Ghasemi Marzieh, Kordi Masoumeh, Asgharipour Negar, Esmaeili Habibollah, Amirian Maliheh
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 Reprod Biomed. 2017 Nov;15(11):687-696.
Waiting period of fertility treatment is stressful, therefore it is necessary to use effective coping strategies to cope with waiting period of intrauterine insemination (IUI) treatment.
The aim of this study was comparing the effect of the positive reappraisal coping intervention (PRCI) with the problem-solving skills training (PSS) on the coping strategies of IUI waiting period, in infertile women referred to Milad Infertility Center in Mashhad.
In this randomized clinical trial, 108 women were evaluated into three groups. The control group received the routine care, but in PRCI group, two training sessions were held and they were asked to review the coping thoughts cards and fill out the daily monitoring forms during the waiting period, and in PSS group problem-solving skill were taught during 3 sessions. The coping strategies were compared between three groups on the 10 day of IUI waiting period.
Results showed that the mean score for problem-focused were significantly different between the control (28.54±9.70), PSS (33.71±9.31), and PRCI (30.74±10.96) (p=0.025) groups. There were significant differences between the PSS group and others groups, and mean emotion-focused were significantly different between the control (32.09±11.65), PSS (29.20±9.88), and PRCI (28.74±7.96) (p=0.036) groups. There were significant differences between the PRCI and the control group (p=0.047).
PSS was more effective to increase problem-focused coping strategies than PRCI, therefore it is recommended that this intervention should be used in infertility treatment centers.
生育治疗的等待期压力较大，因此有必要采用有效的应对策略来应对宫内人工授精（IUI）治疗的等待期。
本研究旨在比较积极重新评价应对干预（PRCI）与解决问题技能训练（PSS）对马什哈德米拉德不孕不育中心转诊的不孕女性在IUI等待期应对策略的影响。
在这项随机临床试验中，108名女性被分为三组进行评估。对照组接受常规护理，而PRCI组进行了两次培训课程，并要求她们在等待期查看应对想法卡片并填写每日监测表，PSS组在3次课程中教授解决问题的技能。在IUI等待期的第10天比较三组的应对策略。
结果显示，对照组（28.54±9.70）、PSS组（33.71±9.31）和PRCI组（30.74±10.96）之间以问题为中心的平均得分存在显著差异（p=0.025）。PSS组与其他组之间存在显著差异，对照组（32.09±11.65）、PSS组（29.20±9.88）和PRCI组（28.74±7.96）之间以情绪为中心的平均得分存在显著差异（p=0.036）。PRCI组与对照组之间存在显著差异（p=0.047）。
PSS在增加以问题为中心的应对策略方面比PRCI更有效，因此建议在不孕不育治疗中心采用这种干预措施。
