进入IVF-ET治疗周期的803对不孕夫妻心理状况调查

Investigation on the psychological status of 803 infertile couples entering the IVF-ET treatment cycle

目的研究不孕夫妻进入体外受精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET)治疗周期的心理状况。方法采用横断面研究,便利取样法选取2019年10月至2020年8月期间在北京大学第三医院生殖医学中心首次接受IVF-ET治疗的夫妻为研究对象。采用自设不孕不育基本情况调查表、生育困难相关压力量表、中文版生育生活质量问卷和状态-特质焦虑量表评估夫妻双方进入IVF-ET治疗周期的心理状况。结果纳入夫妻803对,生育压力得分为女性(155.65±22.07)分,男性(153.70±22.25)分,差异无统计学意义(P=0.101);生活质量得分女性[(90.60±18.27)分]高于男性[(84.24±16.47)分],差异具有统计学意义(P<0.001);夫妻双方状态焦虑得分差异无统计学意义(P=0.074);特质焦虑得分男性[(43.38±6.91)分]高于女性[(41.93±6.89)分,P<0.001]。结论在进入IVF-ET治疗周期时,夫妻双方生育压力水平一致,但男性特质焦虑水平高于女性,且生活质量低于女性,医务人员在给予夫妻治疗管理中应加强对男性的心理状态关注和干预。

Objectve To investigate the psychological status of infertile couples entering the in vitro fertilization-embryo transfer(IVF-ET)treatment cycle.Methods In this cross-sectional study,convenience sampling method was used to selected couples who received IVF-ET treatment for the first time in the Reproductive Medicine Center of Peking University Third Hospital from October 2019 to August 2020.We used the basic questionnaire of infertility designed by ourselves,fertility problem inventory,the Chinese version of the fertility quality of life to evaluate the Status-Trait anxiety scale.Results Totally 803 couples were included.The fertility stress score was 155.65±22.07 in female and 153.70±22.25 in male with no statistical difference(P=0.101).The quality of life score was 90.60±18.27 in female and 84.24±16.47 in male.Female had better quality of life than male(P<0.001).No statistical difference was observed in state anxiety scores(P=0.074).The male trait anxiety score(43.38±6.91)was higher than that in female(41.93±6.89)(P<0.001).Conclusion When entering the IVF-ET treatment cycle,the fertility pressure level of the couple is the same,but the level of male anxiety characteristics is higher than that in women,and the quality of life is lower than that in women.Medical staff should strengthen the attention and intervention to the psychological state of men in the management of marital treatment.