Effects of Using a Nursing Crisis Intervention Program on Psychosocial Responses and Coping Strategies of Infertile Women during in Vitro Fertilization
不孕及其治療皆可能引發不孕婦女生活上之危機。本研究目的在於評估所發展的危機處置護理模式，針對接受試管嬰兒治療之不孕婦女，降低其在不同治療階段之身心社會壓力反應程度與增強因應策略。本研究採實驗式研究法，隨機分派接受試管嬰兒治療之不孕婦女為實驗組及控制組。實驗組於開始接受治療階段 (週期第三天)第一次收集資料後以危機處置護理模式介入，此介入模式包括播放試管嬰兒治療過程錄影帶、以錄音帶教導個案自我暗示及肌肉放鬆技巧及個別認知行為諮商，並於胚胎植入階段及驗孕前階段再重複施以測量。控制組則按常規予以護理。以重複測量進行統計分析。結果顯示：實驗組不孕婦女之「人際關係」心理社會壓力反應有降低趨勢，介入之效...
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| Published in | The Journal of Nursing Research Vol. 11; no. 3; pp. 197 - 208 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
China (Republic : 1949- )
台灣護理學會
01.09.2003
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1682-3141 |
| DOI | 10.1097/01.jnr.0000347636.95347.f8 |
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| Abstract | 不孕及其治療皆可能引發不孕婦女生活上之危機。本研究目的在於評估所發展的危機處置護理模式，針對接受試管嬰兒治療之不孕婦女，降低其在不同治療階段之身心社會壓力反應程度與增強因應策略。本研究採實驗式研究法，隨機分派接受試管嬰兒治療之不孕婦女為實驗組及控制組。實驗組於開始接受治療階段 (週期第三天)第一次收集資料後以危機處置護理模式介入，此介入模式包括播放試管嬰兒治療過程錄影帶、以錄音帶教導個案自我暗示及肌肉放鬆技巧及個別認知行為諮商，並於胚胎植入階段及驗孕前階段再重複施以測量。控制組則按常規予以護理。以重複測量進行統計分析。結果顯示：實驗組不孕婦女之「人際關係」心理社會壓力反應有降低趨勢，介入之效果與不同治療階段有交互作用，其餘之各項身心社會壓力反應在二組間並沒有統計上之顯著差異。兩組婦女「情境焦慮」及「面對問題」、「隔離心思／緩和身體」之因應方式有階段上之顯著差異。實驗組個案主觀感覺介入措施對減輕困擾及壓力有幫助。本研究所建立之危機處置護理模式可供臨床護理實務之參考。 |
|---|---|
| AbstractList | 不孕及其治療皆可能引發不孕婦女生活上之危機。本研究目的在於評估所發展的危機處置護理模式，針對接受試管嬰兒治療之不孕婦女，降低其在不同治療階段之身心社會壓力反應程度與增強因應策略。本研究採實驗式研究法，隨機分派接受試管嬰兒治療之不孕婦女為實驗組及控制組。實驗組於開始接受治療階段 (週期第三天)第一次收集資料後以危機處置護理模式介入，此介入模式包括播放試管嬰兒治療過程錄影帶、以錄音帶教導個案自我暗示及肌肉放鬆技巧及個別認知行為諮商，並於胚胎植入階段及驗孕前階段再重複施以測量。控制組則按常規予以護理。以重複測量進行統計分析。結果顯示：實驗組不孕婦女之「人際關係」心理社會壓力反應有降低趨勢，介入之效果與不同治療階段有交互作用，其餘之各項身心社會壓力反應在二組間並沒有統計上之顯著差異。兩組婦女「情境焦慮」及「面對問題」、「隔離心思／緩和身體」之因應方式有階段上之顯著差異。實驗組個案主觀感覺介入措施對減輕困擾及壓力有幫助。本研究所建立之危機處置護理模式可供臨床護理實務之參考。 Infertility and its treatment may cause life crises in infertile women. The purpose of this study is to evaluate the effects of a crisis intervention program on improving psychosocial responses and enhancing coping strategies for infertile women attending different stages of an In-Vitro Fertilization V Embryo Transfer (IVF-ET) treatment program. Using an experimental study design, infertile women attending an IVF-ET treatment program were randomly assigned to experimental and control groups. In the experimental group, infertile women completed and answered a questionnaire and received nursing crisis intervention at the initial stage of treatment (day 3). This included (1). viewing a video explaining the therapeutic process of IVF-ET, (2). self-hypnosis and muscle relaxation training, and (3). provision of cognitive-behavioral counseling. The same questionnaire was used again for subjects at the stage of embryo transfer and before taking a pregnancy test. The women in the control group were only interviewed using the same questionnaire and at the same times as the experimental group. Analysis by repeated measurement ANOVA demonstrated that there was a reduction in psychosocial response in terms of interpersonal relationships, and there was an interaction between intervention effects and stage of treatment. However, there was no statistically significant difference in the level of psychosocial responses between the experimental and control groups although some meaningful findings were made. However, in terms of state of anxiety, confrontational problems, and isolated mind/body relaxation, there were significant differences between the two groups of infertile women at some stages of IVF-ET treatment. The women in the experimental group perceived a positive effect of the nursing intervention in relieving their psychosocial responses. The results of this nursing crisis intervention could be helpful in nursing practice when dealing with infertile women attending IVF treatment programs.Infertility and its treatment may cause life crises in infertile women. The purpose of this study is to evaluate the effects of a crisis intervention program on improving psychosocial responses and enhancing coping strategies for infertile women attending different stages of an In-Vitro Fertilization V Embryo Transfer (IVF-ET) treatment program. Using an experimental study design, infertile women attending an IVF-ET treatment program were randomly assigned to experimental and control groups. In the experimental group, infertile women completed and answered a questionnaire and received nursing crisis intervention at the initial stage of treatment (day 3). This included (1). viewing a video explaining the therapeutic process of