Effects of Using a Nursing Crisis Intervention Program on Psychosocial Responses and Coping Strategies of Infertile Women During In Vitro Fertilization

Abstract

AB STRACT: Infer til ity and its treat ment may cause life cri ses in infer tile women. The pur pose of this study is to eval u ate the effects of a cri sis inter ven tion pro gram on improv ing psychosocial responses and enhanc ing cop ing strat e gies for infer tile women attend ing dif fer ent stages of an In-Vitro Fer til iza tionEmbryo Trans fer (IVF-ET) treat ment pro gram. Using an exper i men tal study design, infer tile women attend ing an IVF-ET treat ment pro gram were ran domly assigned to exper i men tal and con trol groups.In the exper i men tal group, infer tile women com pleted and answered a ques tion naire and received nurs ing cri sis inter ven tion at the ini tial stage of treat ment (day 3). This included (1) view ing a video explain ing the ther a peu tic pro cess of IVF-ET, (2) self-hypnosis and mus cle relax ation train ing, and (3) pro vi sion of cog ni tive-behavioral coun sel ing. The same ques tion naire was used again for sub jects at the stage of embryo trans fer and before tak ing a preg nancy test. The women in the con trol group were only inter viewed using the same ques tion naire and at the same times as the exper i men tal group. Anal y sis by repeated mea sure ment ANOVA dem on strated that there was a reduc tion in psychosocial response in terms of inter per sonal rela tion ships, and there was an inter ac tion between inter ven tion effects and stage of treat ment. How ever, there was no sta tis ti cally sig nif i cant dif fer ence in the level of psychosocial responses between the exper i men tal and con trol groups although some mean ing ful find ings were made. How ever, in terms of state of anx i ety, con fron ta tional prob lems, and iso lated mind/body relax ation, there were sig nif i cant dif fer ences between the two groups of infer tile women at some stages of IVF-ET treat ment. The women in the exper i men tal group per ceived a pos i tive effect of the nurs ing inter ven tion in reliev ing their psychosocial responses. The results of this nurs ing cri sis inter ven tion could be help ful in nurs ing prac tice when deal ing with infer tile women attend i ng IVF treat ment pro grams.Key Words: in fer til ity, psychosocial re sponse, in-vitro fer til iza tion, nurs ing cri sis in ter ven tion pro gram.

Psychosocial interventions for infertile couples: a critical review

“…However, psychosocial intervention programmes consisting of information provision, relaxation training and cognitive‐behavioural counselling did not provide any statistically significant improvement in the participants’ state of anxiety and depression. The usefulness of the interventions in decreasing the participants’ psychosocial pressures was reflected in qualitative comments (Lee ). All of the review articles except that of Hämmerli et al .…”

Effects of Nursing Care Based on Watson’s Theory of Human Caring on Anxiety, Distress, And Coping, When Infertility Treatment Fails: A Randomized Controlled Trial

“…33 It has been reported that before treatment of infertility, the psychological support given helps infertile couples cope with depression. 34 Based on the results of relevant studies, in the process of infertility treatment, infertile women’s needs for psychological support increase.…”

“…35,36 It was found that attempts made in line with this needs are effective for coping. 33,34 In addition to interviews planned in accordance with the needs of the women whose infertility treatment resulted in failure, other interviews were also planned based on connection via phone or on visits to the clinic.…”

Postpartum Depression and Correlated Factors in Women Who Received In Vitro Fertilization Treatment

“…Both the experience and treatment of infertility are stressful life events for women 14–16 . Previously infertile women may be at risk of developing depression during pregnancy 17 .…”