不孕女性生活事件、压力反应、应对方式与生育压力的关系及应对方式的中介效应

发布时间：2018-07-02 23:01

本文选题：不育 + 女(雌)性　；参考：《中国全科医学》2017年06期

【摘要】：目的探讨不孕女性生活事件、压力反应、应对方式与生育压力的关系及应对方式的中介效应。方法2015年8月—2016年2月选取在郑州大学第一附属医院生殖医学中心门诊就诊的初诊不孕女性进行调查。应用生活事件量表、压力反应问卷、特质应对问卷和生育压力量表对不孕女性进行调查,共发放问卷310份,收回有效问卷298份。运用结构方程模型分析不孕女性生活事件、压力反应、应对方式与生育压力的关系,分析积极应对和消极应对在不孕女性生育压力中的中介效应。结果生活事件总评分与社会压力、夫妻关系、性压力评分及生育压力总评分呈正相关(P0.05);压力反应总评分与社会压力、夫妻关系、有孩子的生活方式、父母角色的需要、性压力评分及生育压力总评分呈正相关(P0.05);积极应对评分与社会压力、夫妻关系、有孩子的生活方式、性压力评分及生育压力总评分呈负相关(P0.05);消极应对评分与社会压力、夫妻关系、有孩子的生活方式、父母角色的需要、性压力评分及生育压力总评分呈正相关(P0.05)。生活事件、压力反应、积极应对和生育压力的结构方程模型拟合度较为理想,且积极应对对生育压力的中介效应显著(P0.05)。生活事件、压力反应、消极应对和生育压力的结构方程模型拟合度较为理想,但消极应对对生育压力的中介效应不显著(P0.05)。结论生活事件、压力反应、应对方式会影响不孕女性的生育压力,生活事件和压力反应还可以通过积极应对和消极应对影响不孕女性的生育压力,但是积极应对对生育压力的中介效应显著,消极应对对生育压力的中介效应不显著。
[Abstract]:Objective to investigate the relationship between life events, stress responses, coping styles and reproductive stress in infertile women and the mediating effects of coping styles. Methods from August 2015 to February 2016, the newly diagnosed infertile women in the outpatient clinic of Reproductive Medicine Center of the first affiliated Hospital of Zhengzhou University were investigated. Life events scale, stress response questionnaire, trait coping questionnaire and reproductive stress scale were used to investigate infertile women. 310 questionnaires were distributed and 298 valid questionnaires were collected. The structural equation model was used to analyze the relationship between life events, stress responses, coping styles and reproductive stress in infertile women, and the mediating effects of positive coping and negative coping in fertility stress of infertile women were analyzed. Results the total score of life events was positively correlated with social pressure, marital relationship, sexual stress score and total reproductive stress score (P0.05), and the total score of stress response was positively correlated with social pressure, marital relationship, life style of children and the needs of parents' role. Positive correlation was found between sexual stress score and total reproductive stress score (P0.05); positive coping score was negatively correlated with social stress, marital relationship, lifestyle with children, sexual stress score and total reproductive stress score (P0.05); negative coping score was negatively correlated with social stress. The relationship between husband and wife, the life style of children, the need of parents' role, the score of sexual stress and the total score of reproductive stress were positively correlated (P0.05). The fitting degree of life events, stress response, positive coping model and reproductive stress model was ideal, and the intermediary effect of positive coping on reproductive stress was significant (P0.05). The fitting degree of the structural equation model of life events, stress response, negative coping and reproductive stress was ideal, but the intermediary effect of negative coping on reproductive stress was not significant (P0.05). Conclusion Life events, stress responses and coping styles can affect the reproductive stress of infertile women. Life events and stress responses can also influence fertility stress of infertile women through positive and negative coping. However, the mediating effect of positive coping on fertility stress is significant, while negative coping has no significant intermediary effect on reproductive stress.
【作者单位】：郑州大学第一附属医院生殖医学中心;
【分类号】：R711.6

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