Development and Evaluation of 3D Delivery Animation Software Designed to Improve the Mother’s and Spouse’s Satisfaction with Delivery

Purpose: To clarify the effectiveness of 3-D delivery animation software for the mother’s and husband’s satisfaction with delivery. Subjects and Method: We independently developed a software application used to display the pelvic region and explain the labor process. The study involved a collaboration with hospital staff who recruited 18 primiparous and 18 multiparous mothers who were hospitalized for delivery at Facility A. The midwife explained the process of delivery using the “Delivery Animation Software”. A self-administered, anonymous questionnaire was distributed and analyzed separately for primiparous and multiparous mothers and their husbands. Results: 1) For both primiparous and multiparous couples, both mothers and their husbands gained a significantly higher level of understanding after delivery than during pregnancy. 2) The Self-Evaluation Scale for Experience of Delivery results were as follows: “I did my best for the baby even if it was painful” was selected more often for “birth coping skills”;“reliable medical staff” was selected more often for “physiological birth process”;“the birth progressed as I expected” was selected frequently by primiparous mothers;and “the birth progressed smoothly” was selected often by multiparous mothers. 3) In terms of husbands’ satisfaction with the delivery, “I was satisfied with the delivery”, “I was given an easy-to-understand explanation”, and “They explained the process to me” was selected of primiparous and multiparous fathers. 4) All primiparous and multiparous mothers positively evaluated whether the delivery animation was helpful in understanding the process of delivery. Conclusion: The delivery animation was effective in improving the understanding and satisfaction of both the mothers and their husbands.

Spousal Involvement in the Workplace of Doctors: What Is Defined as Appropriate or Inappropriate

Background: Workers spend a significant amount of time in the workspace. Involvement of a spouse in a doctor’s workplace can take different forms and come with different intentions. Objectives: The survey aimed to determine the prevalence and extent of spousal involvement in physicians’ workplaces as well as the outcome of such involvement on doctor’ swell-being, productivity, and relationship with colleagues. Methods: This cross-sectional online survey on spousal involvement in the workplace of doctors was conducted among 83 responding doctors from July to August 2023. Results: Among the respondents, 60 (72.3%) had witnessed a doctor’s spouse being involved in the workplace. The most common reason for spousal involvement in the workplace was to protect the spouse from what they perceived as a threat 34 (54.0%). Spouse’s ignorance of boundaries in the workplace (OR: 6.09 (95% CI: 1.70, 21.79) P: 0.003) and exertion of control by the spouse (OR: 11.2 (95% CI: 2.26, 56.41) P: 0.002) were significantly associated with higher odds of inappropriate spousal involvement in the workplace, while expression of love for spouse with acts of kindness was significantly associated with a lowered odd of inappropriate spousal involvement (OR: 0.11 (95% CI: 0.03, 0.36) P: 0.0001). Conclusion: Spousal involvement in the workplace is relatively common. Ignorance of the boundaries of the workplace and exertion of control by the spouse were significant enablers of inappropriate spousal involvement in the workplace of doctors. The establishment of workplace policies that define the limits of spousal involvement in the doctor’s workplace can foster a healthy workspace environment, enhance doctors’ well-being, and improve patient care.

Microbial dysbiosis in spouses of ulcerative colitis patients: any clues to disease pathogenesis?

A number of alterations have been found within the gutmicrobial profile of patients with inflammatory bowel diseases when compared with the healthy population; however, it is unclear whether such dysbiosis is the cause or simply the consequence of the disease state. In ulcerative colitis, the environment seems to play a crucial role in disease etiology since monozygotic twins show a concordance rate of only 8%-10%-though it is unclear whether it does so by acting through the microbiome. In this study, the authors investigated the influence of cohabitation on the gut microbial community in healthy partners of ulcerative colitis patients-with the intent of clarifying some of these issues. As expected, ulcerative colitis patients had a significant dysbiosis and alterations in microbial metabolism. Interestingly, these abnormal fecal microbial communities were relatively similar amongst patients and their spouses. Thus, this study shows that the microbial profile might be partially transferred from ulcerative colitis patients to healthy individuals. Whether this finding impacts on disease development or has any implication for the role of the microbiome in inflammatory bowel disease etiology remains to be determined.

