重复辅助生殖助孕女性希望水平关联因素分析

Analysis of the related factors of hope level of women with repeated assisted reproduction

目的:观察重复辅助生殖助孕女性的希望水平并探究其相关影响因素。方法:选择2022年5月-2023年6月于本院重复接受辅助生殖技术的不孕症患者为调查对象,采用Herth希望指数量表(HHI)调查患者希望水平,以中文版事件相关反刍性沉思问卷(C-ERRI)评估反刍性沉思,简易医学应对方式问卷(SCSQ)评估应对方式,领悟社会支持量表(PSSS)评估社会支持情况,一般资料调查表收集患者临床资料分析可能影响因素,Pearson相关系数模型分析C-ERRI目的性反刍性沉思及侵入性反刍性沉思、PSSS、SCSQ消极应对及积极应对评分与HHI评分的关系,多元线性回归模型分析重复辅助生殖助孕女性希望水平的影响因素。结果:发放调查问卷235份,有效回收219份,有效回收率为93.2%;重复辅助生殖助孕女性HHI评分为32.49±4.86分,其中高水平20例(9.1%)、中水平188例(85.8%)、低水平11例(5.0%)。Pearson相关分析显示,SCSQ消极应对评分与HHI评分呈负相关,C-ERRI目的性反刍性沉思评分、PSSS评分、SCSQ积极应对评分与HHI评分呈正相关(均P<0.05);多元线性回归分析显示,年龄大、不孕年限长、治疗周期长、目的性反刍性沉思不足、社会支持不佳、消极应对方式为重复辅助生殖助孕女性希望水平主要影响因素(均P<0.05)。结论:本次调查的重复辅助生殖助孕女性希望水平处于中等水平,年龄、不孕年限、治疗周期、目的性反刍性沉思、社会支持、应对方式等均是其影响因素,临床可据此采取相关应对措施。

Objective:To observe the hope level of women with repeated assisted reproduction,and to explore its related influencing factors.Methods:From May 2022 to June 2023,the infertile women who received repeated assisted reproductive technology in hospital were selected as the subjects.Herth hope index scale(HHI)was used to investigate the hope level of the women.The Chinese version of the event-related rumination inventory(C-ERRI)was used to assess the coping style of the rumination of the women.Simplified medical coping style questionnaire(SCSQ)was used to evaluate the coping style of the women.Perceived social support scale(PSSS)was used to evaluate the social support assess coping style of the women.The clinical data of the women were collected by general data questionnaire to analyze the possible influencing factors of the hope level of the women with repeated assisted reproduction.Pearson correlation coefficient model was used to analyze the correlation between the score of C-ERRI purposive rumination and invasive rumination,PSSS,SCSQ negative coping and positive coping of the women and their HHI score.Multiple linear regression model was used to analyze the influencing factors of the hope level of the women with repeated assisted reproduction.Results:A total of 235 questionnaires were distributed,and 219 were effectively recovered,with an effective recovery rate of 93.2%.The HHI score of the women with repeated assisted reproduction was 32.49±4.86 points,of which,20(9.1%)cases were at high level,188(85.8%)cases were at middle level and 11(5.0%)cases were at low level.Pearson correlation analysis showed that SCSQ negative coping score of the women was negatively correlated with their HHI score,and the scores of C-ERRI purposive rumination,PSSS and SCSQ positive coping score of the women were positively correlated with their HHI score(all P<0.05).Multivariate linear regression analysis showed that the advanced age,the long duration of infertility,the long treatment cycle,the insufficient purposive rumination,the poor social support and the coping style of the women with repeated assisted reproductive technology were the main influencing factors of their hope level(all P<0.05).Conclusion:The hope level of the women with repeated assisted reproduction in this survey is at a medium level.The Age,duration of infertility,treatment cycle,purposive rumination,social support and coping style of the women with repeated assisted reproduction are all the influencing factors of their hope level,so the relevant countermeasures should be taken in clinic.