不孕女性的婚姻调试现状及影响因素研究

发布时间：2018-03-04 01:12

本文选题：不孕症　切入点：女性　出处：《吉林大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:调查不孕女性负性情绪、社会支持、应对方式与婚姻调试现状;分析婚姻调试影响因素。探讨社会支持、应对方式在负性情绪与婚姻调试之间的作用路径。方法:采用方便抽样方法抽取长春市某三级甲等医院住院部不孕女性作为研究对象,于2016年5月~10月对符合纳入标准的378名不孕女性进行问卷调查。调查工具由五部分构成:一般资料调查表、医院焦虑抑郁量表、领悟社会支持量表、医学应对问卷、婚姻调试量表。利用均数、标准差,构成比等描述不孕女性负性情绪、社会支持、应对方式、婚姻调试的现状,利用单因素分析和多元逐步回归分析不孕女性婚姻调试影响因素、采用温忠麟提出的层次回归方法分析社会支持在负性情绪和婚姻调试间是否存在调节效应、按照Zhao X提出的中介效应检验方法验证应对方式在负性情绪和婚姻调试间是否存在中介效应。结果:1.本研究不孕女性婚姻调试总分为(109.39±21.29)分,婚姻失调比例为43.4%。不同文化程度、职业、治疗期间配偶支持程度、不孕类型、移植次数、流产次数的不孕女性在婚姻调试水平上差异具有统计学意义(P0.05)。2.本研究不孕女性焦虑、抑郁的发生率分别为24.6%、22.0%,焦虑总分为(6.58±3.40)分,抑郁总分为(5.25±4.40)分;领悟社会支持总分为(63.41±14.01)分,家庭内支持为(22.63±4.50)分,家庭外支持为(40.78±9.80)分;在应对方式中,“面对”为(19.90±3.36)分,“回避”为(15.89±3.01)分,“屈服”为(11.46±1.61)分。3.社会支持中家庭内支持在本研究不孕女性负性情绪与婚姻调试间起到正向调节效应。4.“屈服”这一消极应对方式在本研究不孕女性负性情绪与婚姻调试间发挥部分中介效应。负性情绪对婚姻调试的影响有一部分通过应对方式来实现的。应对方式能够解释婚姻调试方差变异的31.1%。结论:1.不孕女性较健康孕妇婚姻调试水平低。其领悟社会支持处于高水平状态;三种应对方式分数均高于国内常模;焦虑、抑郁发生率不高。2.文化程度、不孕类型、治疗期间配偶支持程度、胚胎移植次数、流产次数是影响不孕女性婚姻调试的主要因素。3.社会支持在不孕女性负性情绪和婚姻调试间起到正向调节效应;应对方式在不孕女性负性情绪和婚姻调试间起到部分中介效应
[Abstract]:Objective: to investigate the negative emotion, social support, coping style and marriage debugging status of infertile women, analyze the influencing factors of marriage debugging, and explore the social support. Methods: a convenient sampling method was used to select infertile women in hospital department of Grade 3A Hospital in Changchun as the research object. From May 2016 to October, a questionnaire survey was conducted among 378 infertile women who met the inclusion criteria. The survey tools consisted of five parts: general information questionnaire, hospital anxiety and depression scale, perceived social support scale, and medical coping questionnaire. Using the mean, standard deviation and composition ratio to describe the negative emotions, social support, coping style, marriage debugging of infertile women, Univariate analysis and multiple stepwise regression analysis were used to analyze the influencing factors of marriage debugging of infertile women, and the hierarchical regression method proposed by Wen Zhonglin was used to analyze whether there was a regulating effect between negative emotion and marriage debugging in social support. According to the method of intermediary effect test proposed by Zhao X, the mediating effect of coping style between negative emotion and marriage debugging was verified. Results: 1.The total score of marriage debugging of infertile women was 109.39 卤21.29), and the ratio of marital disorder was 43.40.The degree of education was different. There were statistically significant differences in marital debugging level among infertile women with occupational, degree of spouse support, type of infertility, number of transplants and times of abortion during treatment. 2. Anxiety of infertile women in this study. The incidence of depression was 24.60.0.The total score of anxiety was 6.58 卤3.40, the total score of depression was 5.25 卤4.40, the total score of perceived social support was 63.41 卤14.01, the score of family support was 22.63 卤4.50, the score of external support was 40.78 卤9.80). In coping style, "face" is 19.90 卤3.36), "avoid" is 15.89 卤3.01), "yield" is 11.46 卤1.61) .3.The family support plays a positive regulating effect between negative emotion of infertile women and marriage debugging in this study. Negative coping styles play a part of mediating effect between negative emotion and marriage debugging of infertile women. The influence of negative emotion on marriage debugging is partly realized by coping style. Coping style can explain marriage. Conclusion: 1.The infertile women are lower than the healthy pregnant women in marriage debugging level, and their social support is in a high level; The scores of the three coping styles were higher than those of the domestic norm, the incidence of anxiety and depression was not high .2. the degree of education, the type of infertility, the degree of spouse support during treatment, the times of embryo transfer, The frequency of abortion is the main factor that affects the marriage debugging of infertile women .3.Social support plays a positive adjustment effect between negative emotion and marriage debugging of infertile women, and coping style plays a part of intermediary effect between negative emotion and marriage debugging of infertile women.
【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】：R711.6;C913.13

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