Ghasemi Gojani Marzieh, Kordi Masoumeh, Asgharipour Negar, Esmaeili Habibollah
Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Research Center for Evidence-Based Health Care, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Int J Fertil Steril. 2018 Apr;12(1):13-18. doi: 10.22074/ijfs.2018.5155. Epub 2018 Jan 7.
The outcomes of fertility treatments are unpredictable, and levels of depressive symptoms increase in patients during the waiting period of the result of intrauterine insemination (IUI) treatment. The aim of this study was to compare the effects of a positive reappraisal coping intervention (PRCI) and problem-solving skills training (PSS) on depression during the waiting period of the result of IUI Treatment.
This randomized control clinical trial was done among 108 women undergoing IUI treatment. In the control group, the women received routine care. In the PRCI group, women attended two training sessions and were asked to complete coping thoughts cards and fill out daily monitoring forms during the waiting period. In the PSS group, PSS were taught over three sessions. The depression was measured by the beck depression inventory.
On the 10th day of the IUI waiting period, there were significant differences between the control group (21.42 ± 11.42) and the PSS group (12.52 ± 8.05) and PRCI groups (13.14 ± 9.7) (P<0.001), but no significant difference between the PRCI group and the PSS group.
According to the results of this randomized control trial there is no difference between a PRCI and PSS on depression during the waiting period of the result of IUI treatment. This suggests that both interventions can be used to help infertile women combat depression during the waiting period of the result of fertility treatments (Registration number: IRCT2016020926490N1).
生育治疗的结果不可预测，在宫腔内人工授精（IUI）治疗结果等待期，患者的抑郁症状水平会升高。本研究的目的是比较积极重新评价应对干预（PRCI）和问题解决技能训练（PSS）对IUI治疗结果等待期抑郁的影响。
这项随机对照临床试验在108名接受IUI治疗的女性中进行。对照组女性接受常规护理。PRCI组女性参加两次培训课程，并被要求在等待期填写应对想法卡片和每日监测表。PSS组通过三次课程教授PSS。采用贝克抑郁量表测量抑郁程度。
在IUI等待期的第10天，对照组（21.42±11.42）与PSS组（12.52±8.05）及PRCI组（13.14±9.7）之间存在显著差异（P<0.001），但PRCI组与PSS组之间无显著差异。
根据这项随机对照试验的结果，在IUI治疗结果等待期，PRCI和PSS对抑郁的影响没有差异。这表明这两种干预措施均可用于帮助不孕女性在生育治疗结果等待期对抗抑郁（注册号：IRCT2016020926490N1）。
