Best evidence summary of psychological intervention for patients receiving assisted reproductive technology
10.3760/cma.j.cn115624-20230319-00176
- VernacularTitle:辅助生殖技术助孕患者心理干预的最佳证据总结
- Author:
Li WANG
1
;
Ying MENG
;
Juan LIAO
;
Juan YANG
;
Xiaoqin LI
;
Rong YANG
;
Hong LUO
;
Honggui WEN
Author Information
1. 重庆市妇幼保健院生殖医学中心,重庆 400013
- Keywords:
Assisted reproductive technology;
Infertility;
Psychological intervention;
Evidence-based medicine
- From:
Chinese Journal of Health Management
2023;17(10):776-782
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence of psychological intervention for patients receiving assisted reproductive technology (ART).Methods:All evidence on psychological interventions for patients receiving ART was searched in UpToDate, BMJ Best Practice, Joanna Briggs Institute, GIN, NICE, NGC, SIGN, CMA Infobase, Cochrane Library, PubMed, Web of Science, CINHAL, Embase, psycINFO, China Guideline Clearinghouse (CGC), guides in medlive.cn, CNKI, Wanfang Data, SinoMed, and VIP databases. The evidence retrieved included clinical practice, recommendations, guidelines, expert opinions, consensus, systematic reviews and meta-analyses, and the search time limit was from the establishment of the database to January 2023. Two researchers conducted evidence extraction, aggregation, and quality evaluation.Results:A total of 797 references were obtained at the initial retrieval, and 27 papers were finally included, including 1 clinical best practice, 2 guidelines, 1 recommended practice, and 23 systematic evaluations. The evidence summary summarized 16 best evidences, including four aspects of psychological assessment, psychological intervention, drug treatment and personnel training for ART patients, of which 50% were class 1 evidences and 87.5% of the evidences were recommended with strength A.Conclusions:Enhanced personnel training in assisted reproduction facilities and early identification of the psychological state of infertile patients by medical staff and targeted psychological intervention or medication are the key to improving the psychological status of ART patients.