Factors Associated with Social Support Needs of Spouses of Patients with Cancer: Online Survey

Background: A means of assessing the social support needs of spouses of patients with cancer is not available in Japan, yet such individuals are at increased risk of developing psychological difficulties. Objectives: The present study aimed (1) to describe the social support needs of spouses of patients with cancer, and (2) to explore factors associated with social support needs of spouses of patients with cancer. Design: Spouses (n = 559) of patients with cancer were recruited by registered agents of an online survey company and completed a self-reporting, online questionnaire. Measurements: The questionnaires included demographic information and a tool to assess social support needs. Results: Factor analysis of social support needs of the spouses of patients with cancer indicated that (1) “social support needs regarding disease and treatment of patient” (54 items) comprised 3 factors (“medical condition and cure”, “daily life and social support”, “intimacy and employment”), and (2) “social support needs of spouse (19 items)” comprised 2 factors (“family psychological issues and social support” and “intimacy, employment and society”). The ANOVA and T tests showed that “younger age”, “under treatment”, and “cancer not cured: treatment stopped”, “PS1” and “PS 2-4”, the presence of “lung cancer”, and “recurrence/metastasis” were significant factors (all

Characteristics and Social Support Needs Predicting Anticipatory Grief in the Spouses of Patients with Cancer at the End of Life

Background: Medical staff provide care to spouses of terminal cancer patients through trial and error by meeting their various support needs and spousal factors regarding their anticipatory grief. Studies on the association between spousal characteristics and anticipatory grief have been inconclusive;additionally, there has been insufficient research on support needs for anticipatory grief of spouses. This study aimed to explore the spousal characteristics and social support needs predicting anticipatory grief in spouses of patients with cancer at the end of life. Methods: This was a cross-sectional study. Eligible spouses (n = 102) completed a self-report questionnaire in two hospitals with palliative care units in Japan. The questionnaire included demographic information, a tool assessing social support needs of spouses, and the Anticipatory Grief Scale for Family Caregivers. Results: Simple regression analyses indicated that patient age, chemotherapy, no treatment, ECOG PS3, children aged under 20 years, total score of “social support needs regarding the disease and treatment of the patients” and subscale scores (“medical condition and cure,” “daily life and social support,” and “intimacy and employment”), and total score of “social support needs of the spouses” and subscale scores (“family psychological issues and social support” and “intimacy, employment, and society”) were significant variables (all p p Conclusions: Patients having no experience of “chemotherapy” and higher “social support needs of the spouses” in Model 1, and greater spousal needs of “family psychological issues and social support” in Model 2 were significant predictors of severe anticipatory grief. Medical staff should pay attention to these risk factors that predict anticipatory grief among spouses.

Quality of life after colorectal surgery:A prospective study of patients compared with their spouses

BACKGROUND Although radical surgery for colorectal cancer improves the oncological outcomes,a significant portion of patients suffer from alterations in their quality of life(QoL).There are many studies investigating the QoL of patients who have colorectal cancer but none of these focus on the QoL of spouses.AIM To compare the QoL of patients after colorectal surgery to the QoL of spouses.METHODS This prospective study consisted of patients who were married and who underwent surgery at the University of Ankara,Department of Surgery between March 2006 and November 2010.Patients’spouses were also enrolled.The study was approved by the Ethics Committee of the Faculty of Medicine,Ankara University,and all patients provided written informed consent.The study included patients who underwent curative surgery for colorectal carcinoma[n=100;abdominoperineal excision(n=33),low anterior resection(n=33),left hemicolectomy(n=34)]and their spouses(n=100).The patients and spouses completed the Medical Outcome Study 36-item Short Form Survey(SF-36)and the World Health Organization Disability Assessment Schedule II(WHODAS-II)preoperatively and at postoperative months 15 to 18.RESULTS During this 4.5-year study period,273 patients with sigmoid or rectal cancer were admitted to the hospital.Of these patients,119 were eligible and willing to participate.Eleven patients had either systemic or locally inoperable disease,three patients had a severe surgical complication,and five patients were lost to followup.Therefore,a total of 100 patients completed the follow-up period.There was a statistically significant positive correlation between the disability scores of patients and the scores of their spouses for some of the WHODAS-II subscales,such as“self-care,”“life activities,”and“participation in society,”as well as for the total WHODAS-II score.There was also a positive correlation between the QoL of patients and the QoL of their spouses in most of the SF-36 subscales.Statistically significant correlations were observed for the“bodily pain,”“general health,””vitality,”“social function,”“emotion,”“mental health,”and mental component summary score subscales of the SF-36.When gender differences were evaluated,the QoL of male patients’spouses changed more when compared with female patients’spouses for all of the WHODAS-II subscales.Colorectal cancer surgery has a significant effect on the QoL of both patients and their spouses,these effects were more significant among male patients’spouses.CONCLUSION Preoperative counseling regarding potential problems should therefore collectively address patient and their spouse as a couple rather than the patient alone,particularly for patients undergoing low anterior resection and abdominoperineal resection procedures.

