摘要
目的基于潜在剖面分析技术对行辅助生殖技术(ART)治疗女性患者的二元应对分类,探讨二元应对的潜在类别与生活质量的关系。方法选取2022年4月至9月同济大学附属妇产科医院收治的458例行ART治疗的女性患者作为研究对象,采用一般情况调查量表、二元应对量表(DCI)及生育生活质量量表进行调查。采用潜在剖面分析技术探索二元应对潜在类别与生活质量的关系。结果剖面数为4类别的模型为最优模型。ART女性患者二元应对存在个体异质性,共识别出4个类别,分别为积极应对组、支持应对组、一般应对组和消极应对组。受教育水平越高、收入水平越满意、不孕时间越短、居住在城镇的ART女性患者进入积极应对组的概率更大(P<0.05)。在生育、核心、治疗生活质量上,积极应对组、支持应对组与一般应对组、消极应对组比较,差异具有统计学意义(P<0.001);积极应对组与支持应对组差异无统计学意义(P>0.05),但均高于一般应对组(P<0.001),一般应对组高于消极应对组(P<0.001)。结论行ART治疗的女性患者的二元应对存在异质性,文化水平、收入、居住地、不孕时间是影响潜在剖面类型的因素,夫妻积极应对和支持应对能够改善其生活质量,提示医护人员应在早期识别消极应对人群,开展以夫妻为单位的应对干预,以提高其生活质量。
Objective To classify the dyadic coping of female patients undergoing assisted reproductive technology(ART)using latent profile analysis and to explore the relationship between these potential dyadic coping classifications and the quality of life.Methods A total of 458 patients who received ART treatment in Obstetrics and Gynecology Hospital of Tongji University from April to September 2022 were selected as study objects.General information questionnaires,dyadic coping inventory(DCI),and fertility quality of life tool were administered for investigation.Latent profile analysis was used to explore the relationship between latent classes of dyadic coping and the quality of life.Results The model with four latent profiles was identified as the optimal model.There was individual heterogeneity in the dyadic coping among female ART patients,with four distinct latent classes identified,including active coping group,supportive coping group,average coping group,and negative coping group.Female ART patients with higher educational levels,higher satisfaction with income,shorter duration of infertility,and who resides in urban areas had a greater probability of belonging to the active coping group(P<0.05).Significant differences in fertility,core,and treatment quality of life were observed between the active coping group,supportive coping group,and the average coping group or negative coping group(P<0.001).No significant difference was found between the active coping group and the supportive coping group(P>0.05),but both of them were higher than the average coping group(P<0.001),which was higher than the negative coping group(P<0.001).Conclusions There is heterogeneity in the dyadic coping of female ART patients.Educational level,income,residence,and duration of infertility are factors influencing latent profile types.Active and supportive coping by couples can improve their quality of life,suggesting that healthcare professionals should identify individuals with negative coping strategies early and implement couple-based coping interventions to enhance their quality of life.
作者
郑锦霞
江会
郭娜菲
董跃彦
孙燕
白洁
ZHENG Jinxui;JIANG Hui;GUO Nafei;DONG Yueyan;SUN Yan;BAI Jie(Reproductive Medicine Center,Obstetrics and Gynecology Hospital of Tongji University,Shanghai 201204,China;Department of Nursing,Obstetrics and Gynecology Hospital of Tongji University,Shanghai 201204,China)
出处
《中国性科学》
2024年第9期44-48,共5页
Chinese Journal of Human Sexuality
基金
上海市自然科学基金面上项目(23ZR1450200)
上海市卫生健康委员会临床医学科研专项青年项目(20204Y0132)。
关键词
辅助生殖技术
女性
二元应对
生活质量
潜在剖面分析
Assisted reproductive technology
Women
Dyadic coping
Quality of life
Latent profile analysis
