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护理学报 ›› 2019, Vol. 26 ›› Issue (2): 45-50.doi: 10.16460/j.issn1008-9969.2019.02.045

• 调查研究 • 上一篇    下一篇

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

康晓菲1a, 韩新美1b, 李国鹏1a, 房鹛2   

  1. 1.山东大学附属生殖医院 a.护理部;b.IVF-ET室,山东 济南 250000;
    2.山东大学附属省立医院生殖医学中心 护理部,山东 济南 250000
  • 收稿日期:2018-11-09 出版日期:2019-01-25 发布日期:2020-07-16
  • 通讯作者: 房 鹛（1976-）,女,山东潍坊人,本科学历,副主任护师。
  • 作者简介:康晓菲（1992-）,女,河北石家庄人,硕士研究生,护士。

Psychological Distress of 331 Patient's Spouses Firstly with in vitro Fertilization and Embryo Transfer and Its Influence Factors

KANG Xiao-fei1a, HAN Xin-mei1b, LI Guo-peng1a, FANG Mei2   

  1. 1a. Dept. Nursing Administration; 1b. Dept. of IVF-ET, Reproductive Hospital Affiliated to Shandong University,Jinan 250000, China;
    2. Dept. of Nursing Administration, Reproductive Medicine Center, Provincial Hospital Affiliated to Shandong University, Jinan 250000, China
  • Received:2018-11-09 Online:2019-01-25 Published:2020-07-16

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摘要： 目的 探讨首次经体外受精-胚胎移植患者配偶的心理困扰状况,分析其影响因素。方法 采用方便抽样方法,选取2017年4—12月在济南市3家医院首次采用体外受精-胚胎移植患者配偶为研究对象。采用一般资料调查表、简易心理状况调查表、心理弹性量表、简易应对方式量表、领悟社会支持量表及神经质人格分量表对331例首次体外受精-胚胎移植患者配偶进行调查,采用等级Logistic回归分析对其心理困扰的影响因素。结果 331例首次体外受精-胚胎移植患者配偶,其心理困扰得分为（19.72±5.44）分,其中74.0%的男性具有不同程度的心理困扰。等级Logistic回归结果显示,治疗时长（OR=1.150,95%CI: 0.051~0.228）、消极应对方式（OR=1.107,95%CI: 0.046~0.157）、神经质人格（OR=1.108,95%CI: 0.055~0.151）是心理困扰的危险因素;心理弹性（OR=0.941,95%CI: -0.101~-0.021）是心理困扰的保护因素。结论 首次经体外受精-胚胎移植患者配偶普遍存在心理困扰,治疗时长、消极应对方式、神经质人格是心理困扰的危险因素;心理弹性是心理困扰的保护因素。建议医护人员对治疗时间长、有神经质倾向的首次经体外受精-胚胎移植患者配偶应给予更多的关注,同时应鼓励该人群学会合理宣泄自己的情绪,从而减少消极应对方式;此外,寻找切实有效方式来提高该人群的心理弹性水平。

关键词: 体外受精-胚胎移植, 首次, 配偶, 心理困扰, 心理弹性, 应对方式, 社会支持, 神经质人格

Abstract: Objective To explore psychological distress of patient's spouses treated firstly by in vitro fertilization and embryo transfer(IVF-ET) and analyze its influence factors. Methods A convenience sampling study was conducted. Patient's spouses treated firstly by IVF-ET admitted to three hospitals in Jinan from April 2017 to December 2017 were enrolled. The informntion were collected from subjects (n=331) by using general information questionnaire, Mental Health Status Scale, Connor-Davidson Resilience Scale, Simplified Coping Style Questionnaire, Perceived Social Support Scale and Subscale of Neurotic Personality. Ordinal logistic regression was performed to analyze statistics data. Results The total score of psychological distress was 19.72±5.44, and the prevalence of psychological distress was 74.0%. Ordinal logistic regression indicated treatment time (OR=1.150, 95%CI: 0.051~0.228), negative coping style (OR=1.107, 95%CI: 0.046~0.157) and neuroticism (OR=1.108, 95%CI: 0.055~0.151) were risk factors of psychological distress; while resilience (OR=0.941, 95%CI:-0.101~-0.021) was the protective factor. Conclusion The psychological distress status is relatively general among patient's spouses treated firstly by IVF-ET. The treatment time, negative coping style and neuroticism were risk factors of psychological distress; while resilience was the protective factor. More attention should be paid to patient's spouses treated firstly by IVF-ET who had more treatment time or higher scores of neuroticism. Encourage patient's spouses to express their emotions and reduce negative coping styles. Relevant intervention courses could be carried out to improve the psychological distress, relevant intervention courses could be carried out to improve the psychological distress.

Key words: in vitro fertilization and embryo transfer, firstly, spouse, psychological distress, resilience, coping style, social support, neuroticism

中图分类号: 

  • R471
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