接受体外受精-卵胞浆内单精子注射治疗的女性在治疗不同阶段的焦虑和压力
Anxiety and Stress at Different Stages of Treatment in Women Undergoing Fertilization-Intracytoplasmic Sperm Injection.
作者信息
Awtani Manisha, Kapoor Gitanjali Kaur, Kaur Parveen, Saha Jayeeta, Crasta Diana, Banker Manish
机构信息
Counselor, Nova IVI Fertility, Ahmedabad, Gujarat, India.
Counselor, Nova IVI Fertility, Jalandhar, Punjab, India.
出版信息
J Hum Reprod Sci. 2019 Jan-Mar;12(1):47-52. doi: 10.4103/jhrs.JHRS_23_18.
AIM
The aim of the present study is to evaluate the state anxiety (the present state of mind), trait anxiety (general anxiety), as well as perceived stress in women undergoing fertilization (IVF) treatment at three stages: T1 (on the day of start of stimulation), T2 (on the day of embryo transfer), and T3 (10 days after embryo transfer). The data at T3 level were collected telephonically.
METHODOLOGY
The present study was carried out on 137 women undergoing IVF intracytoplasmic sperm injection cycle at four different clinics of four cities from October to April 2016. State-trait anxiety inventory (Spielberger) and perceived stress scale (Okun, .) were used as the tools.
STATISTICAL ANALYSIS
The analysis was done at two levels; descriptive and inferential (analysis of variance [ANOVA], Student's -test, Levene's test) using SPSS v16.
RESULTS
The state anxiety was higher at all the three levels than trait anxiety. The overt anxiety was highest at T3 level (mean = 45.77) followed by T1 level (mean = 44.23) and T2 level (mean = 43.04). Perceived stress was elevated at T1 level (mean = 17.93) followed by T3 level (mean = 17.28) and T2 level (mean = 16.72). The results of ANOVA showed a significant difference in anxiety among all the three levels ( = 0.036), but no significant difference was found for perceived stress ( = 0.169). -test revealed that there was a significant difference between state and trait anxiety at T1, T2, and T3 levels ( = 0.01, = 0.21, = 0.00, respectively). A significant difference was only seen between the T1 and T2 levels in perceived stress ( = 0.052). In state anxiety, a significant difference was observed only between T2 and T3 levels ( = 0.23).
CONCLUSION
It was observed that anxiety and stress are present in women throughout the treatment. The waiting period (T3) is the most anxious for them and their level of state anxiety is higher compared to their trait anxiety. Perceived stress is observed to be more on the day of start of stimulation followed by the waiting period.
目的
本研究旨在评估接受体外受精（IVF）治疗的女性在三个阶段的状态焦虑（当下的心理状态）、特质焦虑（一般焦虑）以及感知压力，这三个阶段分别为：T1（刺激开始日）、T2（胚胎移植日）和T3（胚胎移植后10天）。T3阶段的数据通过电话收集。
方法
本研究于2016年10月至4月在四个城市的四家不同诊所对137名接受IVF胞浆内单精子注射周期治疗的女性进行。使用状态-特质焦虑量表（斯皮尔伯格）和感知压力量表（奥昆等）作为工具。
统计分析
分析在两个层面进行；描述性分析和推断性分析（方差分析[ANOVA]、学生t检验、莱文检验），使用SPSS v16软件。
结果
所有三个阶段的状态焦虑均高于特质焦虑。明显焦虑在T3阶段最高（均值 = 45.77），其次是T1阶段（均值 = 44.23）和T2阶段（均值 = 43.04）。感知压力在T1阶段升高（均值 = 17.93），其次是T3阶段（均值 = 17.28）和T2阶段（均值 = 16.72）。方差分析结果显示，所有三个阶段的焦虑存在显著差异（P = 0.036），但感知压力未发现显著差异（P = 0.169）。t检验显示，T1、T2和T3阶段的状态焦虑与特质焦虑之间存在显著差异（分别为P = 0.01、P = 0.21、P = 0.00）。仅在T1和T2阶段的感知压力之间观察到显著差异（P = 0.052）。在状态焦虑方面，仅在T2和T3阶段观察到显著差异（P = 0.23）。
结论
观察发现，女性在整个治疗过程中都存在焦虑和压力。等待期（T3）对她们来说是最焦虑的时期，并且她们的状态焦虑水平高于特质焦虑水平。观察到感知压力在刺激开始日最高，其次是等待期。
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