高龄不孕妇女辅助生殖助孕前心理状态调查  

Investigation on mental state of infertile women with elder childbearing age before assisted reproduction technology

作　　者：胡少飞[1] 王欢 HU Shaofei;WANG Huan(Nanning Maternal and Child Health Care Hospital, Nanning,Guangxi 530011)

机构地区：[1]广西壮族自治区南宁市妇幼保健院,530011

出　　处：《中国计划生育学杂志》2021年第8期1568-1573,共6页Chinese Journal of Family Planning

摘　　要：目的:调查高龄不孕妇女辅助生殖(ART)助孕前心理状态及影响因素。方法:选取接受ART助孕的高育龄不孕妇女203例作为不孕组,按照年龄以1:1匹配选取同期接受健康体检的已婚女性203例作为对照组。向两组发放调查问卷,了解其一般情况及心理状态,对比调查结果并分析影响ART助孕妇女心理状态的相关影响因素。结果:不孕组SAS(45.05±8.74分)、SDS(45.62±10.03分)评分均高于对照组(39.87±9.07分、38.05±9.96分)(P<0.05),焦虑、抑郁检出率分别为36.0%和33.0%。不孕组有焦虑症状患者年龄≥40岁、不孕年限>4年、家庭年收入≤5万元、既往治疗费用>5万元占比高于无焦虑症状患者,夫妻关系融洽、了解ART助孕相关知识、初次失败后愿意再次辅助生殖者占比低于无焦虑症状患者(P<0.05);有抑郁症状患者年龄≥40岁、不孕年限>4年、家庭年收入≤5万元、既往治疗费用>5万元者占比高于无抑郁症状患者,夫妻关系融洽、了解ART助孕相关知识、初次失败后愿意再次辅助生殖者占比低于无抑郁症状患者(P<0.05)。多因素分析显示,年龄≥40岁、不孕年限>4年、既往治疗费用>5万元、未生育是患者焦虑的危险因素,年龄≥40岁、不孕年限>4年、既往治疗费用>5万元是患者抑郁的危险因素。结论:接受ART助孕的高龄不孕妇女助孕前普遍有明显的焦虑、抑郁症状,临床应关注高龄不孕妇女ART助孕前心理健康状况,有针对性干预,提高治疗效果。Objective:To investigate the psychological status and related factors of infertile women with elder childbearing age before assisted reproduction technology(ART).Methods:203 infertile women with elder childbearing age who had accepted ART were selected in study group,and 203 married normal women were selected in control group according to the age of 1:1 matching during the same period.Questionnaires were issued to investigate the general situation and psychological state of the women in the two groups.The survey results of the women were compared between the two groups,and the related factors influencing the psychological state of the infertile women with elder childbearing age after ART were analyzed.Results:The scores of SAS(45.05±8.74 points)and SDS(45.62±10.03 points)of the women in the study group were higher than those(39.87±9.07 points and 38.05±9.96 points)of the women in the control group(P<0.05),and the rates of anxiety and depression of the women in the study group were 36.0%and 33.0%,respectively.In the study group,the proportions of age≥40 years old,the duration of infertility>4 years,family annual income≤50,000 Yuan,and previous treatment cost>50,000 Yuan of the women with anxiety symptoms were significant higher than those of the women without anxiety symptoms,and the proportions of the good conjugal relations,understanding knowledge related to ART,and willing to ART again after initial failure of the women with anxiety symptoms was lower than that of the women without anxiety symptoms(P<0.05).In the study group,the proportions of age≥40 years old,the duration of infertility>4 years,family annual income≤50,000 Yuan,and previous treatment cost>50,000 Yuan of the women with depressive symptoms were significant higher than those of the women without depressive symptoms,and the proportions of the good conjugal relations,understanding knowledge related to ART,and willing to ART again after initial failure of the women with depressive symptoms was lower than that of the women without depressi

关 键 词：高龄不孕症妇女 辅助生殖术前 心理健康 焦虑 抑郁 

分 类 号：R71[医药卫生—妇产科学]