以质量求发展，以服务铸品牌

Journal of Nursing ›› 2019, Vol. 26 ›› Issue (2): 45-50.doi: 10.16460/j.issn1008-9969.2019.02.045

Previous Articles     Next Articles

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

PDF (PC)

178

Like

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

CLC Number: 

  • R471
[1] 田晓红,孙瑶瑶,邹桂元,等.话务员心理困扰的有序 Logistic 回归分析[J].中国心理卫生杂志, 2015, 29(10):790-794. DOI:10.3969/j.issn.1000-6729.2015.10.015.
[2] Zhou Z, Zheng D, Wu H, et aL. EpidemioLogy of InfertiLity in China: A Population-based Study[J]. BJOG, 2018, 125(4):432-441. DOI:10.1111/1471-0528.14966.
[3] Demyttenaere K, Nijs P, Evers-Kiebooms G, et aL. Coping, Ineffectiveness of Coping and the PsychoendocrinoLogicaL Stress Responses During In-Vitro FertiLization[J]. J Psychosom Res, 1991, 35(2/3):231-243.
[4] 康晓菲,方跃艳,赵迪,等. 不孕女性患者知觉压力在正念水平与心理困扰间的中介作用[J].山东大学学报(医学版),2017, 55(9):105-109.DOI:10.6040/j.issn.1671-7554.0.2017.228.
[5] 张琼,陈丹,蒋玲,等. 接受体外受精-胚胎移植治疗女患者个人社会心理因素对治疗结局的影响[J].护理学报, 2016, 23(20):1-4. DOI:10.16460/j.issn1008-9969.2016.20.001.
[6] 孙洪梅,钱卫平,刘波澜,等. 118例体外受精-胚胎移植助孕患者心理症状分析[J].护理学报, 2015, 22(14):70-72. DOI:10.16460/j.issn1008-9969.2015.14.070.
[7] 张琼,陈丹,蒋俐萍,等. 行体外受精-胚胎移植女性患者焦虑抑郁现状及影响因素分析[J].护理学报, 2017, 24(14):43-47. DOI:10.16460/j.issn1008-9969.2017.14.043.
[8] KessLer R C, Andrews G, CoLpe L J, et aL. Short Screening Scales to Monitor Population Prevalences and Trends in Non-specific Psychological Distress[J]. Psychol Med, 2002, 32(6):959-976. DOI:10.1017/S0033291702006074.
[9] 徐凌忠,王建新,孙辉,等. Kessler 10在我国的首次应用研究及其重要意义[J].卫生软科学, 2005, 19(6):410-412. DOI:10.3969/j.issn.1003-2800.2005.06.013.
[10] 周成超,楚洁,王婷,等.简易心理状况评定量表kessler10中文版的信度和效度评价[J]. 中国临床心理学杂志, 2008, 16(6):627-629. DOI:10.16128/j.cnki.1005-3611.2008.06.026.
[11] 孔令华. 不孕不育夫妇情绪困扰及其影响因素的二元交互模型构建[D]. 济南:山东大学, 2017.
[12] Campbell-sills L, Stein M B. Psychometric Analysis and Refinement of the Connor-davidson Resilience Scale (CD-RISC): Validation of a 10-Item Measure of Resilience[J].J Trauma Stress, 2010, 20(6):1019-1028. DOI:10.1002/jts.20271.
[13] Duan W, Guo P, Gan P.Relationships among Trait Resilience, Virtues, Post-Traumatic Stress Disorder, and Post-Traumatic Growth[J].PLoS One,2015,10(5):e0125707. DOI:10.1371/journaL.pone.0125707. eCoLLection 2015.
[14] Yu X and Zhang J. Factor Analysis and Psychometric Evaluation of the Connor-davidson Resiliencescale (CD-RISC) with Chinese People[J]. Soc Behav Personal, 2007, 35(1):19-30. DOI:10.2224/sbp.2007.35.1.19.
[15] Wang L, Shi Z, Zhang Y, et al.Psychometric Properties of the 10-Item Connor-davidson Resilience Scale in Chinese Earthquake Victims[J]. Psychiatry Clin Neurosci, 2010, 64(5):499-504. DOI:10.1111/j.1440-1819.2010.02130.x.
[16] Lazarus R S, Delongis A, Folkman S, et al.Stress and Adaptational Outcomes. The Problem of Confounded Measures[J].Am PsychoL, 1985, 40(7):770-785.
