863例不孕症患者心理因素及GSES评分分析

Analysisofthe psychological factors and GSES scores of 863 infertile patients

目的详细了解不孕症患者心理因素及GSES评分分析的相关性。方法选取2013年12月至2017年6月霸州市第二医院生殖中心诊治的863例女性不孕患者作为研究对象。主要采用问卷调查,GSES评分量表、SCL-90评分量表,对调查对象的年龄、籍贯、文化程度等一般情况及相关不孕症心理状况情况进行统计分析。结果发放调查问卷870份,有效问卷共有780份,有效率为90.38%;调查结果显示,存在不同程度心理问题者的患者占73.46%(SCL-90量表的评分总分≥160分或因子分≥2分),其中17.56%的患者因子分≥3分,已存在中等以上严重程度的心理问题;结果显示,高分组不孕产妇抑郁、强迫症、焦虑、人际关系等因子上均要低于低分组不孕症患者,其中不孕症产妇在一般自我效能上与SCL-90中的各因子呈负相关性(P<0.05)。结论不孕症患者心理因素和GSES评分密切相关,一般自我效能是影响不孕症患者心理健康的主要影响因素。

Objective To study the correlation of GSES score analysis and the psychological factors of infertile patients. Methods A total of 863 female infertile patients who visited the Reproductive Center of Bazhou the Second Hospital from December 2013 to June 2017 were selected. The questionnaires, GSES scale and SCL-90 scale were used to evaluate the age, educational level and other general information and related psychological status of infertile patients. Results A total of 870 questionnaires were distributed and 780 effective questionnaires returned, with an effective rate of 90.38%. The survey results showed that 73.46% of patients had psychological problems of different levels(SCL-90 score ≥ 160 points or factor score≥ 2 points), where the score of 17.56% of patients was no less than 3 points indicating moderate and severe psychological problems. The scores of maternal depression, obsessive-compulsive disorder, anxiety, interpersonal relationships and other factors were higher in the patients with high scores than those in patients with low scores, and the general self-efficacy was negatively correlated with SCL-90 scores(P<0.05). Conclusions The psychological factors of infertile patients are closely related to the GSES score and general self-efficacy is the main influencing factor of mental health of infertile patients.