体外受精-胚胎移植术后先兆流产孕妇不良情绪及与心理弹性、应对方式关系  

Correlation between the adverse mood survey of pregnant women w ith threatened abortion after in vitro ferilization-embry-0 transfer and their psychological resilience and coping style

作　　者：冀荔 王烈宏[1] 杨惠林[1] 李月琴[1] JI Li;WANG Liehong;YANG Huilin;LI Yueqin(Qinghai Red Cross Hospital,Xining,Qinghai Province,810099)

机构地区：[1]青海红十字医院,西宁810099

出　　处：《中国计划生育学杂志》2023年第4期842-847,共6页Chinese Journal of Family Planning

摘　　要：目的:探讨体外受精-胚胎移植(IVF-ET)术后先兆流产孕妇不良情绪及与其心理弹性、应对方式的关系。方法:选择2021年1月-2022年1月本院收治的IVF-ET术后先兆流产孕妇118例为调查对象,入院后采用一般情况调查表、焦虑自评量表(SAS)、抑郁自评量表(SDS)、心理弹性量表(CDRISC)、应对方式调查问卷(MCMQ)进行调查。应用Pearson相关分析孕妇不良情绪与心理弹性、应对方式的相关性,采用多元线性逐步回归分析影响IVF-ET术后先兆流产孕妇不良情绪的相关因素。结果:118例孕妇焦虑、抑郁不良情绪得分分别为60.7±6.7分、63.6±7.4分,心理弹性、应对方式总分分别为54.1±8.7分、49.2±9.0分。相关分析显示,IVF-ET术后先兆流产孕妇焦虑、抑郁不良情绪得分与心理弹性各维度得分及面对得分均呈负相关,与回避、屈服得分均呈正相关(均P<0.05)。单因素分析显示,调查对象焦虑、抑郁不良情绪得分与年龄、流产次数、文化程度、医疗支付方式、家庭收入有关(P<0.05)。多元线性逐步回归分析结果显示,坚韧、乐观、力量、面对、回避、屈服、流产次数均进入焦虑回归方程(F=66.125,P<0.001,R^(2)=0.615),坚韧、乐观、力量、面对、回避、屈服、流产次数均进入抑郁回归方程(F=56.441,P<0.001,R^(2)=0.478)。结论:IVF-ET术后先兆流产孕妇普遍存在焦虑、抑郁不良情绪,且不良情绪状况与心理弹性、应对方式存在密切关系。临床应通过实施相应干预措提高孕妇心理弹性水平以及鼓励其采用积极的应对方式,从而达到改善焦虑、抑郁的效果。Objective:To investigate the correlation between the adverse mood survey of pregnant women with threat-ened abortion after in vitro frtilizationrembryo transfer(IVF-ET)and their psychological resilience and coping style.Methods:A total of 118 pregnant women with threatened abortion after IVF-ET were selected as the survey objects from January 2021 to January 2022.After admission of hospital,the general situation questionnaire,self-rating anxiety scale(SAS),self-rating depression scale(SDS),connor-davidson resilience scales(CDRISC),and medical coping modes questionnaire(MCMQ)were used to survey.The correlation between the adverse emotions of the women and their psychological resilience and coping style was explored by Pearson correlation analysis.The related factors affecting the adverse emotions of the women with threatened abortion after IVF-ET were explored by multiple linear stepwise regression analysis.Results:The scores of anxiety and depression of 118 pregnant women were 60.7±6.7 points and.63.6±7.4 points,and the total scores of mental resilience and coping style of these women were 54.1±8.7 points and 49.2±9.0 points.Correlation analysis showed that the scores of the adverse emotions(anxiety and depression),of the women with threatened abortion after IVF-ET were negatively correlated with their scores of various dimensions of mental resilience and their facing scores,and which were positively correlated with their avoidance and yielding scores(all P<0.05).Univariate analysis showed that the scores of the adverse emotions(anxiety and depression)of the women with threatened abortion after IVF-ET were related to their age,abortion frequency,education level,medical payment method,and family income(P<0.05).The results of multiple linear regression analysis showed that tenaci-ty,optimism,strength,facing,avoidance,yielding,and abortion times of the women had all entered into the regres-sion equation of anxiety(F=66.125,P<0.001,R^(2)=0.615),and tenacity,optimism,strength,facing,avoidance,yielding,and abortion

关 键 词：体外受精-胚胎移植 先兆流产 不良情绪 心理弹性 应对方式 影响因素 相关性 

分 类 号：R714.8[医药卫生—妇产科学]