体外受精-胚胎移植前妇女情绪、社会支持状态对疾病应对方式影响的调查

发布时间：2019-04-10 20:29

【摘要】：目的使用路径分析法对体外受精/卵细胞质内单精子注射技术(IVF/ICSI)前妇女心理健康状况进行分析,探讨调整患者疾病应对方式的心理学方法。方法随机选取389例拟行IVF/ICSI治疗的患者,采用状态-特质焦虑量表(STAI)、贝克抑郁量表(BDI)、领悟社会支持量表(PSSS)和医学应对方式问卷(MCMQ),分析焦虑、抑郁情绪、社会支持状态对疾病应对方式的影响。结果 389例患者STAI中状态焦虑分量表(SAI)得分为(42.55±8.57)分,特质焦虑分量表(TAI)得分为(42.68±7.96)分;BDI得分为(4.70±3.90)分;PSSS总分为(60.85±10.57)分;MCMQ面对维度分为(19.43±3.11)分;回避维度分为(14.79±2.87)分,屈服维度分为(8.40±2.61)分。路径分析显示:MCMQ面对维度分与TAI、PSSS相关(路径系数分别为-0.16、-0.03、0.28,P0.05);回避维度与BDI相关(路径系数为0.14,P0.05);屈服维度与SAI、TAI、PSSS相关(路径系数分别为0.21、0.31、-0.11,P0.05)。结论拟行IVF/ICSI的患者心理健康水平较一般人群低。改善患者社会支持水平,有利于减少其焦虑、抑郁情绪,提高应对疾病的积极性。
[Abstract]:Aim to analyze the mental health status of women before in vitro fertilization / intracytoplasmic sperm injection (IVF/ICSI) by means of path analysis, and to explore the psychological methods to adjust the coping style of patients with disease. Methods A total of 389 IVF/ICSI patients were randomly selected. The anxiety was analyzed by (STAI), Beck depression scale (BDI),) (PSSS) and medical coping style questionnaire (MCMQ), (medical coping style questionnaire), and state-trait anxiety scale (STAI),-Beck depression scale) was used to analyze anxiety. The influence of depression and social support on disease coping style. Results the scores of (SAI), (TAI), BDI and BDI were (42.55 卤8.57), (42.68 卤7.96), (4.70 卤3.90), (42.55 卤8.57), (42.68 卤7.96), (4.70 卤3.90), (42.55 卤8.57), (42.68 卤7.96) and (4.70 卤3.90) in STAI, respectively. PSSS score was (60.85 卤10.57), MCMQ face dimension was (19.43 卤3.11), avoidance dimension was (14.79 卤2.87) and yield dimension was (8.40 卤2.61). Path analysis showed that MCMQ facet dimension scores were correlated with TAI,PSSS (path coefficients were-0.16, 0.03,0.28, P0.05) and avoidance dimensions were correlated with BDI (path coefficients 0.14, P0.05). The yield dimension was correlated with SAI,TAI,PSSS (path coefficients were 0.21, 0.31, 0.11, P0.05). Conclusion the mental health level of the patients undergoing IVF/ICSI is lower than that of the general population. Improving the level of social support is beneficial to reduce anxiety and depression and to improve the enthusiasm of coping with the disease.
【作者单位】：南方医科大学南方医院妇产科生殖医学中心;
【分类号】：R714.8

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