接受辅助生殖治疗的不孕症患者的抑郁情绪及影响因素  

Depression and its influencing factors in infertility patients treated with assisted reproductive technology

作　　者：詹佛子 杨海龙[2] 孙小玲[3] 朱颖春[4] 孟芳芳 ZHAN Fozi;YANG Hailong;SUN Xiaoling;ZHU Yingchun;MENG Fangfang(College of Traditional Chinese and Westem Medicine,Nanjing University of Chinese Medicine,Nanjjing 210008,Jiangsu,China;Department of Medical Psychology,Afiliated Drum Touer Hospital,Medical School of Nanjing University,Nanjing 210008,Jiangsu,China;Outpatient Department of Jiangbei International Hospital,Affiliated Drum Tower Hospital,Medical School of Nanjing University,Nanjing 210008,Jiangsu,China;Reproductite Medicine Center,Affiliated Drum Tower Hospital,Medical School of Nanjing University,Narjing 210008,Jiangsu,China;School of Narjing University,Nanjing 210008,Jiangsu,China)

机构地区：[1]南京中医药大学中西医结合鼓楼临床医学院,南京210008 [2]南京大学医学院附属鼓楼医院医学心理科,南京210008 [3]南京大学医学院附属鼓楼医院江北国际医院门诊部,南京210008 [4]南京大学医学院附属鼓楼医院生殖医学中心,南京210008 [5]南京大学医学院,南京210008

出　　处：《中国性科学》2023年第6期143-147,共5页Chinese Journal of Human Sexuality

摘　　要：目的调查接受辅助生殖治疗的不孕症患者的抑郁情绪发生情况,并探讨其的影响因素。方法随机选取2020年11月至2021年11月在南京大学医学院附属鼓楼医院接受辅助生殖治疗的216例女性不孕症患者作为研究对象。采用自编一般情况调查问卷、9项患者健康问卷(PHQ-9)、广泛性焦虑量表(GAD-7)、生育问题调查问卷(FPI)进行调查,分析调查结果。结果216例患者的抑郁检出率为70.4%(152/216),抑郁评分为(8.04±5.22)分;居住在乡村、文化程度较低、全职备孕、家庭月收入较低、接受辅助生殖治疗时间较长、接受治疗次数较多的患者抑郁情绪较重;焦虑及生育压力对抑郁有正向预测作用。结论接受辅助生殖治疗的不孕症患者普遍存在抑郁情绪,应及时进行筛查,并有针对性地进行干预,以促进患者身心健康。Objective To investigate the depression in infertility patients treated with assisted reproductive technology(ART)and explore the influencing factors of depression.Methods A total of 216 female infertility patients treated with ART in the Affliated Drum Tower Hospital,Medical School of Nanjing University from November 2020 to November 2021 were randomly selected as the research objects.The general data questionnaire,patient health questionnaire-9(PHQ-9),generalized anxiety disorder-7(GAD-7)and fertility problem inventory(FPI)were used to investigate the patients and the investigation results were analyzed.Results The detection rate of depression in 216 patients was 70.4%(152/216),and the score of PHQ-9 was(8.04±5.22);patients who live in rural areas,with lower educational level,full-time pregnancy preparation,lower family monthly income,longer duration of ART and more times of treatment are more depressed;anxiety and fertility pressure has a positive predictive effect on depression.Conclusions Depression is common in infertility patients treated with ART,so timely screening and targeted intervention should be caried out to promote the physical and mental health of the patients.

关 键 词：辅助生殖治疗 不孕症 抑郁 

分 类 号：R714.8[医药卫生—妇产科学]