【摘要】 目的 通过质性研究探讨体外受精-胚胎移植（IVF-ET）中卵巢过度刺激综合征（OHSS）患者真实心理体验，指导临床制订有效护理干预措施。方法 采用目的抽样法选取2017年1月至2020年12月萍乡市妇幼保健院生殖健康科轻、中、重度OHSS患者各8例（共24例）为研究对象，以质性研究方法对全部患者实施半结构式深度访谈。应用录音和笔录方式记录，基于Colaizzi 7步分析法对访谈资料进行分析，提炼出主题。结合访谈主题制订针对性护理提纲，并采用随机数字表法将24例患者分为对照组和观察组，每组各12例。对照组实施常规护理，观察组实施针对性心理护理，比较两组患者护理前后的蒙特利尔认知评估量表（MoCA）、简易精神状态量表（MMSE）、生活质量评估量表评分。结果 护理后，观察组的MoCA、MMSE评分均高于对照组，差异有统计学意义（P<0.05）。护理后，观察组的心理领域、生理领域、环境领域、社会关系领域等生活质量评分均高于对照组，差异有统计学意义（P<0.05）。结论 通过质性研究全面了解IVF-ET中OHSS患者的真实心理体验，而给予针对性的心理支持与护理，可提高患者认知功能，帮助患者积极面对治疗，改善患者精神状态，从而提高其生活质量。更多还原

【Abstract】 Objective To explore the real psychological experience of patients with ovarian hyper stimulation syndrome(OHSS) during in vitro fertilization-embryo transfer(IVF-ET) by qualitative research, so as to guide the formulation of effective clinical nursing interventions. Methods A total of 24 patients with mild, moderate and severe OHSS in the Department of Reproductive Health of Pingxiang Maternal and Child Care from January 2017 to December 2020 were selected as the research objects according to the purposive sampling method, and a semi-structured in-depth interview was conducted for all patients with qualitative research methods. Recordings and transcripts were used to record the interview data, and the themes were extracted based on Colaizzi’s 7-step analysis method. A targeted nursing outline was formulated according to the interview theme. A total of 24 patients were randomly divided into the control group and the observation group, 12 cases in each group. The control group was given routine nursing, and the observation group was given targeted psychological nursing. The Montreal cognitive assessment(Mo CA), mini-mental state examination(MMSE) and quality of life assessment scale scores of the two groups before and after nursing were compared. Results After nursing, the Mo CA and MMSE scores of the observation group were higher than those of the control group, and the differences were statistically significant(P<0.05). After nursing, the quality of life scores in the field of psychology, physiology, environment and social relations in the observation group were higher than those in the control group, and the differences were statistically significant(P <0.05). Conclusion To fully understand the real psychological experience of OHSS patients in IVF-ET through qualitative research, and to give targeted psychological support and nursing can improve the cognitive function of patients, help patients actively face the treatment, improve the mental state of patients, and improve their quality of life.更多还原