早发性卵巢功能不全不孕症患者心理控制源影响因素及与睡眠和婚姻质量的相关性

Analysis of influencing factors of locus of control in infertility caused by premature ovarian insufficiency and study on correlation between locus of control and sleep quality,marriage quality

目的分析早发性卵巢功能不全(POI)不孕症患者心理控制源的影响因素及与睡眠质量、婚姻质量的相关性,旨在根据患者心理控制源特点及影响因素进行个体化干预,为改善患者健康结局提供参考依据。方法选取该院收治的386例POI不孕症患者作为研究对象。采用多维度健康状况心理控制源量表(MHLC)、匹茨堡睡眠质量指数(PSQI)和婚姻调适问卷(MAT)评估患者心理控制源、睡眠质量和婚姻质量。采用Pearson相关分析心理控制源与睡眠质量和婚姻质量的相关性,采用多元线性回归分析POI不孕症患者心理控制源的影响因素。结果POI不孕症患者的MHLC评分由高到低依次为内部控制源评分、外部权威人士控制源评分和机遇控制源评分,分别为(24.06±5.07)、(21.64±4.95)、(20.00±4.78)分。Pearson相关分析结果显示,MHLC评分中的内部控制源评分、外部权威人士控制源评分与PSQI评分呈负相关(P<0.05),与MAT评分呈正相关(P<0.05),机遇控制源评分与PSQI评分呈正相关(P<0.05),与MAT评分呈负相关(P<0.05)。多元线性回归分析结果显示,年龄、有无子女、居住地、文化程度、家庭月收入和就业情况均是POI不孕症患者内部控制源、外部权威人士控制源和机遇控制源的影响因素,结婚时间是机遇控制源的影响因素(P<0.05)。结论POI不孕症患者的心理控制源倾向于内部控制型,其中内部控制源、外部权威人士控制源与睡眠质量和婚姻质量呈正相关,机遇控制源与睡眠质量和婚姻质量呈负相关。年龄、结婚时间、有无子女、居住地、文化程度、家庭月收入和就业情况均是POI不孕症患者心理控制源的影响因素。在临床工作中应早期识别心理控制源较差的患者,进行早期预警和重点关注,并给予早期精神心理干预,以改善患者健康结局。

Objective To analyze the influencing factors of locus of control in infertility patients caused by premature ovarian insufficiency(POI)and study on the correlation between locus of control and sleep quality,marriage quality.To carry out individualized intervention according to the characteristics and influencing factors of patients'locus of control with the purpose of providing reference basis for improving patients'health outcomes.Methods A total of 386 infertility patients caused by POI in the First Affiliated Hospital of Xinjiang Medical University were collected as research objects.Multi-dimensional Health Locus of Control Scale(MHLC),Pittsburgh Sleep Quality Index(PSQI)and Marital Adjustment Test(MAT)were used to assess locus of control,sleep quality and marriage quality.Pearson correlation was used to analyze the correlation between locus of control and sleep quality,marriage quality,multiple linear regression was used to analyze the influencing factors of locus of control in infertility patients caused by POI.Results The MHLC scores of POI infertility patients are ranked from high to low as internal control source score,external authoritative control source score and opportunity control source score,with scores of(24.06±5.07),(21.64±4.95),and(20.00±4.78)respectively.Pearson correlation analysis showed that scores of internal locus of control and locus of control by powerful outside authorities in MHLC correlated negatively with PSQI score and positively correlated with MAT score(P<0.05),and chance locus of control score correlated positively with PSQI score and negatively correlated with MAT score(P<0.05).Multiple linear regression analysis showed that age,children,place of residence,educational level,monthly family income,employment were the influencing factors of internal locus of control,locus of control by powerful outside authorities and chance locus of control in infertility patients caused by POI and length of marriage was influencing factor of chance locus of control in those patients(P<0.05).Conclusion The locus of control in infertility patients caused by POI tend to be controlled by type of internal locus of control,in which internal locus of control,locus of control by outside authorities correlated positively with sleep quality and marriage quality,and chance locus of control correlated negatively with sleep quality and marriage quality.Age,length of marriage,children,place of residence,educational level,monthly family income and employment are influencing factors of locus of control in infertility patients caused by POI.We should identify patients with poor locus of control early in clinical work,provide early warning and focus attention,and provide early psychological intervention to improve health outcomes.