[17] 解亚宁. 简易应对方式量表信度和效度的初步研究[J].中国临床心理学杂志,1998, 6(2):114-115. DOI:10.16128/j.cnki.1005-3611.1998.02.018.
[18] Zimet G D, Dahlem N W, Zimet S G, et aL. The MultidimensionaL Scale of Perceived Social Support[J]. J Pers Assess,1988(52):30-41.DOI:10.1207/s15327752jpa5201_2.[19] Chou K L. Assessing Chinese Adolescents' Social Support: The MultidimensionaL Scale of Perceived Social Support[J]. Pers Indiv Differ,2000,28(2):299-307.DOI10.1016/S0191-8869(99)00098-7.
[20] John O P, Srivastava S.The Big Five Trait Taxonomy: History, Measurement,Theoretical Perspectives [EB/OL]. (2006-10-30)[2018-12-12]. https://www.ocf.berkeley.edu/~johnlab/pdfs/john&srivastava,1999.pdf.
[21] Carciofo R, Yang J, Song N, et al.Psychometric Evaluation of Chinese-language 44-Item and 10-Item Big Five Personality Inventories, Including Correlations with Chronotype, Mindfulness and Mind Wandering[J]. PLoS One, 2016,11(2):e0149963. DOI:10.1371/journaL.pone.0149963. eCoLLection 2016.
[22] 刘双金,胡义秋,孙焕良. 生活事件对大学生抑郁的影响:神经质与应对方式的链式中介作用[J]. 中国临床心理学杂志, 2018,26(6):1230-1233. DOI:10.16128/j.cnki.1005-3611.2018.06.040.
[23] 周飞京,董悦芝. 初诊不孕不育夫妇中男性的性压力现况调查[J].中华护理杂志, 2016, 51(4):499-501. DOI:10.3761/j.issn.0254-1796.2016.04.024.
[24] Kazandi M, Gunday O, Mermer T K, et aL. The Status of Depression and Anxiety in Infertile Turkish Couples[J]. Iran J Reprod Med, 2011, 9(2):99-104.
[25] AL-Asadi, J N, Hussein Z B. Depression among Infertile Women in Basrah, Iraq: Prevalence and Risk Factors[J]. J Chin Med Assoc, 2015, 78(11):673-677.DOI:10.1016/j.jcma.2015.07.009.
[26] 余淑嫒,翟惠敏. 综合医院低年资护士心理健康与应对方式及社会支持的相关性研究[J].护理学报, 2013, 20(5B): 1-4. DOI:10.16460/j.issn1008-9969.2013.10.014.
[27] Matzka M, Mayer H, Köck-Hódi S, et al.Relationship between Resilience, PsychologicaL Distress and PhysicaL Activity in Cancer Patients: A Cross-sectionaL Observation Study[J]. PLoS One, 2016, 11(4):e0154496. DOI:10.1371/journaL.pone.0154496. eCoLLection 2016.
[28] Luthar S S, CurLee A, Tye SJ, et al. Fostering Resilience among Mothers under Stress:“Authentic Connections Groups” for Medical Professionals[J]. Womens Health Issues, 2017, 27(3):382-390. DOI:10.1016/j.whi.2017.02.007.
[29] Foureur M, BesLey K, Burton G, et aL. Enhancing the Resilience of Nurses and Midwives: Pilot of a Mindfulness-based Program for Increased Health, Sense of Coherence and Decreased Depression, Anxiety and Stress[J]. Contemp Nurse, 2013, 45(1):114-125. DOI:10.5172/conu.2013.45.1.114.
[30] 席畅,凌宇,钟明天,等. 神经质在大学生应激与抑郁关系中的调节作用[J].中国临床心理学杂志, 2016, 24(4):636-639. DOI:10.16128/j.cnki.1005-3611.2016.04.013.
[1] ZHU Yi-fan, CHEN Zhi-qian, GUO Qiao-hong, SU Ya-li. Current Status of Dignity of 196 Breast Cancer Women Receiving Chemotherapy and Its Influence Factors [J]. Journal of Nursing, 2020, 27(12): 33-37.
