張鑫 劉麗英 趙彬


[摘要]目的 探討女性不孕癥患者生育生活質量現狀及其影響因素。方法 采用方便抽樣選取2019年7~11月就診的423例女性不孕癥患者。采用一般資料調查表、自尊量表、生育生活質量量表和領悟社會支持量表進行調查分析,采用多元線性逐步回歸分析篩選出女性不孕癥患者生活質量的影響因素。結果 女性不孕癥患者生育生活質量得分為(59.37±14.67)分。多元線性逐步回歸分析結果顯示,領悟社會支持、自尊為生育生活質量的保護性因素(P<0.05),被歧視感、病恥感與丈夫是獨生子女為生育生活質量的危險因素(P<0.05)。最終,調整的R2為31.6%。結論 女性不孕癥患者生育生活質量處于中等水平,護理人員應當積極發揮領悟社會支持和自尊的作用,采取心理干預措施提高女性不孕癥患者的生育生活質量。
[關鍵詞]不孕癥;女性;生育生活質量;影響因素;護理
[中圖分類號] R711.6 ? ? ? ? ?[文獻標識碼] A ? ? ? ? ?[文章編號] 1674-4721(2020)9(c)-0147-04
[Abstract] Objective To explore the current status of female infertility patients′ reproductive life quality and its influencing factors. Methods Convenience sampling was used to select 423 female infertility patients who were diagnosed from July to November 2019. The general information questionnaire, self-esteem scale, reproductive quality of life scale and comprehension social support scale were used for investigation and analysis, and multiple linear stepwise regression analysis was used to screen out the factors affecting the quality of life of female infertility patients. Results The score of quality of life of female infertility patients was (59.37±14.67) points. The results of multiple linear stepwise regression analysis showed that understanding social support and self-esteem were protective factors for the quality of reproductive life, and feelings of discrimination(P<0.05), stigma and husbands as the only child were risk factors for the quality of reproductive life (P<0.05). Finally, the adjusted R2 was 31.6%. Conclusion The quality of reproductive life of female infertility patients is at a medium level. Nursing staff should actively play the role of understanding social support and self-esteem, and adopt psychological interventions to improve the quality of reproductive life of female infertility patients.
[Key-words] Infertility; Female; Quality of reproductive life; Influencing factors; Nursing
世界衛生組織將不孕癥定義為生殖系統疾病,是指在超過12個月的定期無保護性交后未能獲得臨床妊娠[1]。不孕癥在15~49歲的女性中普遍存在,有研究表明中國有25%的女性遭受不孕癥的困擾[2]。不孕會導致各種生理、心理和社會后果,如抑郁、焦慮、恥辱和社會孤立,這可能會嚴重影響女性的生活質量[3]。研究表明,不孕癥女性生活質量低于正常育齡女性,且生活質量的降低會影響女性不孕癥患者治療的依從性,進而影響受孕成功率[4]。因此,本研究分析女性不孕癥患者生育生活質量的影響因素,旨在為實施針對性的護理健康教育提供依據,現報道如下。
1資料與方法
1.1一般資料
采用方便抽樣的方法,選取2019年7~11月我院生殖中心不孕門診就診的423例女性不孕癥患者為研究對象。該調查已通過我院醫學倫理委員會批準,被調查者均簽署知情同意書。……