体外受精-胚胎移植产妇产褥期生活质量现状及影响因素调查

Investigation on the current quality of life and influencing factors of women undergoing in vitro fertilization and embryo transfer

目的调查体外受精-胚胎移植产妇产褥期生活质量现状并分析其影响因素。方法采用便利抽样方法抽取2019年6—12月产后42 d在厦门市妇幼保健院门诊进行体检的体外受精-胚胎移植产妇135名,运用自制一般量表和WHO世界卫生组织生活质量测定简表(WHOQOL-BREF)进行调查,统计研究对象生活质量总得分及各维度得分情况,并分析影响生活质量的因素;应用SPSS 20.0统计学软件进行统计分析,主要包括描述性统计分析、t检验、方差分析、多元逐步回归。结果体外受精-胚胎移植产妇产褥期生活质量的总分为(57.71±11.09)分,得分由高到低依次是生理方面、社会关系方面、环境方面、心理方面。不同性格、不同分娩方式、是否早产、不同夫妻关系、不同照顾人数因素显著影响体外受精-胚胎移植产妇产褥期生活质量。结论体外受精-胚胎移植产妇产褥期生活质量需引起关注,尤其是心理方面,需要及早了解和干预。针对不同情况产妇在不同时期应实施有效的干预措施,提高产妇产褥期生活质量。

Objective To investigate the current quality of life of in vitro fertilization-embryo transfer women during the puerperium period and analyze its influencing factors.Methods A total of 135 women who went to the Xiamen Maternal and Child Health Hospital outpatient clinic for physical examination at 42 days postpartum from June to December 2019 were selected by convenience sampling method.The self-made general scale and WHO World Health Organization Quality of Life Measurement brief table(WHOQOL-BREF)were used.The total scores of the subjects′quality of life and the scores of various dimensions were counted,and the factors affecting the quality of life were analyzed.SPSS 20.0 statistical software was used for statistical analysis,mainly including descriptive statistical analysis,t-test,and analysis of variance,and multiple stepwise regression.Results The total score of the quality of life in the puerperium of in vitro fertilization-embryo transfer women was(57.71±11.09)points,and the scores from high to low were physiological,social,environmental,and psychological aspect.Factors such as different personalities,different delivery methods,premature birth,different husband and wife relationships,and different number of caregivers significantly affect the quality of life of women in vitro fertilization-embryo transfer.Conclusion The quality of life during the puerperium of women in vitro fertilization-embryo transfer requires attention,especially the psychological aspect,which requires early understanding and intervention.According to different situations,effective intervention measures should be implemented in different periods to improve the quality of life of the women during the puerperium.