护理学报 ›› 2020, Vol. 27 ›› Issue (14): 71-74.doi: 10.16460/j.issn1008-9969.2020.14.071
首次体外受精-胚胎移植女性患者心理弹性在疾病认知和生育压力间的中介效应
李国鹏1, 姜振华1, 康晓菲1, 马丽瑾1, 房鹛2
- 1.山东大学附属生殖医院,山东 济南 250000;
2.山东大学附属省立医院,山东 济南 250000
摘要： 目的 调查首次体外受精-胚胎移植女性患者生育压力水平,并探讨心理弹性在患者疾病认知与生育压力之间的中介效应。方法 方便选取首次接受体外受精-胚胎移植治疗女性患者323例,采用疾病感知问卷中文简化版、心理弹性量表简化版和生育压力量表分别评估患者疾病认知、心理弹性和生育压力水平。结果 首次体外受精-胚胎移植女性患者生育压力评分为（138.13±32.06）分;生育压力及其各维度与疾病认知呈正相关（r=0.353~0.483,均P<0.01）,与心理弹性呈负相关（r=-0.199~-0.390,均P<0.01）;Bootstrap检验中介效应结果显示：心理弹性在疾病认知与社会压力、性压力、夫妻关系压力和父母角色需要压力间具有显著中介效应,中介效应量为16.9%。结论 首次接受体外受精-胚胎移植治疗女性具有可比较的生育压力,心理弹性在疾病认知和生育压力间具有显著中介作用,干预提高心理弹性可能是改善生育压力的有效途径。
中图分类号:
- R395.6
| [1] 姜振华,房鹛,韩雪,等.40岁以上辅助生殖技术助孕女性生育二胎成因质性分析[J].护理学报,2018,25(15):68-71. [2] Li X, Wang K,Huo Y,et al.The Effect of Infertility-related Stress on Chinese Infertile Females' Mental Health: The Moderating Role of Marital Adjustment[J]. Psych J,2019,8(2):232-239. DOI:10.1002/pchj.255. [3] Kalaitzaki AE,Mavrogiannaki S,Makrigiannakis A.A Prospective,Cross-sectional Study of the Protective and Risk Psychological Factors of Successful in Vitro Fertilisation Outcome: Preliminary Results in a Greek Sample[J]. J Obstet Gynaecol,2019,40(3):382-387.DOI:10.1080/01443615.2019.1631766. [4] Leventhal H, Phillips LA, Burns E.The Common-sense Model of Self-regulation (CSM): A Dynamic Framework for Understanding Illness Self-management[J]. J Behav Med, 2016, 39(6):935-946. DOI:10.1007/s10865-016-9782-2. [5] Southwick SM, Charney DS.The Science of Resilience: Implications for the Prevention and Treatment of Depression[J].Science,2012, 338(6103):79-82.DOI:10.1126/science.1222942. [6] Driscoll MA, Davis MC, Aiken LS,et al.Psychosocial Vulnerability, Resilience Resources, and Coping with Infertility: A Longitudinal Model of Adjustment to Primary Ovarian Insufficiency[J].Ann Behav Med,2016,50(2):272-284.DOI:10.1007/s12160-015-9750-z. [7] 康晓菲,韩新美,李国鹏,等. 331例首次经体外受精-胚胎移植患者配偶心理困扰现状及影响因素分析[J].护理学报,2019,26(2):49-54. [8] 刘桂霞,张慧,孟云. 化疗肺癌患者自我感受负担与疾病感知, 疾病不确定感, 心理弹性的关系[J].中国心理卫生杂志,2019(11):816-821.DOI:10.30167/JOIT.201112.0015. [9] Peng T, Coates R, Merriman G, et al.Testing the Psychometric Properties of Mandarin Version of the Fertility Problem Inventory (M-FPI) in an Infertile Chinese Sample[J]. J Psychosomatic Obstetrics Gynecology,2011,32(4):173-181.DOI:10.3109/0167482x.2011.609950. [10] Lin YP, Chiu KM, Wang TJ.Reliability and Validity of the Chinese Version of the Brief Illness Perception Questionnaire for Patients with Coronary Heart Disease[J]. J Oriental Institute Technol,2011(31):145-155.DOI:10.30167/JOIT.201112.0015. [11] Wang L, Shi Z, Zhang Y, et al.Psychometric Properties of the 10-item Connor-davidson Resilience Scale in Chinese Earthquake Victims[J]. Psychiatry and Clinical Neurosciences, 2010, 64(5):499-504. DOI:10.1111/j.1440-1819.2010.02130.x. [12] Newton CR, Sherrard W, Glavac I.The Fertility Problem Inventory: Measuring Perceived Infertility-related stress[J]. Fertil Steril, 1999,72(1):54-62. [13] 史莉,罗丽燕,宋东红,等.体外受精-胚胎移植术后未妊娠患者生育压力与生活质量相关性研究[J].