recommended that IVF counselling be made an essential part of the holistic care given to patients undergoing IVF, particularly those who experience higher levels of distressing psychological symptoms.
本研究旨在调查新加坡患者对强制性体外受精(IVF)前咨询会议的评价,并确定他们对在IVF治疗期间参加支持小组的态度。
在新加坡国立大学医院人类生殖诊所招募了464名即将接受首次IVF治疗的患者。在IVF治疗前,所有患者都参加了由一名接受过不孕咨询培训的临床心理学家主持的咨询会议。使用抑郁焦虑压力量表21来测量患者的抑郁、焦虑和压力等心理症状。会议结束后发放了一份反馈表,以确定他们对会议的评价以及参加支持小组的兴趣。
在IVF前咨询会议后,90.9%的患者报告该会议有用,超过80%的参与者表示该会议帮助他们更好地为IVF治疗做准备,增强了他们的应对能力,并使他们能够更好地与配偶沟通自己的需求。总体而言,64.1%的患者表示有兴趣参加支持小组,男性患者表现出更高的兴趣。发现财务资源和所经历的心理症状水平会影响患者参加支持小组的积极性。
单次IVF前咨询会议受到患者好评,且被认为有用。因此,建议将IVF咨询作为接受IVF治疗患者整体护理的重要组成部分,特别是那些经历较高程度痛苦心理症状的患者。