Spouses Who Donate Seem to Be the Winners – A Questionnaire Study of Kidney Donors Long-Term

Background:Living donor kidney transplantations have been performed at Sahlgrenska University Hospital in Gothenburg, Sweden since 1965. In this study we wanted to explore the living kidney donor’s long-term experiences of the donation. Methods: Of 1110 consecutive living donors throughout 1965-2005, 823 were available for our questionnaire study. Results:Totally 692 replied to the questionnaire, 65% were females. The most common relation to the recipients was siblings (284), parents (262) and spouses (96). Time since donation was median 15 years (2 - 43). The initiative to donate came from the donors themselves in 69%. The dominating motives for donation were a wish to help, worries about the recipient not receiving a transplant and the knowledge that one could live a normal life with one kidney. The majority of the donors, felt well informed about potential risks both short-term and long-term. Depression post donation was reported by few donors, 2.3% and persisting pain by 4.3%. Comparisons between sibling donors and spouse donors show a significant difference (p Conclusions:Our study shows that the donor population is in good psychosocial health. It is a positive progress that spouses can be living kidney donors - they seem to be the winners.

Depressive Symptoms in Spouses of HIV Infected Individuals: A Study of HIV Uninfected Caregivers in Pune, India

Background: HIV infected individuals are at increased risk of developing psychiatric comorbidities, particularly depression. Coping with a disease associated with significant morbidity, mortality and financial stress is likely to result in psychiatric morbidity even among caregivers, especially family members. However, there is scarcity of such data in HIV uninfected caregiver spouses. Material and Methods: Beck Depression Inventory (BDI-II), a diagnostic tool that measures depressive symptoms, was administered to HIV uninfected caregiver spouses of HIV infected individuals (n = 55) and HIV seronegative individuals from general population (n = 63) with similar demographic profile. Chisquare test was used for categorical data. Results: Caregiver spouses exhibited higher depressive symptoms on the BDI-II (mean score 5.25 vs. 3.03;p = 0.029) as compared to others. The scores tended to be higher on the majority of the items, with sadness (p = 0.032), punishment feeling (p = 0.024) and crying (p = 0.037) being statistically significant. Conclusions: Our results indicate that it is important to address the mental health needs of the spouses of HIV infected individuals as they may play a major role in their care and support in the Indian

A Survey on the Sexual Health of Elderly Patients with Cardiovascular Disease and Their Spouses

Objective:To investigate the sexual relationship and sexual health of elderly patients with cardiovascular disease and their spouses,as well as to explore the relationship between sexual health and the quality of life.Methods:A total of 206 CHD patients and their spouses(N=206)as well as 238 age-and gender-matched healthy people were recruited and investigated by using a seilf-designed sexual relationship and sexual health questionnaire and the SF-36 questionnaire;data analysis and comparison were carried out by using SPSS 22.0.Results:The scores of perceived health,marital satisfaction,sexual satisfaction,sexual function,and quality of life were all significantly different among elderly CVD patients,then-spouses,and healthy people(F=3.894,p<0.05).There was a significant correlation between perceived health,marital satisfaction,sexual satisfaction,and sexual function with quality of life(p<0.05).Conclusion:Sexual behavior is an important aspect of quality of life.The sexual relationship,sexual health,and quality of life of elderly patients with cardiovascular disease and their spouses were significantly lower than those of healthy people.It is recommended that more attention should be paid on the sexual relationship and sexual health of these patients and their spouses,with counselling offered when needed.

