高龄不孕女性心理困顿感、生育生活质量及与夫妻支持应对关系分析

Investiation of the psychological sense of entrapment and the quality of infertile women with advanced age and the anlysis of their correlation with the marital support coping

目的:调查分析高龄不孕妇女心理困顿感、生育生活质量及与夫妻支持应对的关系。方法:采用便利抽样法,选取2023年1-12月在本院生殖中心就诊的高龄不孕症女性212例,采用调查表进行一般资料调查,困顿感量表(ES)、生育生存质量量表(Ferti-QOL)、夫妻支持应对量表(DCI)评价不孕女性心理困顿感、生育生活质量和夫妻支持应对水平。结果:高龄不孕妇女ES评分33.65±5.61分,Ferti-QOL评分70.97±12.61分,DCI评分107.95±12.04分。相关性分析显示,ES评分与Ferti-QOL评分、DCI评分呈负相关性,Ferti-QOL评分与DCI评分呈正相关性(均P<0.05)。logistic多元回归分析显示,年龄高、未生育、不孕年限长、家庭年收入低均是影响高龄不孕妇女心理困顿感的独立危险因素,而中等及以上Ferti-QOL评分和DCI评分是保护性因素(均P<0.05)。结论:本次调查的高龄不孕症女性心理困顿感处于中等水平,其生育生活质量、夫妻支持应对有待提高,提高生育生活质量、夫妻支持应对水平有利于减轻心理困顿感。

LIANG Zhaorui;BAI Pengqian;BAI Pengxing;WANG Pei;The Second Affiliated Hospital of the Air Force Military Medical University;Shannxi Provincial People's Hospital;Objective: To investigate the psychological sense of entrapment and the quality of infertile women with advanced age, and to analyze their correlation with the marital support coping of the women. Methods: From January to December 2023, 212 infertile women with advanced age who visited the reproductive center of the hospital were selected as the study subjects by convenience-sampling method. The general data questionnaire was used to investigate the general data of these women. The entrapment scale(ES), the fertile quality of life scale(Ferti-QOL) and the dyadic coping inventory(DCI) were used to evaluate the psychological sense of entrapment and the quality of reproductive life of the women, and the marital support coping level. Results: The scores of ES, Ferti-QOL and DCI of the infertile women with advanced age were 33.65±5.61 points, 70.97±12.61 points and 107.95±12.04 points, respectively. Correlation analysis showed that the ES score of the women was negatively correlated with their Ferti-QOL and DCI scores, and the Ferti-QOL score of the women was positively correlated with their DCI score(all P<0.05). Logistic multiple regression analysis showed that the advanced age, the childless, the longer duration of infertility and the low annual family income of the infertile women were the independent risk factors of their psychological sense of entrapment, while the moderate and above scores of Ferti-QOL and DCI of the infertile women were the protective factors of their psychological sense of entrapment(all P<0.05). Conclusion: In this survey, the psychological sense of the infertile women with advanced age is at a medium level. The quality of reproductive life and the marital support coping of the women need to be improved, and which is conducive to reduce the psychological sense of entrapment of the women.