ART助孕女性二元应对水平及影响因素分析

Analysis of binary coping level and influencing factors of ART assisted pregnant women

目的了解我国辅助生殖技术(assisted reproductive technology,ART)患者二元应对水平,并分析其影响因素,为今后制定(assisted reproductive technology,ART)夫妇二元应对干预措施提供理论依据。方法采用便利抽样法,选取2021年5月至2021年6月郑州大学第三附属医院生殖医学科接受ART助孕治疗的患者作为研究对象,给患者发放一般资料调查表、二元应对量表(Dyadic Coping Inventory,DCI)及Locke-Wallance婚姻调适测定量表(Marriage Ajustment Test,MAT),取得患者同意后,由患者本人独立填写,了解ART患者二元应对水平,并分析其影响因素。结果患者二元应对总分为(121.43±12.40)分,处于中等水平;单因素分析中年龄、婚姻状况、婚龄、不孕因素、不孕类型、家庭类型、有无ART助孕史7项得分差异无统计学意义(均P>0.05);文化程度、居住地、职业、月收入、有无子女、不孕年限6项得分差异有统计学意义(均P<0.05);119例ART助孕女性Locke-Wallance婚姻调适测定总分为(114.24±13.68)分。婚姻调适测定总分与二元应对总分行皮尔逊相关分析,r=0.617,P=0.000,相关性显著;以二元应对得分为因变量,单因素分析中差异有统计学意义的变量及婚姻调适测定得分为自变量进行多元逐步回归分析,结果进入方程的因素有文化程度(初中及以下=1;高中或中专=2,大学及以上=3),职业(工人农民个体=1;机关、企事业单位人员=2;无业=3;其他=4)和婚姻调适测定。结论接受辅助生殖技术助孕的患者二元应对处于中等水平,主要影响因素包括文化程度、职业类型及婚姻质量,临床工作中制定促进二元应对的干预措施时可以此为切入点。

Objective To understand the level of dyadic coping of ART patients in China and analyze its influencing factors,so as to provide theoretical basis for the development of dyadic coping intervention measures for ART couples in the future.Methods Convenience sampling method was adopted to select patients who received ART assisted pregnancy treatment in the department of Reproductive Medicine of from May 2021 to June 2021 as the research objects.The general information questionnaire,Dyadic Coping Inventory(DCI)and Locke-Wallance marriage ajustment Test(MAT)were distributed to the patients.After obtaining the consent of the patients,the patients should fill out the MAT independently.To understand the dyadic coping level of ART patients and analyze its influencing factors.Results The total score of dyadic coping was(121.43±12.403),which was in the middle level.Single factor analysis of the age,marital status,age,infertility factors,type of infertility,family type,presence of ART history of assisted reproduction seven score difference has no statistical significance(P>0.05),level of education,place of residence,occupation,income,with or without children,infertility fixed number of year 6 score difference was statistically significant(all P<0.05);The locke-Wallance marital adjustment test score of 119 ART-assisted pregnant women was(114.24±13.675).There was a significant correlation between the total score of marital adjustment measurement and Pearson’s analysis of dyadic coping branch,r=0.617,P=0.000.Multiple stepwise regression analysis was conducted with the dyadic coping score as the dependent variable,the variables with statistically significant difference in single factor analysis and the marital adjustment score as the independent variables.The results showed that the factors entering into the equation were education level(junior high school and below=1;High school or technical secondary school=2,college or above=3),occupation(individual worker and farmer=1;Personnel of government organs,enterprises and public institutions=2;Jobless=3;Others=4)and marital adjustment measurement.Conclusion The patients who receive assisted reproductive technology have a medium level of dyadic coping,and the main influencing factors include education level,occupation type and marital quality,which can be used as a starting point to develop intervention measures to promote dyadic coping in clinical work.