拟行辅助生殖技术女性的婚姻质量及影响因素研究

发布时间：2018-03-05 21:20

本文选题：辅助生殖技术　切入点：婚姻质量　出处：《郑州大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的调查拟行辅助生殖技术(Assisted Reproductive Technology,ART)治疗女性的婚姻质量状况,并对其影响因素进行研究,为今后医护人员对行ART治疗女性有针对性地实施护理综合干预,改善不孕不育家庭在进行ART治疗时的婚姻质量状况,加强社会及其家庭对不孕症患者的理解和支持,改善患者的负性情绪和应对能力,进一步提高ART治疗效果提供决策性依据。方法随机抽取2015年6月至2016年6月期间在河南省某妇幼专科医院生殖医学中心就诊的符合纳入、排除标准的209例拟行ART治疗的女性进行调查。对研究对象采用问卷调查法,采用拟行ART治疗女性的一般资料问卷、Olson婚姻质量问卷、领悟社会支持问卷、特质应对方式问卷对研究对象进行调查。对调查数据进行统计描述、单因素分析、相关分析及多重线性回归分析时,运用SPSS17.0软件包进行。结果1.本调查共抽取了215例符合纳入、排除标准的拟行ART治疗的女性进行问卷调查,发放问卷215份,回收215份,回收率100%,其中有效问卷209份,有效回收率为97.2%。2.本次调查209例拟行ART治疗的女性,其婚姻质量总得分在(229-392)分之间,平均得分为(327.72±29.98)分,婚姻满意度(29.42±4.30)分、性格相容性(29.90±5.48)分、夫妻交流(28.44±4.73)分、解决冲突的方式(27.73±4.74)分、经济安排(28.21±4.71)分、业余活动(27.68±5.19)分、性生活(28.22±4.80)分、子女和婚姻(29.62±4.24)分、与亲友的关系(30.85±4.76)分、角色平等性(27.81±5.13)分、信仰一致性(39.84±3.50)分,其中婚姻满意度、性格相容性、夫妻交流、解决冲突的方式、经济安排分、业余活动、性生活、子女和婚姻、与亲友的关系得分与常模相比,差异有统计学意义(P0.01)。3.单因素分析结果显示:不同人口社会学资料的拟行ART治疗女性的婚姻质量在其不同年龄、文化程度、家庭月收人、居住地之间的差异具有统计学意义(P0.01);不同疾病特征的拟行ART治疗女性的婚姻质量水平在有无子女、主要家庭压力来源、治疗次数、不孕原因、不孕症诊断之间的差异具有统计学意义(P0.01)。4.本调查中,拟行ART治疗女性的领悟社会支持总分为(64.32±7.94)分、家庭支持得分为(21.06±4.22)分、亲朋支持得分为(22.95±4.21)分、其他支持得分为(20.31±3.07)分、积极应对方式得分为(29.13±6.55)分、消极应对方式得分为(27.03±5.95)分。相关性分析结果显示:拟行ART治疗女性的婚姻质量与领悟社会支持、家庭支持、亲朋支持、积极应对方式呈正相关(P0.01),与消极应对方式呈负相关(P0.01)。5.多重线性回归分析结果显示,以单因素方差分析有统计学意义及与婚姻质量有相关性的变量作为自变量,即年龄、文化程度、家庭月收入、居住地、有无子女、主要家庭压力来源、治疗次数、不孕原因、不孕症诊断、家庭支持、亲朋支持、社会总支持、积极应对方式、消极应对方式,以婚姻质量总得分为因变量。结果显示,年龄、居住地、有无子女、不孕症诊断、家庭支持、亲朋支持、积极应对方式、消极应对方式等因子进入回归方程,此回归方程对拟行ART治疗女性的婚姻质量得分具有预测性(P0.01),解释拟行ART治疗女性婚姻质量变异度的72.2%。结论1.拟行ART治疗女性的婚姻质量总体水平较低,应引起社会的关注。2.拟行ART治疗女性婚姻质量的主要影响因素有积极应对方式、家庭支持、消极应对方式、年龄、居住地、不孕症诊断、亲朋支持和有无子女。
[Abstract]:Objective to investigate the assisted reproductive technology (Assisted Reproductive Technology, ART) in the treatment of female marital quality, and analyze the influence factors, for the future of medical staff of ART for the treatment of women on the implementation of targeted nursing intervention, improve the family in infertility treated by ART when the marriage quality, strengthen the social and family support and understanding of the infertility patients, improve the patients' negative emotions and coping ability, provide the basis for decision-making to further improve the therapeutic effect of ART. In accordance with the doctor into the reproductive medical center of Henan Province Maternal and child hospital during June 2015 to June 2016 were randomly selected, exclusion criteria, 209 patients undergoing ART treatment of women the object of study. Using the method of questionnaire survey, the quasi ART for the treatment of women in general information questionnaire, Olson marital quality questionnaire, perceived social Support questionnaire, trait coping style questionnaire investigation. For statistical description of the survey data, the single factor analysis, correlation analysis and multiple linear regression analysis, using SPSS17.0 software package. The results of the 1. survey sampled 215 patients met the inclusion and exclusion criteria underwent ART treatment of female questionnaire 215 questionnaires, 215 were recovered, the recovery rate of 100%, of which 209 valid questionnaires, the effective recovery rate was 97.2%.2., the survey of 209 patients undergoing ART treatment of women, their marriage