接受體外受精胚胎植入之台灣婦女的身心症狀與睡眠困擾

吳湘茹

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接受体外受精胚胎植入之台湾妇女的身心症状与睡眠困扰

Somatic symptoms, psychological distress and sleep disturbance among Taiwanese Women with In Vitro Fertilization and Embryo Transfer

吴湘茹 , 硕士　　导师：李宗贤　　

繁体中文

体外受精胚胎植入；身体症状；心理情绪；睡眠困扰； in vitro fertilization and embryo implantation ； somatic symptoms ； psychological emotional ； sleep disturbance

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摘要 │ 参考文献 (156) │ 国际计量

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Background and purpose: In an interview infertile women of reproductive technology treatment, will experience some degree of pressure to undergo ovarian stimulation drugs and invasive treatment  such as oocyte retrieval and embryos implantation mused cause many physical symptoms and psychological stress, thus affecting sleep, or even affect the physical and mental health. This study wants to explore demographic  undergoing in vitro fertilization and embryos implantation property of women, the physical symptoms, psychological distress of the differences in response to sleep.
Methods: The cross-sectional study and other related research study were used in this survey. Total 60 IVF women were studied and collected data after one week of embryos transferring in a reproductive and infertility center in Taichung. The measurement tools include Pittsburgh sleep quality index (PSQI), sleep log, somatic symptoms scale, Taiwanese Depression Scale, and Situational Trait Anxiety Inventory. The questionnaires were analyzed its relevance and predictability according to t-test, chi-square test, Pearson correlation analysis and logistic regression. 
Results: 68.3% IVF women experienced sleeping disturbance according to statistic. There are obviously differences of statistic on pregnancy numbers, miscarriage numbers and sleeping disturbance of women who undergo IVF. The Scale of somatic symptoms of " abdominal distension,", "engorgement", "other symptoms" and " uncomfortable somatic symptoms total score" and sleep disturbance of statistically significant differences. There were no statistically significant differences on anxiety and depression and sleep disturbance . Dualistic logistic regression analysis showed that sleep disturbance factor in patients with sleep troubled by. Abdominal distension odds ratio of 1.83 times without sleep disturbance (OR = 1.83, 95% CI = 1.09-3.06) difference was statistically significant (p = .02), sleep troubled by other somatic symptoms in patients with odds ratio of 1.88 times without sleep disturbance (OR = 1.88, 95% CI = 1.08-3.25), up statistically significant differences (p = .03).
Conclusions and suggestions: The study found that women after the embryo implantation 68.3% had sleep disturbance, somatic symptoms at this time if the case is serious, they should promptly assist its mitigation, to reduce the impact of sleep. Therefore, clinical staff can take the initiative to provide relevant information about the physical and psychological discomfort and sleep disturbance, such as somatic symptoms include abdominal distension, abdominal pain and swelling of the breast can affect sleep disturbance, somatic symptoms can be informed in advance of cases medication may occur proposed somatic symptoms , method, providing counseling troubled sleep pipeline, strengthening the case for the assessment of sleep and sleep management techniques to identify reasons for disturbed sleep. And provides individuality, appropriateness of care measures to promote the quality of sleep.

参考文献 ( 156 ) 〈TOP〉

王晓铃、陈丽丽、苏奕彰、陈丽糸、林丽娟、周泛澔 (2010)•妇女孕前体质与第一孕期不适症状之相关性研究. [Relationship between Pre-pregnancy Constitution and Discomfort in the First Trimester]. 护理暨健康照护研究, 6(1), 312.doi:10.6225/jnhr.6.1.3
连结：
不孕症妇女在不同治疗过程的心理社会反应。 [Psychosocial Responses
连结：
Among Infertile Women in Different Stages of an IVF Treatment Program] ．护
连结：
周培萱& 陈丽环 (2006)• 孕期妇女运动策略• 大专体育，(82)， 208-213。
连结：
林旖旎 (2006)．不孕女性的反应与调适．中华民国内膜异位症妇女协会会刊，
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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。