학술논문
高龄辅助生殖女性困顿感影响因素分析及应对策略 / Analysis of the influencing factors of entrapment of advanced women with assisted reproduction technology and its coping strategies
Document Type
Academic Journal
Author
Source
中国计划生育学杂志 / Chinese Journal of Family Planning. 32(1):4-9
Subject
Language
Chinese
ISSN
1004-8189
Abstract
目的:探究高龄辅助生殖(ART)女性困顿感影响因素并提出应对策略.方法:采用方便抽样法,选取2022年9月-2022年12月本院门诊就诊的高龄ART女性316例,应用一般资料调查问卷、困顿感量表(ES)、不孕症患者羞辱感量表(ISS)、简易应对方式量表(SCSQ)、家庭韧性评估量表(FRAS)进行调查.采用多元线性逐步回归分析探讨高龄ART女性困顿感独立影响因素.结果:纳入研究的287例高龄ART女性ES评分32.15±4.79分,其中内部困顿感维度评分11.96±2.41分,外部困顿感维度评分20.19±3.58分.不同家庭人均月收入、配偶是否独生子女、对母亲身份重要性的认知、不孕治疗时间的高龄ART女性ES评分有差异;Pearson相关分析显示,高龄ART女性ISS评分、SCSQ评分中消极应对评分与ES评分呈正相关,SCSQ评分中积极应对评分、FRAS评分与ES评分呈负相关(均P＜0.05).多元线性逐步回归分析显示,对母亲身份重要性的认知低、不孕治疗时间长、ISS评分高、SCSQ评分中消极应对评分高、积极应对评分低、FRAS评分低是高龄ART女性困顿感主要影响因素(均P＜0.05).结论:本次调查高龄ART女性困顿感处于中等水平,影响因素多样应引起关注;建议采取积极认知、心理及家庭系统干预,改善患者生育观念、病耻感及应对方式,提高家庭韧性,从而期减轻患者困顿感.
Objective:To explore the influencing factors of entrapment of advanced women with assisted reproduction(ART),and to study its coping strategies.Methods:A convenient sampling method was used to select 316 advanced women with ART from September 2022 to December 2022.The general data questionnaire,the Entrapment Scale(ES),the Infertility Stigma Scale(ISS),the Simplified Coping Style Questionnaire(SCSQ)and the Family Resilience Assessment Scale(FRAS)were used to investigate these women.Multiple linear stepwise regression analysis was used to explore the independent influencing factors of the entrapment of these women.Results:The data of 287 advanced women with ART were finally included for analysis.The ES score of the women was 32.15±4.79 points,of which the score of internal entrapment dimension was 11.96±2.41 points,and the score of external entrapment dimension was 20.19±3.58 points.There was significant difference in the ES score among the women with different family income per capita,between the women with the spouse as the only child or not,among the women with different the awareness of the importance of motherhood,and among the women with different duration of infertility treatment.Pearson correla-tion analysis showed that the ISS score and the negative coping score in SCSQ score of the advanced women with ART were positively correlated with their ES score.The positive coping score and the FRAS score in SCSQ score of the ad-vanced women with ART were negatively correlated with THEIR ES score(all P＜0.05).Multiple linear stepwise re-gression analysis showed that the low awareness of the importance of maternal identity,the long infertility treatment time,the high ISS score,the high negative coping score and the low positive coping score in SCSQ score,and the low FRAS score of the advanced women with ART were the main influencing factors of their entrapment(all P＜0.05).Conclusion:The entrapment of the advanced women with ART is at a moderate level,and the influencing factors of which are diverse and should be paid attention to.It is recommended to adopt the positive cognition,and the psycholog-ical and family system interventions for the women,so as to improve their fertility concepts,stigma and coping styles,and to improve their family resilience in order to reduce the entrapment of the women.
Objective:To explore the influencing factors of entrapment of advanced women with assisted reproduction(ART),and to study its coping strategies.Methods:A convenient sampling method was used to select 316 advanced women with ART from September 2022 to December 2022.The general data questionnaire,the Entrapment Scale(ES),the Infertility Stigma Scale(ISS),the Simplified Coping Style Questionnaire(SCSQ)and the Family Resilience Assessment Scale(FRAS)were used to investigate these women.Multiple linear stepwise regression analysis was used to explore the independent influencing factors of the entrapment of these women.Results:The data of 287 advanced women with ART were finally included for analysis.The ES score of the women was 32.15±4.79 points,of which the score of internal entrapment dimension was 11.96±2.41 points,and the score of external entrapment dimension was 20.19±3.58 points.There was significant difference in the ES score among the women with different family income per capita,between the women with the spouse as the only child or not,among the women with different the awareness of the importance of motherhood,and among the women with different duration of infertility treatment.Pearson correla-tion analysis showed that the ISS score and the negative coping score in SCSQ score of the advanced women with ART were positively correlated with their ES score.The positive coping score and the FRAS score in SCSQ score of the ad-vanced women with ART were negatively correlated with THEIR ES score(all P＜0.05).Multiple linear stepwise re-gression analysis showed that the low awareness of the importance of maternal identity,the long infertility treatment time,the high ISS score,the high negative coping score and the low positive coping score in SCSQ score,and the low FRAS score of the advanced women with ART were the main influencing factors of their entrapment(all P＜0.05).Conclusion:The entrapment of the advanced women with ART is at a moderate level,and the influencing factors of which are diverse and should be paid attention to.It is recommended to adopt the positive cognition,and the psycholog-ical and family system interventions for the women,so as to improve their fertility concepts,stigma and coping styles,and to improve their family resilience in order to reduce the entrapment of the women.