[摘要] 目的 探析正念减压法（MBSR）对糖尿病试管婴儿孕妇的心理状态和知觉压力作用。方法 将2018年6月—2019年6月在该院接收的800例糖尿病试管婴儿孕妇纳入观察研究中，通过随着数字表法分成实验组和对照组，均为400例;两组均给予糖尿病干预，对照组开展常规孕期护理，实验组同时采用MBSR，应用心理状态评估量表（MSSNS）、知觉压力量表（CPSS）评测护理前后孕妇心理状态和知觉压力，随访掌握两组血糖控制率和试管婴儿成功率。结果 护理后测评，两组孕妇的MSSNS、CRSS评分均有降低，但实验组更低于对照组（P<0.05）;实验组血糖控制率为94.50%，显著高于对照组的85.75%（P<0.05）;两组试管婴儿成功率差异无统计学意义（P>0.05）。结论 对糖尿病试管婴儿孕妇开展MBSR干预，有助于改善心理状态，减轻知觉压力，稳定血糖水平，对试管婴儿有积极作用。

[关键词] 正念减压疗法;试管婴儿;糖尿病;心理状态;知觉压力

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）02（a）-0175-03

Observation on Psychological and Perceived Stress of Diabetic IVF Pregnant Women by Mindfulness Decompression

LIU Fang

Reproductive Medicine Center， Army 73rd Military Hospital， Chinese People's Liberation Army， Xiamen， Fujian Province， 361000 China

[Abstract] Objective To analyze the effects of mindfulness decompression method （MBSR） on the psychological status and perceived stress of diabetic IVF pregnant women. Methods 800 cases of diabetic IVF pregnant women received in the hospital from June 2018 to June 2019 were included in the observational study. They were divided into experimental group and control group with the numerical table method， both of which were 400 cases. Two groups were given diabetes intervention. The control group carried out routine pregnancy nursing. The experimental group also adopted MBSR. The psychological state assessment scale（MSSNS） and the perceptual stress scale （CPSS）， and IVF success rates were used to evaluate the psychological status and perceptual pressure of pregnant women before and after nursing. Results After evaluation， the MSSNS and CRSS scores of the two groups of pregnant women decreased， but the experimental group was lower than the control group（P<0.05）; the blood glucose control rate of the experimental group was 94.50%， which was significantly higher than the control group's 85.75%（P<0.05）; there was no statistically significant difference in the success rate of IVF between the two groups（P>0.05）. Conclusion MBSR intervention for pregnant women with diabetic IVF can help to improve their mental state， reduce their perceptual pressure， stabilize blood glucose levels， and have a positive effect on IVF.

[Key words] Mindfulness decompression therapy; IVF; Diabetes; Psychological state; Perceived stress

近年來，随着二孩政策的实施，越来越多高龄妇女面临生育障碍问题，而试管婴儿是当前治疗不孕症重要手段，日益被人所接受。对于患有糖尿病并不孕女性而言，试管婴儿的风险较大，即便受孕成功孕妇也会承受很大压力，担心自身病情影响妊娠，而易出现不良心理，心理压力增大，不利于试管婴儿成功。因而，在积极干预糖尿病同时，必须密切注意患者心理状态，及时给予针对性护理干预，以减轻患者心理压力，稳定血糖，提高试管婴儿成功性。正念是一种觉知力，其核心在于注意力集中于当下，并对当下所表现的一切观念均不评价。MBSR就是基于正念的系统性冥想训练。……