目的 探讨体外受精-胚胎移植（IVF-ET）女性患者心理弹性与非理性生育认知及生育生命质量的关系，并分析心理弹性在患者非理性生育认知与生育生命质量间的中介效应，为不孕症患者提升其心理弹性和生育生命质量提供指导。 方法 采用横断面调查研究方法，便利抽样选取2022年10月至2023年4月就诊于浙江大学医学院附属妇产科医院的460例IVF-ET女性患者作为调查对象。采用一般资料调查表、心理弹性量表、非理性生育认知问卷、生育生命质量量表对其进行问卷调查。 结果 共回收449份有效问卷。患者年龄（33.31 ± 4.99）岁。非理性生育认知总分为（38.73 ± 9.31）分，心理弹性总分为（63.19 ± 15.40）分，生育生命质量总分为（68.18 ± 11.89）分；IVF-ET女性患者非理性生育认知总分与生育生命质量总分呈负相关（r = - 0.513，P<0.01），心理弹性总分与生育生命质量总分呈正相关（r = 0.424，P<0.01）；心理弹性在非理性生育认知和生育生命质量间起部分中介作用，中介效应占总效应的28.01%。 结论 IVF-ET女性患者非理性生育认知处于中等水平，心理弹性和生育生命质量处于较低水平，非理性生育认知对患者的生育生命质量起直接负向预测作用，而心理弹性是生育生命质量的正向预测因子，非理性生育认知可直接或通过心理弹性间接对患者生育生命质量产生影响，临床医护人员应采取有效措施降低患者非理性生育认知水平，并提高其心理弹性，从而改善患者的生育生命质量。 Objective To investigate the relationship between psychologicalresilience and irrational parenthood cognition and fertility life quality in female patients with in vitro fertilization-embryo transfer, and to analyze the mediating effect of psychological resilience on irrational parenthood cognition and fertility life quality, so as to provide guidance for infertility patients to improve their psychological resilience and fertility life quality. Methods A cross-sectional study method was used to conveniently sample 460 female patients with in vitro fertilization-embryo transfer who were admitted to the Women′s Hospital, School of Medicine Zhejiang University from October 2022 to April 2023.General data questionnaire, Connor-Davidson Resilience Scale, Irrational Parenthood Cognitions Questionnaire and the Fertility Quality of Life were used for investigation. Results A total of 449 valid questionnaires were retrieved. Patients aged (33.31 ± 4.99) years old. The total scores of irrational parenthood cognition, psychological resilience and the fertility quality of life were (38.73 ± 9.31), (63.19 ± 15.40) and (68.18 ± 11.89) points respectively for female patients with IVF-ET. The total score of irrational parenthood cognition was negatively correlated with the total score of fertility quality of life (r = - 0.513, P<0.01), and the total score of psychological resilience was positively correlated with the total score of fertility quality of life (r = 0.424, P<0.01). Pychological resilience played a partial mediating role between irrational parenthood cognition and fertility life quality, with the mediating effect accounting for 28.01% of the total effect. Conclusions The irrational parenthood cognition of female patients with IVF-ET is at a medium level, and the psychological resilience and the fertility quality of life are at a low level. The irrational parenthood cognition has a direct negative predictive effect on the fertility life quality of patients, while the psychological resilience is a positive predictor of fertility life quality. Irrational parenthood cognition can directly or indirectly affect patients′ fertility life quality through psychological resilience. Clinical medical staff should take effective measures to reduce patients′ irrational parenthood cognition level and improve their psychological resilience, so as to improve patients′ fertility life quality.
A study on the relationship between irrational fertility cognition and reproductive life quality of in vitro fertilization-embryo transfer female patients: the mediating effect of psychological resilience
Objective To investigate the relationship between psychologicalresilience and irrational parenthood cognition and fertility life quality in female patients with in vitro fertilization-embryo transfer, and to analyze the mediating effect of psychological resilience on irrational parenthood cognition and fertility life quality, so as to provide guidance for infertility patients to improve their psychological resilience and fertility life quality. Methods A cross-sectional study method was used to conveniently sample 460 female patients with in vitro fertilization-embryo transfer who were admitted to the Women′s Hospital, School of Medicine Zhejiang University from October 2022 to April 2023.General data questionnaire, Connor-Davidson Resilience Scale, Irrational Parenthood Cognitions Questionnaire and the Fertility Quality of Life were used for investigation. Results A total of 449 valid questionnaires were retrieved. Patients aged (33.31 ± 4.99) years old. The total scores of irrational parenthood cognition, psychological resilience and the fertility quality of life were (38.73 ± 9.31), (63.19 ± 15.40) and (68.18 ± 11.89) points respectively for female patients with IVF-ET. The total score of irrational parenthood cognition was negatively correlated with the total score of fertility quality of life (r = - 0.513, P<0.01), and the total score of psychological resilience was positively correlated with the total score of fertility quality of life (r = 0.424, P<0.01). Pychological resilience played a partial mediating role between irrational parenthood cognition and fertility life quality, with the mediating effect accounting for 28.01% of the total effect. Conclusions The irrational parenthood cognition of female patients with IVF-ET is at a medium level, and the psychological resilience and the fertility quality of life are at a low level. The irrational parenthood cognition has a direct negative predictive effect on the fertility life quality of patients, while the psychological resilience is a positive predictor of fertility life quality. Irrational parenthood cognition can directly or indirectly affect patients′ fertility life quality through psychological resilience. Clinical medical staff should take effective measures to reduce patients′ irrational parenthood cognition level and improve their psychological resilience, so as to improve patients′ fertility life quality.
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