Background: Infertility is a unique medical challenge that can have health behavioral consequence on infertile women including lack of self-esteem, depression, anxiety, fertility problem in infertile couples. The aim ...Background: Infertility is a unique medical challenge that can have health behavioral consequence on infertile women including lack of self-esteem, depression, anxiety, fertility problem in infertile couples. The aim of this study was to evaluate correlation between self-efficacy and health behaviors scales in infertile women. Methods: A cross sectional study was conducted on 89 infertile women with mild to moderate depression (Beck scores 10 - 47) who were recruited from Fatemeh Zahra Infertility and Reproductive Health Research Center. All participants completed Self-efficacy Inventory (ISE) and other health behavioral scales (e.g., the Beck Depression Inventory (BDI), Cattle Anxiety Scale (CAS), Fertility Problem Infertility (FPI), and GHQ). Pearson correlation coefficient and Spearman rho correlation coefficient were used to analyze the data. Variables were included in the study if they had a p-value展开更多
Objective: To determine the effect of preparation to play a maternal role in mothers fertilized through in vitro fertilization on maternal anxiety. Methods: A total of 60 mothers undergoing in vitro fertilization were...Objective: To determine the effect of preparation to play a maternal role in mothers fertilized through in vitro fertilization on maternal anxiety. Methods: A total of 60 mothers undergoing in vitro fertilization were assigned into intervention group and control group. Pregnancy concerns and stress questionnaires were research tools. Questionnaires were completed in both groups before organizing preparation program. Then, the preparation program was held for four sessions for the mothers in the intervention group, and the subjects in both groups were immediately investigated again after completion of preparation program and one month later. Data analyses about pregnancy stress and concerns of mothers and its dimensions were performed by repeated measure (analysis of variance), Mann-Whitney, Friedman and Wilcoxon tests. Analysis of demographic variables was performed by using independent t-test and Chi-square test in SPSS 21. Results: The score of pregnancy stress and concerns before the intervention was not significantly different between the two groups. There was a significant difference in the intervention group in the score of pregnancy stress and concerns before and after the intervention (P<0.001), before and one month after the intervention (P<0.001), immediately after and one month after the intervention (P<0.001) which was not significant in the control group. Conclusions: Maternal preparation program can be effective in reducing maternal stress and concerns.展开更多
The 13 th Five-Year Plan(2016─2020), with the balanced development of population being the core element, is crucial for China. The superimposed effect of an aging population and low birthrate leading to a reduction i...The 13 th Five-Year Plan(2016─2020), with the balanced development of population being the core element, is crucial for China. The superimposed effect of an aging population and low birthrate leading to a reduction in the labor supply would have a fundamental influence on the long term balanced development of China's population, implying that China's population policy must be adjusted. This paper argues that a gradual relaxation of the family-planning policy adjustments accords with the original intention of the population policy design and development direction. The universal second-child policy is the logical results of the adjustment and improvement of China's family-planning policy, and is designed to bring about positive effects on future demographic and economic development, particularly in sustaining the long term balanced development of China's population, easing the marriage squeeze, extending the demographic dividend, and delaying the population aging process. China needs to develop and improve support and governance systems for fully implementing the universal second-child policy, realizing the policy transition from rewarding one-child families to population security and the modern transition of governance systems and capacity to a universal second-child policy.展开更多
目的:系统评价生育信息支持对育龄期癌症病人生育忧虑水平的影响。方法:系统检索PubMed、EMbase、the Cochrane Library、CINAHL、Web of Science、中国知网、维普数据库、万方数据库、中国生物医学文献数据库中关于生育信息支持对育龄...目的:系统评价生育信息支持对育龄期癌症病人生育忧虑水平的影响。方法:系统检索PubMed、EMbase、the Cochrane Library、CINAHL、Web of Science、中国知网、维普数据库、万方数据库、中国生物医学文献数据库中关于生育信息支持对育龄期癌症病人生育忧虑影响的随机对照试验与类试验研究,检索时限为建库至2023年4月,使用RevMan 5.4软件进行Meta分析。结果:共纳入10篇文献,其中,随机对照试验7篇,类试验3篇,涉及883例病人。Meta分析结果显示,生育信息支持能增加育龄期癌症病人的生育知识[SMD=0.27,95%CI(0.10,0.44),P=0.002],减轻生育忧虑[SMD=-2.23,95%CI(-3.21,-1.26),P<0.00001],改善生育相关决策冲突[MD=-9.85,95%CI(-13.27,-6.44),P<0.00001],但对减轻育龄期癌症病人生育相关决策后悔的效果有限。结论:生育信息支持有助于提高育龄期癌症病人的生育知识,降低病人的生育忧虑水平、生育相关决策冲突。展开更多
