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在印度一家学术医疗中心利用综合医疗服务解决围绕不孕症的心理问题。

The Use of Integrative Medical Services to Address Psychological Concerns around Infertility in an Indian Academic Medical Centre.

作者信息

Nayak Hita, Gerstl Brigitte, Sharma Neha, Appaneravanda Lohith Chengappa, Gunasheela Devika

机构信息

Department of Reproductive Medicine, Gunasheela Surgical and Maternity Hospital, Bengaluru, Karnataka, India.

Department of Biostatistics, The Kirby Institute, University of New South Wales, Sydney, Australia.

出版信息

J Hum Reprod Sci. 2022 Apr-Jun;15(2):171-176. doi: 10.4103/jhrs.jhrs_188_21. Epub 2022 Jun 30.

Abstract

BACKGROUND

Alternative and complementary therapies have been gaining popularity as ways to reduce anxiety in patients.

AIM

This study aimed to assess whether yoga and meditation could decrease the severity of anxiety in Indian women diagnosed with infertility Study.

STUDY SETTING AND DESIGN

This was a retrospective data analysis of anxiety score of 354 women undergoing treatment at a tertiary infertility hospital between January 2016 and December 2018.

MATERIALS AND METHOD

Women participated in group yoga, meditation and counselling therapy intervention during their treatment period. A self-reported questionnaire that used the Generalised Anxiety Disorder-7 criteria measured the participants' severity of anxiety at the start of and again at the end of the intervention.

STATISTICAL ANALYSIS

Demographic analysis and a two-tailed paired -test were applied between groups.

RESULTS

The results indicated that there was a statistically significant mean reduction (7.3 ± 2.7) in the anxiety scores of the participants between entry (12.94 ± 2.65) and following exposure (5.39 ± 1.99) to the intervention ( < 0.0001). The mean reduction in scores remained similar between participants who received ≤6 sessions (7.50 ± 2.68) and participants who received >6 sessions (7.10 ± 2.64) ( > 0.05). Among the participants that experienced mild anxiety at baseline ( = 43), 72.1% ( = 31) reported experiencing minimal anxiety following the intervention ( < 0.0001). Among those that experienced moderate anxiety at baseline ( = 213), 32.4% ( = 69) reported experiencing minimal anxiety post-intervention ( < 0.0001). Participants who expressed severe anxiety at baseline ( = 94, 26.6%), reported experiencing minimal anxiety (13.8% [ = 13)], mild anxiety (81.9% [ = 77]) and moderate anxiety (4.3% [ = 4]) after exposure to the intervention ( < 0.0001). None of the participants reported experiencing severe anxiety post-intervention.

CONCLUSION

The benefits of alternative anxiety-reduction therapies for women diagnosed with infertility have been demonstrated in this study. These therapies can be used to complement the routine treatment of such patients.

摘要

背景

替代疗法和补充疗法作为减轻患者焦虑的方法越来越受欢迎。

目的

本研究旨在评估瑜伽和冥想是否能减轻被诊断为不孕症的印度女性的焦虑严重程度。

研究背景与设计

这是一项对2016年1月至2018年12月期间在一家三级不孕医院接受治疗的354名女性的焦虑评分进行的回顾性数据分析。

材料与方法

女性在治疗期间参加了团体瑜伽、冥想和咨询治疗干预。一份使用广泛性焦虑障碍-7标准的自我报告问卷在干预开始时和结束时测量了参与者的焦虑严重程度。

统计分析

在组间进行人口统计学分析和双尾配对检验。

结果

结果表明,参与者的焦虑评分在进入时(12.94±2.65)和接受干预后(5.39±1.99)有统计学意义的平均降低(7.3±2.7)(P<0.0001)。接受≤6次治疗的参与者(7.50±2.68)和接受>6次治疗的参与者(7.10±2.64)之间的评分平均降低相似(P>0.05)。在基线时经历轻度焦虑的参与者中(n = 43),72.1%(n = 31)报告在干预后经历最小焦虑(P<0.0001)。在基线时经历中度焦虑的参与者中(n = 213),32.4%(n = 69)报告在干预后经历最小焦虑(P<0.0001)。在基线时表达严重焦虑的参与者中(n = 94,26.6%),报告在接受干预后经历最小焦虑(13.8%[n = 13])、轻度焦虑(81.9%[n = 77])和中度焦虑(4.3%[n = 4])(P<0.0001)。没有参与者报告在干预后经历严重焦虑。

结论

本研究证明了替代焦虑减轻疗法对被诊断为不孕症的女性的益处。这些疗法可用于补充此类患者的常规治疗。

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