行辅助生殖技术治疗的高龄不孕女性生育二胎的心理健康相关因素分析

发布时间：2018-08-12 10:23

【摘要】：目的:探讨行辅助生殖技术(ART)治疗的高龄不孕女性生育二胎的心理健康因素,为医护人员进行针对性的心理护理提供科学依据。方法:选取110名接受ART治疗的高龄不孕女性,使用自制一般问卷、焦虑症状量表(self-rating anxiety scale,SAS)、抑郁症状量表(selfrating depression scale,SDS)调查该部分女性焦虑及抑郁的相关因素并进行回归分析。结果:ART治疗的高龄女性抑郁、焦虑得分(47.37±7.36、43.95±6.32)显著高于国内常规人群(P0.05);居住地在农村和不孕原因为非男方因素与焦虑/抑郁症状显著相关(P0.05);受教育程度、不孕导致的压力、婆媳关系、对工作的影响、对辅助生殖相关知识的了解、对自我身体的影响、对后代的影响与焦虑症状显著相关(P0.05);其中不孕导致的压力和对自我身体的影响是高龄不孕女性心理健康的危险因素,对辅助生殖相关知识的正确了解是不孕女性心理健康的保护因素。结论:接受ART治疗的希望生育二胎的高龄不孕女性普遍存在焦虑、抑郁症状,医护人员应对其危险因素、保护因素进行针对性的护理干预,以改善高龄不孕女性的心理健康水平。
[Abstract]:Objective: to explore the mental health factors of elderly infertile women who were treated with assisted reproductive technology (ART). Methods: 110 elderly infertile women treated with ART were investigated with self-made general questionnaire, self-rating anxiety scale, (selfrating depression scale and regression analysis. Results the depression scores of the elderly women treated with the weight of art (47.37 卤7.36 卤43.95 卤6.32) were significantly higher than those of the normal population (P0.05), the non-male factors in rural areas and infertility were significantly correlated with the anxiety / depression symptoms (P0.05), the education level, the stress caused by infertility, and so on. The relationship between mother-in-law and daughter-in-law, the influence on work, the knowledge about assisted reproduction, the influence on self body, The influence on offspring was significantly correlated with anxiety symptoms (P0.05); among them, the stress caused by infertility and the effect on self-body were the risk factors of mental health of elderly infertile women. The correct understanding of the related knowledge of assisted reproduction is a protective factor for the mental health of infertile women. Conclusion: anxiety and depression are common in elderly infertile women who wish to give birth to a second child after ART treatment. Health care workers should carry out targeted nursing intervention on their risk factors and protective factors. In order to improve the mental health of elderly infertile women.
【作者单位】：南昌大学第一附属医院妇产科;
【分类号】：R473.71

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