接受供精人工授精夫妇婚姻质量及心理状况特征的研究

发布时间：2019-06-05 08:58

【摘要】：目的:探讨接受供精人工授精(AID)夫妇婚姻质量及心理状况与夫精人工授精(AIH)夫妇及正常生育夫妇的差别。方法:采用随机抽样病例对照研究,对278对AID夫妇(AID组),169对AIH夫妇(AIH组)及50对正常生育夫妇(对照组)进行问卷调查。调查内容包括:一般情况,抑郁自评量表(SDS)及焦虑自评量表(SAS)测量调查对象的心理状况,Olson-婚姻质量问卷(ENRICH)测量调查对象的婚姻质量。结果:1 AID组男方SAS评分及SDS评分显著高于对照组男方(P0.05),且AID组男方SDS评分显著高于AIH组男方;AID组女方SAS评分及SDS评分显著高于对照组女方(P0.05),且AID组女方SAS评分显著高于AIH组女方。2在婚姻质量评分上,婚姻满意度和夫妻交流的因子得分,AID组男女双方及AIH组男方均显著低于对照组(P0.05),而AIH组女方仅夫妻交流的因子得分低于对照组(P0.05),但AID组和AIH组间无统计学差异(P0.05)。3在抑郁发生率上,AID组男方(46.22%)显著高于AIH组男方(30.47%)及正常组男方(2.00%)(P0.05),但女方组无统计学差异(P0.05)。结论:AID夫妇和AIH夫妇与对照组相比,存在较多的抑郁和焦虑情绪,而且AID夫妇心理问题更为突出,尤其是AID夫妇中的男方更多的处于抑郁状态;AID夫妇与AIH夫妇在婚姻质量上无差别,但与正常夫妇相比存在一定程度婚姻质量的下降。
[Abstract]:Objective: to investigate the difference of marital quality and psychological status between (AID) couples and (AIH) couples and normal fertile couples. Methods: a random sampling case-control study was conducted among AID couples (AID group), AIH couples (AIH group) and 50 normal childbearing couples (control group). The contents of the survey included: general situation, self-rating depression scale (SDS) and self-rating anxiety scale (SAS) to measure the psychological status of the subjects, and Olson- marital quality questionnaire (ENRICH) to measure the marital quality of the subjects. Results: 1the SAS score and SDS score of men in AID group were significantly higher than those in control group (P 0.05), and the SDS score in AID group was significantly higher than that in AIH group. The SAS score and SDS score of women in AID group were significantly higher than those in control group (P 0.05), and the SAS score of women in AID group was significantly higher than that in AIH group. 2 in the score of marriage quality, the scores of marital satisfaction and communication between husband and wife were significantly higher. The scores of male and female in AID group and AIH group were significantly lower than those in control group (P 0.05), while the factor scores of husband and wife communication in AIH group were lower than those in control group (P 0.05). However, there was no significant difference between AID group and AIH group (P 0.05). 3 in the incidence of depression, the incidence of depression in AID group (46.22%) was significantly higher than that in AIH group (30.47%) and normal group (2.00%) (P 0.05). However, there was no significant difference in the female group (P 0.05). Conclusion: compared with the control group, the AID couple and the AIH couple have more depression and anxiety, and the psychological problems of the AID couple are more prominent, especially the men in the AID couple are in the state of depression. There is no difference in the quality of marriage between the AID couple and the AIH couple, but there is a certain degree of decline in the quality of the marriage compared with the normal couple.
【作者单位】：河南省人民医院生殖中心;
【基金】：河南省卫生厅科技攻关项目;项目号:201203118
【分类号】：R714.8

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