摘要
目的:探究体外受精-胚胎移植(IVF-ET)夫妇疾病不确定感及与生育压力、心理韧性的相关性。方法:选取2023年1-12月本院接诊的IVF-ET夫妇80对,发放一般资料调查表、Mishel疾病不确定感量表(MUIS)、生育相关压力量表(FPI)及中文版心理韧性量表(CD-RISC)进行调查评估,对比妻子与丈夫各量表维度评分,分析不同IVF-ET助孕周期、不同助孕结果夫妇MUIS、FPI、CD-RISC总分差异,通过Pearson相关性分析各量表总分间关系。结果:共发放问卷160份(80对IVF-ET夫妇),有效回收152份(76对夫妇),有效回收率95.0%。IVF-ET妻子MUIS总分(95.91±12.28分)与丈夫(95.67±11.89分)无差异,且不同助孕周期、不同助孕结果夫妇MUIS评分对比均无差异(均P>0.05);IVF-ET妻子FPI、CD-RISC总分(151.24±30.18分、61.38±10.76分)与丈夫(138.10±31.37分、66.54±11.00分)存在差异(P<0.05),IVF-ET助孕1周期妻子FPI评分低于≥3周期者,1周期、2周期CD-RISC评分均高于≥3周期者,临床妊娠妻子CD-RISC总分高于未妊娠者(均P<0.05);不同助孕周期妻子MUIS评分、不同助孕结果妻子MUIS、FIP评分对比均无差异,不同助孕周期及结果丈夫各项总分对比均无差异(均P>0.05)。妻子MUIS总分与丈夫MUIS、妻子/丈夫FPI总分均正相关,与妻子/丈夫CD-RISC总分均负相关,丈夫MUIS总分与妻子/丈夫FPI总分均正相关,与妻子/丈夫CD-RISC总分均负相关(均P<0.05)。结论:本次调查的IVF-ET夫妇疾病不确定感及生育压力处于中等水平,心理韧性一般,妻子生育压力、心理韧性均差于丈夫,夫妇疾病不确定感均与生育压力、心理韧性相关。
Objective:To explore the correlation between the disease uncertainty of couples with in vitro fertilizationembryo transfer(IVF-ET)and their fertility stress and mental toughness.Methods:80 couples with IVF-ET were selected in this study from January 2023 to December 2023.These couples were investigated by the general information questionnaire.Mishel uncertainty in illness scale(MUIS),fertility pressure inventory(FPI)and the Chinese version of conner Davidson-resilience scale(CD-RISC)were used to investigation and evaluation.The scores of each dimension of these scales were compared between wife and husband.The differences of the total scores of MUIS,FPI and CD-RISC of the couples with different assisted pregnancy cycles of IVF-ET were analyzed.Pearson correlation was used to analyze the correlation among the total scores of these scales.Results:A total of 160 questionnaires of 80 couples with IVF-ET were issued and 152 valid questionnaires from 76 couples were recovered,with an effective rate of 95.0%.The total score of MUIS of the wives(95.91±12.28 points)had no significantly different from that(95.67±11.89 points)of their husbands,and there was no significant difference in the MUIS score among the couple with different assisted pregnancy cycles and among the couple with different assisted pregnancy results(all P>0.05).The total scores of FPI and CD-RISC of the wives(151.24±30.18 points and 61.38±10.76 points)were significantly different from those(138.10±31.37 points and 66.54±11.00 points)of their husbands(P<0.05).The FPI score of the wives with 1 cycle of assisted pregnancy was significantly lower than that of the wives with≥3 cycles of assisted pregnancy,and the CD-RISC score of the wives with 1 cycle or 2 cycle of assisted pregnancy was significantly higher than that of the wives with≥3 cycles of assisted pregnancy(all P<0.05).There was no significant difference in the MUIS score among the wives with different assisted reproductive cycles,and there were no significant differences in the MUIS and FIP scores of the wives with different assisted reproductive outcomes.There were no significant differences in the total scores of MUIS and FIP among the husbands with different assisted reproductive cycles and outcomes(all P>0.05).The total MUIS FPI score of the wives was positively correlated with the total MUIS score of the husbands and the total score of the wife/husband,and was negatively correlated with the total CD-RISC score of the wife/husband.The total MUIS score of the husbands was positively correlated with the total FPI score of the wife/husband,and was negatively correlated with the total CD-RISC score of the wife/husband(all P<0.05).Conclusion:The situations of uncertainty in illness and fertility stress of the couples with IVF-ET in this survey are in the medium levels,and the psychological resilience of the couples is in the general level.The fertility stress and psychological resilience of the wives are worse than their husbands.The disease uncertainty of the couples was related to their fertility stress and psychological resilience.
作者
张海霞
胡容容
毕晶晶
ZHANG Haixia;HU Rongrong;BI Jingjing(The First Affiliated Hospital of Anhui Medical University,Hefei,Anhui Province,231600)
出处
《中国计划生育学杂志》
2024年第6期1300-1305,1311,共7页
Chinese Journal of Family Planning
关键词
体外受精-胚胎移植
夫妇
疾病不确定感
生育压力
心理韧性
相关性
In vitro fertilization-embryo transfer
Couples
Disease uncertainty
Fertility pressure
Psychological resilience
Correlation