Analysis on the status quo and influencing factors of fear of disease progress in 120 patients ’ spouse after bladder cancer surgery

Objective:To investigate the status quo of fear of disease progressi on in postoperative patients’spouse of bladder cancer and analyze its influencing factors.Methods:Postoperative patients’spouse of bladder cancer of a cancer hospital in Tianjin were selected as the research objects by the convenience sampling method.The general data questionnaire,spouse fear of disease progression scale and self-efficacy scale were used to investigate.Multiple linear regression was used to analyze the influencing factors of the fear of the disease progression in the postoperative pa tients’spouse of bladder cancer.Results:The score of fear of disease progression was(35.75±9.86).The results of multiple linear regression analysis showed that the spouse’s age,medical payment method,occupational status and self-efficacy were the main influencing factors for the spouse’s fear of disease progression after bladder cancer(P<0.05),which accounted for 55%of the total variation.Conclusion:The spouse’s fear of disease progression in patients with bladder cancer is at a moderate lev el,and age,medical payment method,occupational status and self-efficacy are the main influencing factors.It is suggested that clinical medical staff focus on young,rural cooperative medical care,self-financed,in-service,and unemployed,low self-eff icacy of postoperative bladder cancer patients'spouses.A series of psychological counseling and health education should be given to help the patient spouse correctly understand and deal with diseases,reduce the patients’spouses of negative emotions,im prove the patients’spouses of self-efficacy,and reduce the spouse fear level of disease progression.

The Relationship Between Spousal Support and Pregnancy Stress in High-Risk Pregnant Women

Objective:This research was conducted to establish the relationship between spousal support and pregnancy stress in high-risk pregnant women.Methods:The sample of the descriptive and correlational study consisted of 220 pregnant women who were hospitalized for treatment in the perinatology service of the Women’s and Children’s Hospital on the Anatolian side of Istanbul between 1st December 2020 and 1st February 2021.Data were collected using a descriptive data collection form,the Pregnancy Stress Assessment Scale,and the Spousal Support Scale.Data analysis involved numerical and percentage calculations,ANOVA test,Kruskal Wallis test,t-test,and Spearman correlation analysis.Results:The average score on the Pregnancy Stress Assessment Scale for the participating pregnant women was 50.24±27.10,and the average score on the Spousal support scale was 57.69±9.21.No statistically significant relationship was found between the average scores on the Pregnancy Stress Rating Scale and the Spousal Support Scale for pregnant women(P>0.01).Conclusion:It is recommended that nurses and midwives working with high-risk pregnant women incorporate plans to reduce pregnancy stress into their care processes.

脑卒中病人配偶照顾者出院过渡期心理适应水平及其影响因素

目的:调查脑卒中病人配偶照顾者出院过渡期的心理适应水平,分析其影响因素。方法:采用一般情况调查表、心理适应量表(PAS)、中文版Connor-Davidson心理韧性量表(CD-RISC-25)和相依关系量表(MS)对237例脑卒中病人配偶照顾者于出院前后进行调查。结果:出院前1 d及出院后1、3、6个月脑卒中病人配偶照顾者PAS得分分别为60(52,68)分、61(53,70)分、67(57,76)分、72(61,80)分。广义估计方程结果显示,男性配偶、配偶有照顾经验、配偶高相依关系及高心理韧性是脑卒中病人配偶照顾者PAS得分的保护因素,家庭经济负担是脑卒中病人配偶照顾者PAS得分的危险因素。结论:脑卒中病人配偶照顾者心理适应水平在出院后呈上升发展趋势,应提升配偶照顾者的相依关系及心理韧性,以改善其心理适应状况。

青年脑肿瘤病人配偶照顾者经济毒性与照顾负担动态变化的纵向研究

目的:探讨青年脑肿瘤病人配偶照顾者在病人术后半年内经济毒性及照顾负担的动态变化,并分析二者间的相互预测关系。方法:基于便利抽样法,在病人术后14 d、3个月、6个月时采用一般情况调查表、患者报告结局的经济毒性综合评分量表修订版、照顾者负担量表对216名青年脑肿瘤配偶照顾者开展随访调查。结果:术后6个月内,配偶照顾者照顾负担呈下降趋势(P<0.01),经济毒性呈先上升后平稳趋势(P<0.05)。交叉滞后模型显示,术后14 d的经济毒性对术后3个月照顾负担有影响(P<0.01),术后3个月的经济毒性对术后6个月的照顾负担有影响(P<0.01)。结论:青年脑肿瘤病人配偶照顾者经济毒性及照顾负担在病人术后半年内呈动态变化,经济毒性能够影响随后的照顾负担。医护人员应重视青年脑肿瘤配偶照顾者的经济毒性水平,及时实施心理疏导,降低经济毒性对配偶照顾者的心理困扰,以减轻其照顾负担。

