不孕症女性生育压力与病耻感的相关研究

Survey on the fertility problem and stigma in infertile women

目的:了解不孕症女性的病耻感与生育相关压力现状,分析病耻感和生育相关压力的影响因素及两者之间的关系。方法:采取便利抽样的方法,选择2018年3～6月蚌埠医学院第一附属医院生殖中心接受治疗的不孕症女性150例,使用不孕症女性病耻感量表和生育压力量表对其进行调查。结果:不孕症女性的病耻感得分(64.61±24.45)分,生育问题得分(155.22±20.37)分;不孕症女性的工作现状是病耻感的影响因素,不孕症女性的年龄对生育相关压力有影响;病耻感总分及其4个维度与生育相关压力总分和社会关系、夫妻关系、性关系及无子女生活方式4个维度呈正相关;社会关系、夫妻关系、父母角色需要及无子女生活方式4个维度是预测病耻感的重要因素。结论:不孕症女性的病耻感与生育压力呈中等水平,影响因素包括工作现状、年龄。生育问题相关的外显特征与病耻感呈正相关,且是影响病耻感的重要因素。

Objective: To understand the current status of fertility problem and stigma in infertile women,and analyze the factors affecting infertility and stigma as well as the relationship between the two factors.Methods: 150 infertile women seeking fertility treatment in the Assisted Reproduction Clinic of the First Affiliated Hospital of Bengbu Medical College between March and June of 2018 were surveyed by convenient sampling method with Infertility Stigma Scale and Fertility Problem Inventory.Results: Scoring of stigma was 64.61±24.45 for infertile women,and the fertility problem was 155.22±20.37.Employment position was the influencing factor for stigma.The age was associated with fertility problem in infertile women.Total scores with disgrace of infertility and in the 4 dimensions were positively correlated with social relationship,marriage bonds,sexual relationship and childless lifestyle.Social relationship,marriage bonds,parental role expectancy and childless lifestyle were the important factors in predicting incidences of stigma in infertile women.Conclusion: Infertile women are generally suffering from stigma due to fertility problem.The influencing factors include job status and age.The explicit characteristics of fertility problems are positively correlated with stigma and important factors leading to stigma.