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《体外受精治疗中夫妇的合作与应对增强计划:一项干预研究》。

A Partnership and Coping Enhancement Program for Couples Undergoing In Vitro Fertilization Treatment: An Intervention Study.

机构信息

a School of Nursing , Zhejiang Chinese Medical University , Hangzhou , Zhejiang , China.

b School of Nursing , The Hong Kong Polytechnic University , Hong Kong , China.

出版信息

J Sex Marital Ther. 2018;44(6):533-551. doi: 10.1080/0092623X.2017.1420716. Epub 2018 Feb 15.

Abstract

This is a feasibility study to examine the effects of a partnership and coping enhancement program (PCEP) on improving the psychological well-being and marital functions of couples undergoing in vitro fertilization treatment. A total of 100 couples were recruited consecutively and assigned to a PCEP intervention group or a routine care control group. The couples in the PCEP group received an additional face-to-face, couple-based, 90-minute session on enhancing partnership and coping on the day of the embryo transfer (ET). The outcome measures were assessed at baseline (T0), 10 days after the ET (T1), and one month after the ET (T2). The level of anxiety of the women was lower in the intervention than in the control group at T1. Significant improvements in partnership and dyadic coping were seen in women at T2. The men of infertile couples reported a significant improvement in the scores for partnership at T2. The PCEP had no significant effects on marital satisfaction and marital adjustment for both the females and males of the infertile couples. The findings indicated that the PCEP is feasible and acceptable. Before a larger simple-size randomized controlled trial with participants drawn from multiple reproductive medical centers is conducted to further confirm its effectiveness.

摘要

这是一项可行性研究,旨在探讨合作与应对增强计划(PCEP)对改善接受体外受精治疗的夫妇的心理健康和婚姻功能的影响。共有 100 对夫妇连续招募,并分为 PCEP 干预组和常规护理对照组。PCEP 组的夫妇在胚胎移植(ET)当天额外接受了一次面对面、夫妻为基础的 90 分钟增强合作和应对的课程。在基线(T0)、ET 后 10 天(T1)和 ET 后一个月(T2)评估了结局指标。在 T1 时,干预组女性的焦虑水平低于对照组。在 T2 时,女性的合作和对偶应对能力显著提高。不孕夫妇的男性报告说,在 T2 时,他们对合作的评分有显著提高。PCEP 对不孕夫妇的女性和男性的婚姻满意度和婚姻调整都没有显著影响。研究结果表明,PCEP 是可行和可接受的。在进行更大规模的简单大小随机对照试验之前,需要从多个生殖医学中心招募参与者,以进一步证实其有效性。

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