Investigation And Analysis Of Psychological Status And Heart Rate Variability In Patient With Infertility

Objective:To study the psychological status and heart rate variability of infertility patients and evaluate their autonomic nervous function, as well as providing a theoretical basis for the treatment of infertility patients.Methods:We choose 120 patients as the observation group from visiting The Reproductive Medical Center of The Second Affiliated Hospital of Chong Qing Medical University from January 2015 to June 2015,and choose 128 female of childbearing age coming for preconception checkups as the control group in the same time. Self-made questionnaire were used to collect the general information of two groups.Self-rating Anxiety Scale and Self-rating Depression Scale were used to investigate the psychological state of the two groups. The indexes of the heart rate variability of the two groups were detected by the method of heart rate variability analyzer.Results:In the observation group there were 100 patients experience stress, which comes from the disease, family and the society. On the other hand, there were 43 patients who had the stress experiences in the control group which comes from the economy, family and the work. In the observation group, there were 31 cases(25.83%) of anxiety, depressive mood in 49 cases(40.83%), while in the control group, there were 12 cases(9.37%) of anxiety, depressive mood in 26 cases(20.31%). There were significant differences in the incidence of anxiety and depression between the two groups(P<0.05). In the observation group, the anxiety and depression was more severe. Anxiety score and Depression score in the control group were(41.00±8.24) and(42.77±10.38). In the observation group they were(44.93 ± 8.94) and(49.02 ± 11.23), which was significant higher(P<0.05). The SDNN、TP、LF、HF of heart rate variability in the observation group were significantly decreased compared with the control group(P<0.05).There were no significant statistical difference of LF/HF in the two groups.Conclusions:Infertility patients are prone to anxiety, depression and other negative emotions, and as infertility patients` heart rate variability is reduced, they might have autonomic nervous system dysfunction. For the treatment of infertility we should pay attention to psychological treatment.