[2] YE Zi-wen, ZHWN Li, ZHU Mu-lan, HU Ting, WANG Hui-zhen. Stigma of Patients with Preventive Ostomy and Its Influence Factors: A 220-case Study [J]. Journal of Nursing, 2019, 26(3): 40-45.
[3] XIE Wen-jun, ZHANG Shuai, LIU Yi, ZHANG Hui-juan, LIU Gui-ying, WANG Bei, LIU Jie, LIU Yu-qiu, GUAN Wei. Perceived Social Support and Coping Style as Mediators between Resilience and Post-traumatic Growth among Patients with Hematopoietic Stem Cell Transplant [J]. Journal of Nursing, 2019, 26(3): 73-78.
[4] QIN Ru-meng, LU Cai-yun, ZHOU Li-hua, HUANG Xiu-hua, ZHONG Qi. Current Status of Post-traumatic Growth of Gynecological Cancer Patients and Its Influence Factors [J]. Journal of Nursing, 2019, 26(15): 9-13.
[5] LI Jia-qia, ZHU Bing-jie, LI Meng-yuan, YAN Ling. Status Quo of Fear of Progression in Spouses of Advanced Cancer Patients and Its Correlation Factors [J]. Journal of Nursing, 2019, 26(14): 5-9.
[6] LI Hui,YIN Yi-zhen,WANG An-ni,ZHANG Jing-ping. Mediating Effect of Burnout in Relationship between Coping Style and Empathy in Nurses [J]. Journal of Nursing, 2018, 25(8): 5-8.
[7] ZHANG Wen-hao,WU Zhen-biao,WANG Jing,GAO Li,LIU Zhi-chen,CAO Bao-hua. Resilience of Systemic Lupus Erythematosus Patients and Its Influencing Factors [J]. Journal of Nursing, 2018, 25(7): 36-41.
[8] WANG Ling,SUN Dan,ZHENG Li. Effects of Group Activity on Quality of Postoperative Life in Liver Transplant Recipients [J]. Journal of Nursing, 2018, 25(6): 64-67.
[9] PENG Qing,LI Xue,ZHANG Xue,SU Jian-ping. Status and Influence Factors of Posttraumatic Growth in Cervical Cancer Patients Receiving Chemotherapy [J]. Journal of Nursing, 2018, 25(3): 5-10.
[10] WANG Hong-pan, JIN Bei, XIE Cheng, YANG Si-yue, WU Xiao-dong. Combined Effects of Influence Factors of Resilience of 122 Clinical Nurses by fs/QCA [J]. Journal of Nursing, 2018, 25(24): 29-32.
[11] XIE Ying-ying, Cao Shan-shan, WANG Ai-hong, Qin Jing, YIN An-chun. Relationship between Compassion Fatigue and Personality Traits in Oncology Nurses [J]. Journal of Nursing, 2018, 25(21): 1-4.
[12] REN Zhi-ling, MAO Nai-quan, GAN Hai-jie, WEI Yu-qun, WEI Qiao-ling, SUN Yue, PANG Yong-hui. Influence Factors of Stigma of Patients with Lung Cancer [J]. Journal of Nursing, 2018, 25(19): 5-9.
[13] HAN Jiao,HUANG Bai-ming,WANG Li-na,ZHAO Jia,ZHANG Ping-hui,WANG Cheng-yun,BI Ling-li,MA Lin. Subjective Well-being and Its Influence Factors of Patients after Radical Resection of Esophageal Cancer [J]. Journal of Nursing, 2018, 25(11): 1-5.
[14] YU Xiao-mei,YAN Jin. Physical Activity and Its Influencing Factors of Breast Cancer Patients in Convalescence Stage [J]. Journal of Nursing, 2018, 25(10): 5-9.
[15] LIU Zhi-chen,ZHANG Wen-hao,ZHANG Hong-chen,GAO Li,CAO Bao-hua. Quality of Life of Rheumatoid Arthritis Patients with Perimenopausal Syndrome and Its Influencing Factors [J]. Journal of Nursing, 2018, 25(1): 39-42.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!