体外受精-胚胎移植失败患者心理弹性与应对方式的相关性研究  

Correlated study on psychological elasticity and coping mode of patients with embryo transplantation failure

作　　者：朴丽[1] 丛云凤[1] 杨蕊[2] 陈可欣[3] 

机构地区：[1]吉林大学第一医院妇科,长春130021 [2]吉林大学护理学院,长春130021 [3]吉林大学第一医院转化医学院,长春130021

出　　处：《中华现代护理杂志》2016年第26期3721-3726,共6页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金青年科学基金项目（81302611）

摘　　要：目的：调查体外受精-胚胎移植失败患者住院期间心理弹性与应对方式的相关性,为制定针对性干预措施提供科学的理论依据。方法采取横断面研究,便利抽样法选取妇科体外受精-胚胎移植失败患者225例,收集其一般人口学资料,并使用心理弹性量表（ CD-RIS）和医学应对量表（ MCMQ）对其心理弹性及医学应对方式进行评估。结果体外受精-胚胎移植失败患者心理弹性平均分为（66.79±14.27）分、应对方式平均分为（44.77±5.61）分。心理弹性在民族、不孕原因、学历、移植失败次数、不孕类型以及住院原因等方面比较,差异有统计学意义（P〈0.05）。患者应对方式中体外受精-胚胎移植失败患者心理弹性总分与应对方式总分呈正相关（r＝0.377,P〈0.01）,各维度间除乐观维度与回避维度无相关关系外,其他各维度之间均有相关性（ P〈0.01）。结论体外受精-胚胎移植失败的不孕症患者心理弹性与应对方式存在相关性,医护人员应关注并了解患者的心理弹性水平,通过针对性地干预,提高患者的心理弹性,并且帮助患者建立有效的应对方式。Objective To Investigate the correlation between psychological elasticity and coping mode in patients with embryo transplantation failure in hospital, and provide scientific theoretical basis for targeted intervention measures. Methods Totally 225 patients with embryo transplantation failure were selected by random sampling as the research object, and cross-sectional study was used to collect their basic demographic information. Connor-Davidson resilience scale（CD-RISC） and medical coping modes questionnaire （MCMQ） were used to evaluate their psychological elasticity and medical coping mode. Results The average score of psychological elasticity of patients with embro transplantation failure was （66.79±14.27） points and the score of coping mode was （44.77±5.61） points. Psychological elasticity was compared among races, causes of infertility, education backgrounds, times of embryo transplantation failure, types of infertility, and the causes of hospitalization, the differences were statistically significant （ P〈0.05） . The total score of psychological elasticity in an patient with embryo transplantation failure was significantly correlated to the total score of coping mode （ r=0.377,P〈0. 01）. All the dimentions were significantly related （ P〈0. 01） except optimism and avoidance. Conclusions The psychological elasticity and coping are correlated in patients with embryo transfer failure. In order to increase the patients′ psychological elasticity and help them establish the effective coping, medical personnel should know the patients′psychological elasticity level clearly and intervene with targets measures.

关 键 词：弹性 心理 不孕症 体外受精-胚胎移植 应对方式 

分 类 号：R473.71[医药卫生—护理学]