IVF-ET, (2). self-hypnosis and muscle relaxation training, and (3). provision of cognitive-behavioral counseling. The same questionnaire was used again for subjects at the stage of embryo transfer and before taking a pregnancy test. The women in the control group were only interviewed using the same questionnaire and at the same times as the experimental group. Analysis by repeated measurement ANOVA demonstrated that there was a reduction in psychosocial response in terms of interpersonal relationships, and there was an interaction between intervention effects and stage of treatment. However, there was no statistically significant difference in the level of psychosocial responses between the experimental and control groups although some meaningful findings were made. However, in terms of state of anxiety, confrontational problems, and isolated mind/body relaxation, there were significant differences between the two groups of infertile women at some stages of IVF-ET treatment. The women in the experimental group perceived a positive effect of the nursing intervention in relieving their psychosocial responses. The results of this nursing crisis intervention could be helpful in nursing practice when dealing with infertile women attending IVF treatment programs. Infertility and its treatment may cause life crises in infertile women. The purpose of this study is to evaluate the effects of a crisis intervention program on improving psychosocial responses and enhancing coping strategies for infertile women attending different stages of an In-Vitro Fertilization V Embryo Transfer (IVF-ET) treatment program. Using an experimental study design, infertile women attending an IVF-ET treatment program were randomly assigned to experimental and control groups. In the experimental group, infertile women completed and answered a questionnaire and received nursing crisis intervention at the initial stage of treatment (day 3). This included (1). viewing a video explaining the therapeutic process of IVF-ET, (2). self-hypnosis and muscle relaxation training, and (3). provision of cognitive-behavioral counseling. The same questionnaire was used again for subjects at the stage of embryo transfer and before taking a pregnancy test. The women in the control group were only interviewed using the same questionnaire and at the same times as the experimental group. Analysis by repeated measurement ANOVA demonstrated that there was a reduction in psychosocial response in terms of interpersonal relationships, and there was an interaction between intervention effects and stage of treatment. However, there was no statistically significant difference in the level of psychosocial responses between the experimental and control groups although some meaningful findings were made. However, in terms of state of anxiety, confrontational problems, and isolated mind/body relaxation, there were significant differences between the two groups of infertile women at some stages of IVF-ET treatment. The women in the experimental group perceived a positive effect of the nursing intervention in relieving their psychosocial responses. The results of this nursing crisis intervention could be helpful in nursing practice when dealing with infertile women attending IVF treatment programs. |
| Author | 李淑杏(Shu-Hsin Lee) |
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| Keywords | 不孕 危機處置護理模式 in-vitro fertilization 試管嬰兒治療 infertility 心理社會反應 nursing crisis intervention program psychosocial response |
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| Snippet | 不孕及其治療皆可能引發不孕婦女生活上之危機。本研究目的在於評估所發展的危機處置護理模式，針對接受試管嬰兒治療之不孕婦女，降低其在不同治療階段之身心社會壓力反應程... Infertility and its treatment may cause life crises in infertile women. The purpose of this study is to evaluate the effects of a crisis intervention program... |
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| SubjectTerms | Adaptation, Psychological Adult Analysis of Variance Crisis Intervention Demography Female Fertilization in Vitro - nursing Fertilization in Vitro - psychology Health Knowledge, Attitudes, Practice Humans Hypnosis Infertility - etiology Infertility - nursing Infertility - psychology Male Nursing Methodology Research Outcome and Process Assessment (Health Care) Relaxation Therapy Surveys and Questionnaires |
| Title | Effects of Using a Nursing Crisis Intervention Program on Psychosocial Responses and Coping Strategies of Infertile Women during in Vitro Fertilization |
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