目的了解体外受精-胚胎移植(IVF-ET)患者在不同治疗结局情况下的焦虑、抑郁状况,为临床治疗中是否需要对患者进行心理干预提供依据。方法 558例IVF-ET患行进行现场一般资料、焦虑自评量表(SAS)、抑郁自评量表(SDS)问卷调查,分析不同的...目的了解体外受精-胚胎移植(IVF-ET)患者在不同治疗结局情况下的焦虑、抑郁状况,为临床治疗中是否需要对患者进行心理干预提供依据。方法 558例IVF-ET患行进行现场一般资料、焦虑自评量表(SAS)、抑郁自评量表(SDS)问卷调查,分析不同的治疗结局患者的心理状况。结果①妊娠组与未妊娠组患者一般情况比较,差异无统计学意义。②未妊娠组患者焦虑、抑郁评分为(47.14±7.19)、(50.51±10.55)分,稍高于妊娠组,但无显著性差异;未妊娠组患者焦虑症状检出率(23.8% vs 13.2%)、抑郁症状检出率(44.8% vs 27.2%)显著高于妊娠组(P=0.001,P<0.001)。③妊娠组、未妊娠组患者焦虑、抑郁症状检出率回归分析,焦虑对妊娠影响差异无统计学意义(OR=0.665,P=0.097),抑郁对于妊娠有负相关性(OR=0.523,P=0.001)。④未妊娠组抑郁症状多因素Logistic回归分析,较长的不孕年限(OR=2.050,P=0.010)、较长的治疗周期(OR=2.036,P=0.004)是抑郁的危险因素,而较高的家庭年收入(OR=0.373,P=0.006)则是抑郁的保护性因素结论 IVF-ET患者抑郁对治疗结局的影响较大;不孕年限、治疗周期次数、家庭年收入是IVF-ET未妊娠的抑郁患者的影响因素。临床需对IVF-ET抑郁患者行心理于预,提高临床妊娠率。展开更多
文摘Background: Infertility is a unique medical challenge that can have health behavioral consequence on infertile women including lack of self-esteem, depression, anxiety, fertility problem in infertile couples. The aim of this study was to evaluate correlation between self-efficacy and health behaviors scales in infertile women. Methods: A cross sectional study was conducted on 89 infertile women with mild to moderate depression (Beck scores 10 - 47) who were recruited from Fatemeh Zahra Infertility and Reproductive Health Research Center. All participants completed Self-efficacy Inventory (ISE) and other health behavioral scales (e.g., the Beck Depression Inventory (BDI), Cattle Anxiety Scale (CAS), Fertility Problem Infertility (FPI), and GHQ). Pearson correlation coefficient and Spearman rho correlation coefficient were used to analyze the data. Variables were included in the study if they had a p-value
文摘Objective: To determine the effect of preparation to play a maternal role in mothers fertilized through in vitro fertilization on maternal anxiety. Methods: A total of 60 mothers undergoing in vitro fertilization were assigned into intervention group and control group. Pregnancy concerns and stress questionnaires were research tools. Questionnaires were completed in both groups before organizing preparation program. Then, the preparation program was held for four sessions for the mothers in the intervention group, and the subjects in both groups were immediately investigated again after completion of preparation program and one month later. Data analyses about pregnancy stress and concerns of mothers and its dimensions were performed by repeated measure (analysis of variance), Mann-Whitney, Friedman and Wilcoxon tests. Analysis of demographic variables was performed by using independent t-test and Chi-square test in SPSS 21. Results: The score of pregnancy stress and concerns before the intervention was not significantly different between the two groups. There was a significant difference in the intervention group in the score of pregnancy stress and concerns before and after the intervention (P<0.001), before and one month after the intervention (P<0.001), immediately after and one month after the intervention (P<0.001) which was not significant in the control group. Conclusions: Maternal preparation program can be effective in reducing maternal stress and concerns.
文摘The 13 th Five-Year Plan(2016─2020), with the balanced development of population being the core element, is crucial for China. The superimposed effect of an aging population and low birthrate leading to a reduction in the labor supply would have a fundamental influence on the long term balanced development of China's population, implying that China's population policy must be adjusted. This paper argues that a gradual relaxation of the family-planning policy adjustments accords with the original intention of the population policy design and development direction. The universal second-child policy is the logical results of the adjustment and improvement of China's family-planning policy, and is designed to bring about positive effects on future demographic and economic development, particularly in sustaining the long term balanced development of China's population, easing the marriage squeeze, extending the demographic dividend, and delaying the population aging process. China needs to develop and improve support and governance systems for fully implementing the universal second-child policy, realizing the policy transition from rewarding one-child families to population security and the modern transition of governance systems and capacity to a universal second-child policy.
文摘目的了解体外受精-胚胎移植(IVF-ET)患者在不同治疗结局情况下的焦虑、抑郁状况,为临床治疗中是否需要对患者进行心理干预提供依据。方法 558例IVF-ET患行进行现场一般资料、焦虑自评量表(SAS)、抑郁自评量表(SDS)问卷调查,分析不同的治疗结局患者的心理状况。结果①妊娠组与未妊娠组患者一般情况比较,差异无统计学意义。②未妊娠组患者焦虑、抑郁评分为(47.14±7.19)、(50.51±10.55)分,稍高于妊娠组,但无显著性差异;未妊娠组患者焦虑症状检出率(23.8% vs 13.2%)、抑郁症状检出率(44.8% vs 27.2%)显著高于妊娠组(P=0.001,P<0.001)。③妊娠组、未妊娠组患者焦虑、抑郁症状检出率回归分析,焦虑对妊娠影响差异无统计学意义(OR=0.665,P=0.097),抑郁对于妊娠有负相关性(OR=0.523,P=0.001)。④未妊娠组抑郁症状多因素Logistic回归分析,较长的不孕年限(OR=2.050,P=0.010)、较长的治疗周期(OR=2.036,P=0.004)是抑郁的危险因素,而较高的家庭年收入(OR=0.373,P=0.006)则是抑郁的保护性因素结论 IVF-ET患者抑郁对治疗结局的影响较大;不孕年限、治疗周期次数、家庭年收入是IVF-ET未妊娠的抑郁患者的影响因素。临床需对IVF-ET抑郁患者行心理于预,提高临床妊娠率。
