女性不孕症患者羞辱感及相关影响因素调查研究

Humiliation Feeling of Infertile Women and Its Relevant Factors

目的探讨我国女性不孕症患者羞辱感存在情况及羞辱感与社会支持、家庭关怀度、医学应对、焦虑和抑郁的相关关系。方法采用自制一般情况问卷、疾病相关情况问卷、社会支持评定量表(SSRS)、家庭关怀度量表(family APGAR)、简易应对方式问卷(SCSQ)、抑郁自评量表(SDS)、焦虑自评量表(SAS),对211例不孕症妇女进行问卷调查。结果 69.19%(146/211)的女性不孕症患者存在羞辱感,不同居住地和不同不孕时间患者的羞辱感存在率差异均有统计学意义(P<0.05)。有羞辱感组与无羞辱感组患者在社会支持、家庭关怀度、消极应对、焦虑和抑郁得分差异均有统计学意义(P<0.05),且羞辱感得分与社会支持、家庭关怀度、积极应对得分呈负相关(P<0.05),与消极应对、焦虑、抑郁得分呈正相关(P<0.01)。结论不孕女性普遍存在羞辱感,减少对不孕女性的歧视羞辱行为,减轻患者羞辱感,对缓解患者不良心理应激状态有重要意义。

Objective To explore the humiliation condition of infertile women in China and its relation with the social support,family concern,medical treatment,and anxiety and depression.Methods Totally 211 infertile women were enrolled.Among them the self-made questionnaires of general and ill conditions,Social Support Rating Scale （SSRS）,family APGAR,Simplified Coping Style Questionnaire （SCSQ）,Self-rating Anxiety Scale （SAS）,and Self-rating Depression Scale （SDS） were conducted.Results Some 69.19% （146/211） participants had humiliation feeling,which was significantly different among groups from different regions and infertile times （P0.01）.The scores of SSRS,family APGAR,SCSQ,SAS,SDS were significant different between the group with humiliation feeling and the group without （P0.01）.The humiliation feeling was correlated negatively to the scores of SSRS,family APGAR,positive coping （P0.05） and positively to the scores of negative coping,SAS,SDS（P0.01）.Conclusion The humiliation feeling is common among infertile women.It is of important significance to reduce discriminating and humiliating behavior to infertile women and to alleviate their humiliation feeling so as to improve their mental stress.