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不孕症女性与配偶生育压力、感知伴侣回应及家庭复原力的关系研究

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目的 分析女性不孕症患者及其配偶双方的生育压力、感知伴侣回应、家庭复原力的关系和互相作用机制,为临床干预提供参考.方法 采用便利抽样法选取不孕症的女性患者及其配偶各213例,通过生育压力评估量表、感知伴侣回应性量表、家庭复原力量表进行调查,通过主客体互倚模型分析配偶双方生育压力、感知伴侣回应、家庭复原力的关系和作用机制.结果 女性不孕症患者生育压力评分显著高于配偶,感知伴侣回应、家庭复原力显著低于配偶(均P<0.05).主客体互倚模型显示,在主体效应中,患者和配偶生育压力对自身家庭复原力均有负向预测价值,患者和配偶感知伴侣回应对自身家庭复原力有正向预测价值(均P<0.05).客体效应中,患者和配偶生育压力对对方家庭复原力有负向预测价值,配偶感知伴侣回应对患者家庭复原力有正向预测价值(均P<0.05).中介效应显示,患者与配偶的感知伴侣回应在双方生育压力与家庭复原力之间的部分中介作用有统计学意义(均P<0.05).结论 女性不孕症患者及其配偶的家庭复原力与自身及对方的生育压力、感知伴侣回应密切相关,应从夫妻整体出发制定应对措施以提高家庭复原力.
A Study on the relationship between fertility pressure,perceived partner responsive-ness and family resilience in female infertility patients and their spouses
Objective To analyze the relationship and interaction mechanism of fertility pressure,perceived partner responsiveness,and family resilience in female infertility patients and their spouses,and to provide basis for clinical intervention.Methods Conve-nience sampling was used to select 213 female patients with infertility and their spouses.The patients and their spouses were sur-veyed by the Fertility Problem Inventory(FPI),Perceived Partner Responsiveness Scale(PPRS),and Family Resilience Assess-ment Scale(FRAS).The relationship and mechanism of fertility pressure,perceived partner responsiveness,and family resilience in female infertility patients and their spouses were analyzed by the actor-partner interdependence model(APIM).Results The fer-tility pressure scores of female infertility patients was significantly higher than their spouses',while the perceived partner respon-siveness and family resilience scores were significantly lower than their spouses'(all P<0.05).The APIM showed that in the sub-ject effect,both the patients and their spouses'fertility pressure had negative predictive value for their own family resilience,while the patients and their spouses'perceived partner responsiveness had positive predictive value for their own family resilience(both P<0.05).In the object effect,the fertility pressure of patients and their spouses had a negative predictive value on each other's family resilience,while the perceived partner responsiveness of spouses had a positive predictive value on the patients'family resi-lience(both P<0.05).The mediating effect model showed that the perceived partner responsiveness mediates the relationship be-tween fertility pressure and family resilience in the patients and their spouses,and the mediating effects were significant(all P<0.05).Conclusion The family resilience of female infertility patients and their spouses is closely related to each other's fertility pres-sure and perceived partner responsiveness.Therefore,measures should be developed from the perspective of couple as a whole to improve their family resilience.

infertilespousefertility pressureperceived partner responsivenessfamily resilienceactor-partner interde-pendence modelmediating effectspsychological nursing

刘媛媛、邓云、刘兰香、沈静、张黎、王小红

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中国人民解放军联勤保障部队第九○四医院生殖医学中心(江苏 无锡,214000)

不孕症 配偶 生育压力 感知伴侣回应 家庭复原力 主客体互倚模型 中介效应 心理护理

第九○四医院院管科研课题

MS202111

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(13)