新型冠状病毒肺炎疫情后辅助生殖患者心理压力调查分析

nvestigation and analysis of psychological stress of assisted reproduction patients after COVID-19 epidemic

目的:利用中文版压力知觉量表(Chinese perceived stress scale,CPSS)调查新冠疫情过后不孕患者的心理压力并分析其相关因素。方法:利用问卷调查的方式搜集2021年3月29日至2021年4月29日期间于北部战区总医院行辅助生殖患者的基本情况、生育史、受疫情影响情况、心理现状等信息,根据CPSS,采用组间比较和相关性分析探讨可能与患者心理压力相关的因素。结果:共收到有效问卷251份,患者CPSS评分为22.43±7.07,疫情期间约33.86%(85/251)的不孕患者推迟了助孕计划,81.27%(204/251)的人表示不清楚注射新冠疫苗对后代是否有影响。不同性别、职业和在不同助孕阶段推迟助孕计划的患者间的心理压力差异具有统计学意义(P=0.001,P=0.005,P=0.002),是否推迟助孕计划的患者间心理压力差异无统计学意义(P>0.05);相关性分析显示,患者心理压力大小与其年龄、收入、因疫情推迟的时间呈负相关(r=-0.192,P=0.002;r=-0.323,P<0.001;r=-0.282,P=0.009)。结论:新冠肺炎疫情对于不孕夫妇的心理压力造成了一定影响,针对不孕患者的心理护理尤为重要。为了消除不孕患者对于疫苗的疑虑,治疗过程中应注意正确的新冠疫苗科普宣传。

Objective To analyze the psychological stress of infertile patients after COVID-19 epidemic and its related factors by Chinese version of the perceived stress scale(CPSS).Method The basic information,reproductive history,impact of the epidemic,psychological status of patients undergoing assisted reproductive technology at the General Hospital of Northern Theater Command from March 29,2021 to April 29,2021 were collected by questionnaire.According to CPSS,group comparison and correlation analysis were used to explore factors related to patients'psychological stress.Results A total of 251 valid questionnaires were received.The average CPSS score of the patients was 22.43±7.07.During the epidemic,about 33.86%(85/251)of the infertility patients postponed the fertilization plan;there were significant differences in the psychological stress among patients of different genders,occupations,and postponed fertilization plans at different stages of fertilization(P=0.001,P=0.005,P=0.002).There was no significant difference in CPSS score between infertile patients who delayed treatment or not(P>0.05).Correlation analysis showed that the perceived stress of patients was negatively correlated with their age,income,and delay duration(r=-0.192,P=0.002;r=-0.323,P=0.001;r=-0.282,P=0.009).Among all patients who delayed treatment,patients with higher CPSS score would restart treatment sooner;most of the infertile patients knew little about the vaccine.Conclusion The COVID-19 epidemic has caused a certain impact on the psychological pressure of infertile couples who accepted treatment in our hospital.The psychological care for infertile patients is particularly important.In the future,in order to dispel the doubts of infertile patients about the vaccine,we should pay attention to the correct scientific promotion of the COVID-19 vaccine during the treatment process.