家庭功能及社会支持对不孕症女性心理的影响

Relationships of family function and social support with mental health of infertile women

目的 探讨家庭功能、社会支持与不孕症女性患者心理健康的关联,为不孕症患者进行心理干预提供科学依据。方法 选取2018年3月至2019年12月在中南大学湘雅医院就诊的284例不孕症女性患者为不孕症组,同期在该院体检中心体检的284名正常育龄女性为对照组。采用自填问卷及焦虑自评量表(SAS)、抑郁自评量表(SDS)、纽芬兰纪念大学幸福度量表(MUNSH)、家庭功能评定量表(FAD)、社会支持量表(SSRS)的方式进行调查,并对数据进行统计分析。结果 不孕症组的SAS和SDS量表得分均显著高于对照组,不孕症组的MUNSH量表得分显著低于对照组,差异均有统计学意义(t值分别为17.012、21.501、-14.078,P<0.05)。不孕症组的FAD量表中的沟通、情感反应、情感介入、总功能得分均显著高于对照组,差异均有统计学意义(t值分别为36.961、5.539、13.783、8.718,P<0.05)。不孕症组的SSRS量表中的主观支持和社会支持利用度得分均显著低于对照组,差异均有统计学意义(t值分别为-7.761、-16.729,P<0.05)。不孕症组的FAD量表的总功能得分与SAS和SDS量表得分均呈正相关(r分别为0.252、0.242,P<0.05),而与MUNSH量表得分呈负相关(r=-0.249,P<0.05)。不孕症组的SSRS量表的社会支持利用度与SDS量表得分呈正相关(r=0.259,P<0.05)。结论 家庭功能、社会支持与不孕症女性患者的心理健康存在关联,患者家庭功能的改善和社会支持的增加将有助于提高女性不孕症患者心理健康水平。

Objective To explore relationship between family function, social support and mental health of infertile women, and to provide scientific basis for psychological intervention in infertile women.Methods 284 infertile women who were treated in Xiangya Hospital of Central South University from March 2018 to December 2019 were included as infertility group and 284 women of childbearing age with normal fertility who were received physical examination in our hospital ever the same period were included as the control group.All women in the two groups were investigated with self-filled questionnaires, self-rating anxiety scale(SAS),self-rating depression scale(SDS),Memorial University of Newfoundland Scale of Happiness(MUNSH),family assessment device(FAD) and social support rating scale(SSRS).The data obtained were analyzed statistically.Results The average scores in SAS and SDS of the women in the infertility group were significantly higher than those in the control group, while their average score in MUNSH was significantly lower than that in the control group(t=17.012,21.501 and-14.078 respectively, all P<0.05).The communication, affective reaction, affective intervention and total score in FAD of the women in the infertility group were significantly higher than those in the control group(t=36.961,5.539,13.783 and 8.718 respectively, all P<0.05).The scores of subjective support and social support utilization of the women in the infertility group were significantly lower than those in the control group(t=-7.761 and-16.729 respectively, both P<0.05).In the infertility group, the total score in FAD of the women was positively correlated with their scores in SAS and SDS(r=0.252 and 0.242 respectively, both P<0.05),and negatively correlated with their score in MUNSH(r=-0.249,P<0.05).The score of the women in social support utilization in SSRS was positively correlated with their score in SDS in infertility group(r=0.259,P<0.05).Conclusion The family function and social support are associated with mental health of the infertile women.Improvement in family function and increase in social support will help to improve the mental health level of the female infertile patients.