Gojani Marziyeh Ghasemi, Kordi Masoume, Asgharipour Negar, Esmaeili Habibollah, Amirian Maliheh, Eskandarnia Elnaze
Department of Midwifery, School of Nursing and Midwifery, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Midwifery, School of Nursing and Midwifery, Evidence-Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
J Educ Health Promot. 2017 Dec 4;6:107. doi: 10.4103/jehp.jehp_20_17. eCollection 2017.
Using fertility treatment will cause high levels of anxiety and depression. The study was carried out with the objective of determining the effect of problem-solving skills (PSS) training on mental health and the success of treatment of infertile women under intrauterine insemination (IUI) treatment.
this randomized clinical trial was carried out on 72 women referring to Milad Infertility Center in Mashhad. Individuals were randomly assigned into control and intervention groups. PSS were taught in three sessions in the intervention group, and the control group received usual care. The success rate of therapy and the mean of anxiety and depression on the day of IUI operation were compared using the Beck Depression Inventory and Spielberger Anxiety Inventory in both groups. -test, Mann-Whitney, paired -test, Wilcoxon, and Chi-square tests were used to analyze the data.
on the day of IUI operation, the mean score of state anxiety in the control group(5 0. 11 ± 8.51) and PSS (68.12 ± 11.49) was significant ( < 0.001), trait anxiety in the control group (46.41 ± 8.70) and PSS (44.00 ± 9.92) was significant ( < 0.001), and depression in the control group (17.44 ± 11.70) and PSS (12.99 ± 8.99) was significant ( < 0.001); however, the success of treatment in both groups (14.7% and PSS (26.5%) was not significantly different ( = 0.230).
Considering the effect of problem-solving on reducing anxiety and depression, it is suggested that infertility center of this intervention should be used.
使用生育治疗会导致高度焦虑和抑郁。本研究旨在确定解决问题技能（PSS）培训对接受宫内人工授精（IUI）治疗的不孕女性心理健康及治疗成功率的影响。
本随机临床试验对72名转诊至马什哈德米拉德不孕中心的女性进行。个体被随机分为对照组和干预组。干预组分三个阶段教授解决问题技能，对照组接受常规护理。使用贝克抑郁量表和斯皮尔伯格焦虑量表比较两组在IUI手术当天的治疗成功率以及焦虑和抑郁均值。采用t检验、曼-惠特尼检验、配对t检验、威尔科克森检验和卡方检验分析数据。
在IUI手术当天，对照组的状态焦虑平均得分（50.11±8.51）与解决问题技能组（68.12±11.49）有显著差异（P<0.001），对照组的特质焦虑（46.41±8.70）与解决问题技能组（44.00±9.92）有显著差异（P<0.001），对照组的抑郁（17.44±。然而，两组的治疗成功率（分别为14.7%和解决问题技能组为26.5%）无显著差异（P=0.230）。
考虑到解决问题对减轻焦虑和抑郁的作用，建议该干预措施应用于不孕中心。
