不孕症夫妇生育压力、主观幸福感和生育生活质量的差异性及心理弹性的中介作用  

Differences in the infertility stress, subjective well-being and fertility quality of life among infertile couples and mediating role of psychological resilience

作　　者：蔡艳娜[1] 董悦芝[1] 周飞京 白睿敏[1] 李亚南[1] 朱艳红[1] Cai Yanna;Dong Yuezhi;Zhou Feijing;Bai Ruimin;Li Yanan;Zhu Yanhong(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院,450052

出　　处：《中华生殖与避孕杂志》2020年第8期644-651,共8页Chinese Journal of Reproduction and Contraception

摘　　要：目的探索不孕症夫妇在生育压力、主观幸福感和生育生活质量方面的差异性及心理弹性的中介作用。方法采用横断面研究和方便抽样法抽取2017年4月至2018年4月期间在郑州大学第一附属医院生殖中心门诊接受初诊的不孕症夫妇。采用心理弹性量表(CD-RISC)、生育压力量表(FPI)、主观幸福感量表(SWBS)和生育生活质量量表(FertiQoL)对纳入的230例不孕症夫妇进行调查。结果不孕症夫妇在心理弹性(P=0.034)、生育压力(P<0.001)和生育生活质量(P=0.005)方面差异具有统计学意义,主观幸福感差异无统计学意义(P>0.05)。不孕症女方的心理弹性在生育压力与主观幸福感和生育生活质量的结构方程模型拟合度理想[χ^2/df=1.437,拟合优度指数(GFI)=0.936,修正的拟合优度指数(AGFI)=0.909,近似误差均方根(RMSEA)=0.043],且中介作用显著。不孕症男方心理弹性在生育压力与主观幸福感和生育生活质量的结构方程模型拟合度良好[χ^2/df=2.011,GFI=0.93,增值拟合指数(IFI)=0.918,标准化拟合指数(CFI)=0.917,RMSEA=0.067],但心理弹性在生育压力与生育生活质量中有中介作用,在生育压力与主观幸福感中无中介作用。结论不孕症夫妇的生育压力和生育生活质量存在差异。心理弹性在不孕症夫妇的生育压力与生育生活质量中存在中介作用。Objective To explore the differences in the infertility stress,subjective well-being and fertility quality of life among infertile couples and mediating role of psychological resilience.Methods A cross-sectional study and convenient sampling method were used to recruit the new diagnosed as infertility couples from April 2017 to April 2018 in the Reproductive Center of the First Affiliated Hospital of Zhengzhou University.The Resilience Scale(CD-RISC),the Fertility Problem Inventory(FPI),the Subjective Well-being Scale(SWBS)and the Fertility Quality of Life Questionnaire(FertiQoL)were used to investigate the 230 infertile couples.Results Infertility couples had statistical differences in psychological resilience(P=0.034),infertility stress(P<0.001),and fertility quality of life(P=0.005),and there was no statistically significant difference in subjective well-being.The fitting degree of structural equation model of infertility stress and subjective well-being and fertility quality of life among infertility women was relatively ideal[χ^2/df=1.437,goodness of fit index(GIF)=0.936,adjusted goodness of fit index(AGFI)=0.909,root mean square error of approximation(RMSEA)=0.043],and the mediating effects of psychological resilience on subjective well-being and fertility quality of life was significant.The fitting degree of structural equation model of infertility stress and subjective well-being and fertility quality of life among infertility men was relatively ideal[χ^2/df=2.011,GFI=0.93,incremental fit index(IFI)=0.918,comparative fit index(CFI)=0.917,RMSEA=0.067],and psychological resilience had a mediating effect on fertility quality of life,but had no mediating effect on subjective well-being.Conclusion There are differences in infertility stress and fertility quality of life among infertile couples.psychological resilience has a mediating effect on the infertility stress and fertility quality of life among infertile couples.

关 键 词：不孕症夫妇 生育压力 主观幸福感 心理弹性 生育生活质量 结构方程模型 

分 类 号：R711.6[医药卫生—妇产科学]