目的:调查育龄期多囊卵巢综合征(polycystic ovary syndrome，PCOS)合并不孕患者病耻感现状，并分析其影响因素。方法:采用方便抽样的方法，于2022年1月-2023年3月应用一般资料调查问卷、女性不孕症患者病耻感量表(Infertility Stigma Scale，ISS)、生育压力量表(Fertility Problem Inventory，FPI)对北京大学第三医院生殖中心门诊治疗的PCOS合并不孕患者进行调查。结果:本次共发放问卷269份，有效问卷251份，有效率为93。3％。PCOS合并不孕患者的ISS总分为(61。49±23。25)分，FPI总分为(148。32±31。02)分;ISS总分与FPI总分呈强正相关(r=0。719，P＜0。001)。分层回归显示，生育压力是PCOS合并不孕患者病耻感的影响因素，生育压力可独立解释病耻感43。5％的变异。结论:PCOS合并不孕患者病耻感呈中度水平，医护人员应重点关注生育压力大的患者，并根据影响因素制定干预措施，降低患者的病耻感水平。
Stigma and Influencing Factors in Infertile Patients with Polycystic Ovary Syndrome
Objective:To investigate the status of stigma and influencing factors in infertile patients with polycystic ovary syndrome(PCOS).Methods:Using the convenience sampling method,infertile patients with PCOS diagnosed and treated in the Reproductive Medicine Center of Peking University Third Hospital were selected from January 2022 to March 2023.A cross-sectional study was conducted using the general information questionnaire,Infertility Stigma Scale(ISS)and Fertility Problem Inventory(FPI).Results:A total of 269 questionnaires were distributed on this occasion,in which 251 were deemed valid,resulting in an effectiveness rate of 93.3％.The total scores of ISS and FPI in infertility patients with PCOS were(61.49±23.25)and(148.32±31.02)respectively,with a positive correlation between ISS and FPI(r=0.719,P＜0.001).Hierarchical multiple regression analysis showed that fertility stress was the influencing factor of stigma in infertile patients with PCOS,which explained 43.5％of the total variation.Conclusions:Stigma in infertile patients with PCOS is at the medium level.Clinical medical staff can focus on and identify patients with high fertility stress.Interventions should be developed according to the influencing factors to reduce the level of stigma.
Polycystic ovary syndromeInfertility,femaleRoot cause analysisStigmaPsychological stress
国家科技期刊平台
NSTL
万方数据
维普