quality score (229-392) in between, the average score was (327.72 + 29.98), marital satisfaction (29.42 + 4.30), character compatibility (29.90 + 5.48), (28.44 + 4.73) exchange between husband and wife, a way to resolve the conflict (27.73 + 4.74), economic arrangements (28.21 + 4.71), amateur activities (27.68 + 5.19), (28.22 + 4.80) of life, children and marriage (29.6 2 + 4.24) points, relationship with family and friends (30.85 + 4.76), the role of equality (27.81 + 5.13), belief consistency (39.84 + 3.50) points, including marital satisfaction, character compatibility, couple communication, conflict resolution, economic arrangements, extracurricular activities, live. Children and marriage relationship with family and friends, the score compared with the norm, the difference was statistically significant (P0.01).3. single factor analysis results show that the quasi ART for the treatment of women's marital quality in different age, different education sociology of population data, monthly family income, the difference was statistically significant between the place of residence (P0.01) the different characteristics of the disease; undergoing ART treatment of female marriage quality in having children, mainly family stressors, times of treatment, the causes of infertility, the difference was statistically significant between the diagnosis of infertility (P0.01.4.) in this investigation, to ART for the treatment of female social Support for (64.32 + 7.94), family support score (21.06 + 4.22) points, and support score (22.95 + 4.21), other support score (20.31 + 3.07), positive coping score was (29.13 + 6.55), negative coping style score (27.03 + 5.95). Correlation analysis showed that the quasi marital quality and perceived social support, ART for the treatment of women in the family support, family support, positive coping style was positively correlated (P0.01), and negatively correlated with negative coping style (P0.01).5. multiple linear regression analysis showed that the single factor analysis of variance and statistical significance correlation between marital quality variables as independent variables, namely age, educational level, family income, residence, have no children, mainly family stressors, times of treatment, the causes of infertility, infertility diagnosis, family support, family support, social support, positive coping Type, negative coping style, with the dependent variable of marital quality scores. The results showed that the age, place of residence, have no children, infertility diagnosis, family support, family support, positive coping, negative coping style and other factors into the regression equation, the regression equation is predictive of marriage quality score in women undergoing ART (P0.01), to explain plans to ART for the treatment of women's marital quality variability 72.2%. conclusion 1. undergoing ART treatment of female marriage quality overall level is low, which should be the main influence factors of social concern.2. undergoing ART treatment of female marriage quality have positive coping style, family support, negative coping style, age, place of residence. The diagnosis of infertility, family support and have no children.

【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.71

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