围透析期慢性肾脏病患者夫妻疾病感知与希望水平的关系研究

目的探讨围透析期慢性肾脏病患者夫妻疾病感知对希望水平的影响,为后期临床开展以夫妻为中心的二元干预提供理论支持及依据。方法纳入郑州大学第一附属医院肾病内科的140对围透析期慢性肾脏病患者夫妻为研究对象,采用简易疾病感知问卷和中文版希望量表进行调查研究。通过主客体互倚模型,分析围透析期慢性肾脏病患者夫妻疾病感知对希望水平的影响。结果围透析期慢性肾脏病患者夫妻希望水平处于中等水平,患者希望量表总分及各维度评分均低于配偶,简易疾病感知问卷总分及认知、情绪维度评分均高于配偶(P<0.05或0.01)。围透析期慢性肾脏病患者夫妻的疾病感知和希望水平存在相关性(P<0.01)。主体效应方面,围透析期慢性肾脏病患者夫妻的疾病感知都会对其希望水平产生影响(P<0.01);客体效应方面,围透析期慢性肾脏病患者的疾病感知都会对其配偶的希望水平产生影响(P<0.05)。结论围透析期慢性肾脏病患者夫妻的希望水平受自身和对方疾病感知的交互影响。医护人员应将围透析期慢性肾脏病患者夫妻视为一个共同体,有助于实施以夫妻为中心的相互支持应对策略,从而提高他们应对围透析期时的希望水平。

配偶同步认知疗法对反复胚胎种植失败病人受孕结局及其心理状况的影响

目的:探讨配偶同步认知疗法对反复胚胎种植失败(RIF)病人的影响。方法:选取医院2020年7月—2022年7月收治的136例RIF病人为研究对象,按入院建档顺序分为对照组和观察组,每组68例。对照组采用常规护理,观察组采用配偶同步认知疗法,比较两组受孕结局、干预前后心理状况[正性情绪(PA)、负性情绪(NA)]、自我效能感[一般自我效能感评分(GSES)]、生育生活质量[生育生活质量评分(FertiQoL)]。结果:观察组胚胎种植率、临床妊娠率高于对照组(P<0.05),自然流产率低于对照组(P<0.05);干预后观察组PA评分、GSES评分高于对照组(P<0.05),NA评分低于对照组(P<0.05);干预后观察组FertiQoL评分高于对照组(P<0.05)。结论:配偶同步认知疗法能提高RIF病人的受孕率,改善其不良心理状态,提升病人的自我效能感,提高病人的生活质量。

妇科恶性肿瘤患者配偶创伤后成长现状及其影响因素

目的了解妇科恶性肿瘤患者配偶创伤后成长现状,并探析其影响因素。方法通过方便抽样法,选取商丘市第一人民医院妇科恶性肿瘤患者配偶为研究对象。统计患者配偶创伤后成长状况(采用创伤后成长评定量表),设计一般资料调查表,比较不同特征下妇科恶性肿瘤患者配偶的创伤后成长水平,并采用Pearson相关分析自我效能感、反刍性沉思与创伤后成长水平的关系,通过线性回归分析创伤后成长水平的影响因素。结果妇科恶性肿瘤患者配偶创伤后成长得分(63.45±18.41)分;自我效能感量表(GSES)得分(26.91±6.13)分;侵入性反刍性沉思得分(15.19±5.88)分;目的性反刍性沉思得分(18.62±6.79)分。线性回归分析显示,配偶的受教育程度、自我效能、侵入性以及目的性反刍沉思均是创伤后成长的影响因素(P<0.01)。结论妇科恶性肿瘤患者配偶创伤后成长水平不高,配偶的受教育程度、自我效能、侵入性反刍、目的性反刍均是其影响因素。建议临床护理人员应指导配偶进行心理调适,提高配偶照护能力与信心,改善自身创伤后成长的水平。

“996”工作模式对配偶心理健康的溢出效应——基于CFPS2018的实证研究

超时劳动对个体心理健康的负面效果已被广泛证实,但已有研究较少探讨“996”工作模式对配偶心理健康产生的溢出效应。使用CFPS2018年的夫妻匹配样本分析“996”工作模式对配偶心理健康的影响,结果发现无论妻子或丈夫是“996”工作模式,都会造成另一方的心理健康水平显著下降,并且丈夫是“996”工作模式对妻子心理健康的影响强度更大。在影响机制方面,当妻子是“996”工作模式时,会显著降低丈夫对妻子家庭经济贡献和家务贡献的满意度,进而传递到心理健康方面。同时,丈夫的“996”工作模式也通过上述两条中介路径影响妻子心理健康,相关结论均通过了稳健性检验。因此,“996”工作模式不仅会对劳动者自身健康产生影响,还会在家庭内部产生溢出效应,影响配偶的心理健康水平。

