女性不孕症患者病耻感与创伤后成长的相关性研究

Correlation between stigma and posttraumatic growth in female infertility patients

目的探讨女性不孕症患者病耻感与创伤后成长的现状,分析两者的相关性。方法采用便利抽样法,选择2019年1—5月于浙江省某所三级甲等医院生殖医学中心门诊就诊的女性不孕症患者110例作为研究对象。采用一般情况调查表、女性不孕症患者羞辱感量表及创伤后成长评定量表对不孕症患者进行问卷调查。共发放110份问卷,回收有效问卷104份。结果104例女性不孕症患者病耻感量表得分为(67.14±14.33)分,处于中等水平;创伤后成长量表得分为(63.92±11.76)分,处于中等水平;不同的受教育程度、性格特征及是否独生子女的女性不孕症患者创伤后成长得分差异均有统计学意义(P<0.05);女性不孕症患者羞辱感量表总分与创伤后成长评定量表总分及各维度得分均呈负相关(P<0.01)。分层回归分析显示,受教育程度、不孕年限、病耻感总分及情绪和行为得分是女性不孕症患者创伤后成长的主要影响因素(P<0.05)。结论女性不孕症患者病耻感与创伤后成长水平呈负相关,提示护理人员可以通过积极引导降低该人群的病耻感水平,从而提高创伤后成长水平。

Objective To explore the current situation of stigma and posttraumatic growth in female infertility patients,and to analyze the correlation between them.Methods From January to May 2019,this study selected 110 female infertility patients of reproductive medicine center in a ClassⅢGrade A hospital of Zhejiang Province as subjects by convenience sampling.Those infertility patients were investigated with the general information questionnaire,Infertility Stigma Scale(ISS)and the Post-traumatic Growth InventoryChinese version(PTGI-C).A total of 110 questionnaire were sent out and 104 valid of them were collected.Results Among 104 female infertility patients,the score of ISS was(67.14±14.33)with the intermediate level;the score of PTGI-C was(63.92±11.76)also with the intermediate level.There were statistical differences in the scores of post-traumatic growth among female infertility patients with different education levels,characteristics and whether being the only child(P<0.05).The scores of ISS of female infertility patients had statistically negative correlations with the total score and dimension scores of PTGI-C(P<0.01).Hierarchical regression analysis showed that the main influencing factors of posttraumatic growth in female infertility patients were the education levels,years of infertility,total score of stigma and scores of emotion and behavior with statistical differences(P<0.05).Conclusions Stigma of female infertility patients is negatively correlated with the posttraumatic growth,which points that nurses could positively reduce the stigma of those patients so as to improve their posttraumatic growth.