国际生殖健康/计划生育杂志, 2018, 37(3):191-195. [14] Gameiro S, Van Den Belt-Dusebout AW, Smeenk JM,et al.Women's Adjustment Trajectories during IVF and Impact on Mental Health 11-17 Years Later[J]. Hum Reprod, 2016, 31(8):1788-1798. DOI:10.1093/humrep/dew131. [15] Donkor ES, Sandall J.The Impact of Perceived Stigma and Mediating Social Factors on Infertility-related Stress among Women Seeking Infertility Treatment in Southern Ghana[J]. Soc Sci Med, 2007, 65(8):1683-1694. DOI:10.1016/j.socscimed.2007.06.003. [16] Xu H, Ouyang N, Li R, et al.The Effects of Anxiety and Depression on In Vitro Fertilisation Outcomes of Infertile Chinese Women[J]. Psychol Health Med, 2017, 22(1):37-43. DOI:10.1080/13548506.2016.1218031. [17] Miceli J, Geller D, Tsung A, et al.Illness Perceptions and Perceived Stress in Patients with Advanced Gastrointestinal Cancer[J]. Psychooncology, 2019, 28(7):1513-1519. DOI:10.1002/pon.5108. [18] Gameiro S, Boivin J, Peronace L, et al.Why do Patients Discontinue Fertility Treatment? A Systematic Review of Reasons and Predictors of Discontinuation in Fertility Treatment[J]. Hum Reprod Update, 2012, 18(6):652-669. DOI:10.1093/humupd/dms031. [19] Crawford NM, Hoff HS, Mersereau JE.Infertile Women Who Screen Positive for Depression Are Less Likely to Initiate Fertility Treatments[J]. Hum Reprod, 2017, 32(3):582-587. DOI:10.1093/humrep/dew351. [20] Joyce S, Shand F, Tighe J, et al.Road to Resilience: A Systematic Review and Meta-analysis of Resilience Training Programmes and Interventions[J]. BMJ Open, 2018, 8(6):e017858-e017858.DOI:10.1136/bmjopen-2017-017858. [21] Bai CF, Cui NX, Xu X, et al.Effectiveness of Two Guided Self-administered Interventions for Psychological Distress among Women with Infertility: A Three-armed, Randomized Controlled Trial[J]. Hum Reprod,2019,34(7):1235-1248. DOI:10.1093/humrep/dez066. |
| [1] | 陈洁, 薄海欣. 232例体外受精-胚胎移植治疗女性患者配偶焦虑抑郁现状及影响因素分析[J]. 护理学报, 2020, 27(2): 58-62. |
| [2] | 刘姗. 319例晚期乳腺癌患者灵性健康现状及影响因素分析[J]. 护理学报, 2020, 27(1): 52-55. |
| [3] | 解文君, 张帅, 刘毅, 张会娟, 刘贵英, 王蓓, 刘洁, 刘玉秋, 管伟. 领悟社会支持及应对方式在恶性血液病行造血干细胞移植患者心理弹性与创伤后成长间的中介效应[J]. 护理学报, 2019, 26(3): 73-78. |
| [4] | 康晓菲, 韩新美, 李国鹏, 房鹛. 331例首次经体外受精-胚胎移植患者配偶心理困扰现状及影响因素分析[J]. 护理学报, 2019, 26(2): 45-50. |
| [5] | 佟阳, 金咏梅, 王恬, 李晶晶, 陆海英. 心理弹性在女性乳腺癌术后上肢淋巴水肿患者正念水平与生活质量间的中介效应[J]. 护理学报, 2019, 26(10): 7-10. |
| [6] | 孙博玮, 傅荣, 褚红, 朱帆, 崔博. 144例多发性骨髓瘤患者心理弹性现状及影响因素分析[J]. 护理学报, 2019, 26(10): 38-43. |
| [7] | 张敏,王清,李红丽. 急性脑卒中患者心理弹性现况及其影响因素研究[J]. 护理学报, 2018, 25(9): 75-78. |
| [8] | 张文皓,吴振彪,王晶,高丽,刘志琛,曹宝花. 396例系统性红斑狼疮患者心理弹性及影响因素分析[J]. 护理学报, 2018, 25(7): 36-41. |
| [9] | 王洪攀, 金蓓, 谢成, 杨思悦, 吴晓东. 122名护士心理弹性影响因素综合作用的模糊定性比较分析[J]. 护理学报, 2018, 25(24): 29-32. |
| [10] | 王婧,刘芮寒,巩文花,邹宇,王宇,王芳. 自我效能在2型糖尿病患者社会支持和心理弹性的中介作用[J]. 护理学报, 2018, 25(18): 12-15. |
| [11] | 吕永利,万盈璐,曾娅. 4例体外受精-胚胎移植后合并卵巢恶性肿瘤患者的护理[J]. 护理学报, 2018, 25(15): 64-67. |
| [12] | 尹祥广,徐华,周玉峰,顾则娟,翟凤平. 急诊护士心理弹性与工作生活质量的相关性研究[J]. 护理学报, 2017, 24(7): 1-5. |
| [13] | 陈斯雯,刘维维,刘玉萍. 癌症患者主要照顾者的积极感受现状及影响因素分析[J]. 护理学报, 2017, 24(4): 55-58. |
| [14] | 彭盼,张英伟,吴金奇,许艺伟,肖安琴,戴爱平. 本科实习护生护理信息能力与临床适应及心理弹性的相关性分析[J]. 护理学报, 2017, 24(24): 38-41. |
| [15] | 黄琴,关建萍,李晓春,童茜,李英,彭巧君. 240例HIV/AIDS患者自我管理能力现状及影响因素分析[J]. 护理学报, 2017, 24(22): 46-49. |
|