乙肝肝硬化患者配偶健康商数水平影响因素分析及护理干预策略

目的分析乙肝肝硬化患者配偶健康商数水平的影响因素,以此为依据进一步实施护理干预策略。方法选取2019年10月至2021年10月132名乙肝肝硬化患者配偶作为研究对象。调查工具包括一般资料调查问卷、健康商数调查问卷、肝硬化知识问卷、汉密尔顿抑郁量表(HAMD)以及特质应对方式问卷(TCSQ)。采用多元线性回归分析乙肝肝硬化患者配偶健康商数水平影响因素。结果最终获得有效问卷128份,问卷有效回收率为96.97%。乙肝肝硬化患者配偶的健康商数总分为(26.35±3.56)分,各维度得分由低到高分别为健康知识、生活技能、自我保健、精神状态、生活方式。多元线性回归结果显示,学历、与家庭成员关系和睦、积极应对是乙肝肝硬化患者配偶健康商数水平的保护因素,未掌握肝硬化知识、抑郁是危险因素(P<0.05)。结论乙肝肝硬化患者配偶的健康商数处于中等水平,仍待进一步提升,学历、与家庭成员关系和睦、积极应对是其保护因素,未掌握肝硬化知识、抑郁是其危险因素,临床可根据上述因素给予针对性的干预措施,以提高其健康商数水平。

宫腔粘连病人及其配偶生育压力与二元应对的相关性

目的:探究宫腔粘连(IUA)病人及其配偶的生育压力、二元应对现状及其相关性,为临床工作开展针对性改善IUA病人及其配偶心理状况的干预措施提供新视角和理论依据。方法:采用便利抽样法,选取2022年5月—12月在南京医科大学附属妇产医院就诊的IUA病人及其配偶295对。采用自行设计的一般资料调查表、生育困难压力量表、二元应对量表进行问卷调查。结果:IUA病人的生育压力总分、社会压力、夫妻关系压力、父母角色需求、性压力、二元应对总分、压力沟通、委托二元应对、消极二元应对与其配偶相应指标得分比较,差异均有统计学意义(P<0.05)。Pearson相关性分析结果显示,病人生育压力与其二元应对的压力沟通、支持二元应对、委托二元应对维度呈负相关,与消极二元应对呈正相关;病人的生育压力与配偶的压力沟通呈负相关,与配偶生育压力、消极二元应对呈正相关;配偶生育压力与病人及配偶的消极二元应对呈正相关。结论:IUA病人及其配偶生育压力较高且相互影响,双方二元应对水平不足,消极应对明显,影响双方的生育压力。因此,临床医务人员应鼓励IUA病人及其配偶积极参与,共同面对生育压力。

二元应对在行体外受精-胚胎移植不孕症女性患者配偶知觉压力与负性情绪之间的中介效应

目的探讨二元应对在行体外受精-胚胎移植不孕症女性患者配偶知觉压力与负性情绪之间的中介效应。方法选取接受体外受精-胚胎移植的208名不孕症女性患者的配偶作为研究对象,采用知觉压力量表(PSS)、二元应对量表(DCI)及医院焦虑抑郁量表(HADS)对其进行调查。分析3个量表总得分的相关性。使用SPSS软件PROCESS宏程序中的Model 4进行中介效应分析,采用Bootstrap法检验中介效应。结果208名不孕症女性患者配偶的PSS、DCI和HADS总得分别为(14.26±4.89)分、(123.95±16.34)分和(11.43±5.01)分,其中焦虑、抑郁发生率分别为36.06%(75/208)、24.52%(51/208)。相关性分析结果显示,不孕症女性患者配偶的PSS总得分与HADS总得分呈正相关、与DCI总得分呈负相关,DCI总得分与HADS总得分呈负相关(P<0.05)。中介效应分析及检验结果提示,二元应对在知觉压力与负性情绪之间具有部分中介效应,中介效应值为0.058(0.013,0.112),占总效应的9.7%。结论不孕症女性患者配偶的知觉压力呈中等水平,知觉压力可以直接正向作用于负性情绪,也可以通过二元应对间接影响负性情绪。因此,医护人员可提高不孕症女性患者配偶的二元应对能力,以降低其负性情绪的发生。