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不孕症患者IVF-ET助孕前心理健康现状及与应对方式的相关性

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目的:调查不孕症患者接受体外受精-胚胎移植(IVF-ET)助孕前心理健康状态及与应对方式的相关性.方法:选取2020年1月-2023年12月本院生殖中心接受IVE-ET助孕的不孕症患者220例,采用一般资料调查表、症状自评量表90项(SCL-90)、生育压力量表(FPI)和医学应对方式(MCMQ)问卷进行问卷调查.结果:211例完成了问卷调查,调查有效率95.9%.211例不孕症患者的SCL-90总分(140.13±44.12分)高于常模水平(P<0.05),FPI总分(166.04±21.69 分)、MCMQ 面对(18.45±2.89 分)、回避(15.87±2.64 分)、屈服(9.36±2.81 分)均处于中等水平.SCL-90评分与MCMQ面对呈显著负相关性,与PFI、回避和屈服均呈显著正相关性,且PFI与面对呈负相关性,与回避、屈服呈正相关性(均P<0.05).结论:不孕症患者IVF-ET助孕前普遍存在不同程度的心理健康问题,且与应对方式有关,提示临床应开展针对性干预,以引导患者采取积极应对方式并降低消极应对方式,有利于改善心理健康.
Psychological health status of infertile patients before in vitro fertilization-embryo transfer for assisting pregnancy and its correlation with the coping style of the patients
Objective:To investigate the psychological health status of infertile patients before in vitro fertilization-em-bryo transfer(IVF-ET),and to study its correlation with the coping style of the patients.Methods:From January 2020 to December 2023,a total of 220 infertile patients who received IVE-ET for assisting pregnancy in the reproduc-tive center of the hospital were selected in this study.The survey was conducted by the general information question-naire,90 symptom checklists(SCL-90),the fertility stress inventory(FPI),and the medical coping style question-naire(MCMQ).Result:211 infertile patients had completed the questionnaire survey,with the effective rate of 95.9%.The total score of SCL-90 of 211 infertile patients was 140.13±44.12 points,and which was significantly high-er than that of the normal level(P<0.05).The total score of FPI was 166.04±21.69 points,and the scores of the face MCMQ,avoidance and yield of the patients were 18.45±2.89 points,15.87±2.64 points and 9.36±2.81 points,and all of which were at the moderate level.The SCL-90 score of the patients was significantly negatively correlated with their face MCMQ score,and was positively correlated with their scores of PFI,avoidance and yielding.Meanwhile,the PFI score of the patients was negatively correlated with their face MCMQ score,and was positively correlated with their scores of avoidance and yielding(all P<0.05).Conclusion:The infertility patients generally have different de-grees of the psychological health problems before IVF-ET,which are related to their coping styles.It is suggests that the clinical interventions should be carried out to guide the patients to adopt the positive coping styles and reduce the negative coping styles,which is conducive to improving their psychological health.

InfertilityIn vitro fertilization-embryo transferPsychological healthCoping styleCorrelation

胡洁、何玉萍、王秀梅、李娅娅

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空军军医大学唐都医院(西安,710038)

不孕症 体外受精-胚胎移植 心理健康 应对方式 相关性

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(7)