女性不孕症患者心理韧性、创伤后成长与生活质量的相关性研究

发布时间：2018-01-16 17:03

本文关键词：女性不孕症患者心理韧性、创伤后成长与生活质量的相关性研究　出处：《吉林大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的:描述女性不孕症患者心理韧性、创伤后成长与生活质量的现状,分析女性不孕症患者生活质量的影响因素,明确心理韧性、创伤后成长与生活质量的关系,为从积极心理学角度提高女性不孕症患者生活质量提供依据。研究方法:于2016年6~11月,应用中文版CD-RISC心理韧性量表、创伤后成长量表、Ferti Qo L生育生活质量量表对长春市某三级甲等医院生殖中心就诊的310名符合纳入标准的女性不孕症患者进行调查。患者的一般资料、心理韧性、创伤后成长、生活质量得分采用描述性分析;生活质量的人口学差异采用t检验、单因素方差分析及秩和检验;生活质量的影响因素采用多元逐步回归分析;心理韧性、创伤后成长与生活质量间的相关性研究采用Pearson或Spearman相关分析;心理韧性的中介作用采用温忠麟等提出的中介效应检验程序。研究结果:1.被调查的女性不孕症患者生活质量平均得分为(67.47±11.93)分,6个维度中社会关系维度得分最高,治疗耐受性维度得分最低;心理韧性平均得分为(66.52±14.32)分,3个维度条目均分由高至低顺序依次为:自强维度坚韧维度乐观维度;创伤后成长平均得分为(51.70±15.14)分,5个维度条目均分由高至低顺序依次为:欣赏生活维度个人自强维度人际关系维度新的可能性维度精神变化维度。2.女性不孕症患者心理韧性各维度得分和总分与生活质量各维度得分和总分显著正相关(P0.001),相关系数为0.187~0.434。3.女性不孕症患者创伤后成长各维度得分和总分与生活质量各维度得分和总分显著正相关(P0.05),相关系数为0.115~0.596。4.心理韧性的中介效应占创伤后成长对生活质量总效应的比值为0.158,中介效应解释了女性不孕症患者生活质量方差变异的19.5%。5.单因素分析结果显示,不同年龄、文化程度、居住地、职业、家庭人均月收入、宗教信仰、性格类型、结婚年限、不孕时间、治疗时间、IVF-ET次数患者生活质量的差异有统计学意义(P0.05);多元逐步回归分析发现,治疗时间、家庭人均月收入、结婚年限和城市最终进入回归模型,标准化系数分别为-0.712、0.198、0.308和0.129。研究结论:1.被调查的女性不孕症患者生活质量水平不高,心理韧性及创伤后成长均处于中等水平。2.心理韧性、创伤后成长能够直接正向预测女性不孕症患者的生活质量,创伤后成长还可通过心理韧性间接正向预测生活质量,心理韧性是患者创伤后成长与生活质量的中介变量。3.治疗时间、家庭人均月收入、结婚年限和城市是女性不孕症患者生活质量主要的影响因素。家庭人均月收入、结婚年限和城市能够正向预测患者的生活质量,治疗时间能够负向预测患者的生活质量。
[Abstract]:Objective: to describe the current situation of female infertility patients' psychological toughness, post-traumatic growth and quality of life, analyze the influencing factors of female infertility patients' quality of life, and clarify the psychological resilience. The relationship between posttraumatic growth and quality of life provides a basis for improving the quality of life of female infertility patients from the perspective of positive psychology. Methods: from 2016 to November. The Chinese version of CD-RISC psychological toughness scale, post-traumatic growth scale. Ferti qu L reproductive quality of life scale was used to investigate 310 female infertility patients who met the inclusion criteria in the reproductive center of a Grade 3A Hospital in Changchun. The general data of the patients were investigated. The scores of psychological toughness, post-traumatic growth and quality of life were analyzed by descriptive method. T test, single factor analysis of variance and rank sum test were used for demographic difference of quality of life. Multiple stepwise regression analysis was used to analyze the influencing factors of quality of life. The correlation between mental toughness, post-traumatic growth and quality of life was studied by Pearson or Spearman correlation analysis. The mediating effect of mental toughness was tested by Wen Zhonglin et al. The results showed that the average score of female infertile patients' quality of life was 67.47 卤11.93). Among the six dimensions, the score of social relationship dimension was the highest, and the score of therapeutic tolerance dimension was the lowest. The average score of mental toughness was 66.52 卤14.32, and the average scores of three dimension items from high to low were: self-strengthening dimension, tenacity dimension, optimistic dimension; The average score of posttraumatic growth was 51.70 卤15.14). The order of the average score of the five dimension items from high to low is as follows:. Appreciating the dimension of life, the dimension of personal self-strengthening, the dimension of new possibility, the dimension of spiritual change, dimension 2. The scores and total scores of mental resilience of female infertile patients are positively correlated with the scores of each dimension of quality of life and the total score of quality of life. Guan (. P0.001). The correlation coefficient was 0.187 ~ 0.434.3. The scores and total scores of posttraumatic growth in female infertility patients were significantly positively correlated with the scores and total scores of quality of life (P0.05). The correlation coefficient was 0.115 ~ 0.596.4. The ratio of the mediating effect of psychological toughness to the total effect of post-traumatic growth on the quality of life was 0.158. The results of univariate analysis showed that there were different age, education, place of residence, occupation, and monthly income of family. There were significant differences in quality of life (QOL) among patients with religious belief, personality type, marriage years, time of infertility, time of treatment and times of IVF-ET. Multiple stepwise regression analysis showed that the treatment time, the average monthly income of the family, the marriage years and the city finally entered the regression model, the standardized coefficient was -0.712 ~ 0.198 respectively. 0.308 and 0.129. Conclusion: 1. The quality of life of the female infertility patients investigated was not high, the psychological toughness and post-traumatic growth were in the middle level. Post-traumatic growth can directly positively predict the quality of life of female infertility patients, post-traumatic growth can also indirectly predict the quality of life through psychological resilience. Psychological resilience is the mediating variable of post-traumatic growth and quality of life. 3.Therapeutic time, monthly income per family. Marriage years and cities are the main factors affecting the quality of life of female infertile patients. The average monthly income of families, marriage years and cities can positively predict the quality of life of patients. Treatment time can negatively predict the quality of life of patients.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.71

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