接受辅助生殖技术治疗的不孕女性的心理特点及相关因素分析

发布时间：2018-04-15 13:44

本文选题：辅助生殖 + 不孕女性　；参考：《中南大学》2008年硕士论文

【摘要】： 目的:1、调查接受辅助生殖技术治疗的不孕女性的心理社会特点包括生育观念、情绪、个性特点、社会支持状况、应付方式等方面,探讨影响其情绪的相关因素。2、调查体外受精女性在不同治疗阶段的情绪特点以及心理压力对其治疗结果的影响。研究方法:试验组:使用自编的一般情况调查表和生育相关问卷、焦虑自评问卷(SAS)、贝克抑郁问卷(BDI)、艾森克个性问卷(EPQ)、应付方式问卷(CSQ)、社会支持评定量表(SSRS)对接受辅助生殖技术治疗的217例不孕女性进行调查,根据不孕原因分为女性原因组、男性原因组、双方原因组,比较各组之间心理学变量的差异,分析影响患者情绪的相关因素。对其中首次接受体外受精-胚胎移植(IVF-ET)的女性分别在降调当日(T1)、注射HCG当日(T2)、移植前1天(T3)、移植后第14天(T4)等四个时间点,由患者使用SAS、BDI对其前一周内的情绪进行自我测评。根据移植后第14天血β-HCG及第28天B超结果,把IVF-ET女性分成妊娠组和非妊娠组。比较各组之间的情绪差别及不同治疗阶段情绪变化特点。对照组:使用自编的一般情况调查表和生育相关问卷、SAS、BDI、EPQ、CSQ、SSRS对某社区生育力正常的已婚育龄妇女进行调查,共回收问卷52份。结果:1、辅助生育技术成为大部分不孕患者最后的选择,传统生育观念在不孕人群中仍占有一定的比例。2、不孕各组焦虑情绪评分均高于对照组;女性原因组抑郁评分高于其他各组。女性原因组人格特点倾向于固执、内向、多疑、情绪不稳等,男性原因组和双方原因组人格特点和对照组无差异。各组不孕女性获得的社会支持低于对照组。女性原因组更倾向于自责和幻想,较少求助;男性原因组采韧吮堋⒑侠砘彡挠Χ苑绞缴儆诙哉兆椤?、经多元线性回归分析,对焦虑情绪影响较大的因素有神经质、经济压力、解决问题、文化程度、精神质、求助。对抑郁情绪影响较大的因素有自责、经济压力、神经质、求助、幻想、精神质。4、通过对IVF女性情绪特点的纵向调查发现,妊娠组、非妊娠组和对照组相比,T1、T2、T4时,IVF女性焦虑评分高于对照组,T1时,IVF女性抑郁评分高于对照组,T4时,妊娠组抑郁情绪和对照组无差异,非妊娠组高于对照组。妊娠组和非妊娠组相比,T1、T2、T3四个时期两组之间焦虑和抑郁评分无统计学差异;T4时期,非妊娠组焦虑和抑郁分数均显著高于妊娠组。结论:1、和正常生育女性相比,不孕女性承担很大的心理压力,其中女性原因者压力最大。2、心理压力受到个性特点、应对方式、社会支持、经济压力、文化程度等多种因素的影响。3、在接受IVF治疗的不同阶段,不孕女性所面临的压力源是不同的。因此,可以根据治疗的不同阶段,实施有针对性的干预措施。4、不能认为心理压力会影响IVF治疗结局,但是失败的治疗结果会引起IVF女性焦虑和抑郁情绪显著升高。
[Abstract]:Objective: 1. To investigate the psycho-social characteristics of infertile women treated with assisted reproductive technology, including fertility concept, mood, personality, social support, coping style, etc.To investigate the emotional characteristics of IVF women in different stages of treatment and the influence of psychological stress on the outcome of treatment.Research methods: test group: use self-designed general information questionnaire and fertility related questionnaire,Self-rating anxiety questionnaire (SAS), Beck Depression questionnaire (BDI), Eysenck Personality questionnaire (EPQ), coping style questionnaire (CSQ) and Social support rating scale (SSRS) were used to investigate 217 infertile women who were treated with assisted reproductive technology. According to the causes of infertility, they were divided into female cause group.The differences of psychological variables between male cause group and bilateral cause group were compared, and the related factors affecting patients' emotion were analyzed.The first IVF-ETs of IVF-ETs of IVF-ETs were used to assess the emotion of the patients in the previous week. The first time points were T1D, the day of HCG injection, the day before transplantation, the day before transplantation, and the day 14 after transplantation.According to the results of blood 尾-HCG and B-ultrasound on the 14th day after transplantation, IVF-ET women were divided into pregnancy group and non-pregnancy group.The differences of emotion and the characteristics of emotional changes in different treatment stages were compared.Control group: a total of 52 questionnaires were collected from married women of childbearing age who had normal fertility in a community.Results: 1. Assisted fertility technology was the last choice for most infertile patients. The traditional conception of fertility still occupied a certain proportion in infertile population. The scores of anxiety in infertile group were higher than those in control group.The depression score of female cause group was higher than that of other groups.The personality characteristics of female cause group were obstinate, introverted, paranoid, emotional instability, and there was no difference between male cause group and bilateral cause group and control group.The social support of infertile women in each group was lower than that in the control group.The female cause group was more inclined to blame itself and fantasize, and the male reason group took the tough sucking and sucking. By multiple linear regression analysis, the factors affecting anxiety were neuroticism and economic pressure.Problem solving, education level, mental quality, help.The influential factors of depression were self-reproach, economic stress, neuroticism, seeking help, fantasy, psychoticism. The longitudinal investigation of emotional characteristics of IVF women showed that the pregnancy group,Compared with the control group, the anxiety scores of the IVF women in the non-pregnant group were higher than those in the control group at T _ 1 and T _ 2 and T _ 4, and the depression scores in the non-pregnancy group were higher than those in the control group, but there was no difference between the pregnancy group and the control group, and the non-pregnancy group was higher than that in the control group.There was no significant difference in anxiety and depression scores between the two groups in the four stages of T _ 1T _ 2T _ 3. The scores of anxiety and depression in the non-pregnancy group were significantly higher than those in the pregnancy group.Conclusion: compared with normal women, infertile women bear great psychological pressure. Among them, female causes are the most stressful, and psychological pressure is influenced by personality, coping style, social support, economic pressure.Education and other factors. 3, in the different stages of IVF treatment, infertile women are faced with different sources of stress.Therefore, according to the different stages of treatment, we can carry out targeted intervention measures. 4. We can not think that psychological pressure will affect the outcome of IVF treatment, but the failure of treatment results will cause anxiety and depression of IVF women significantly increased.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R714.8;R395

【引证文献】