基于主客体互倚模型的不孕不育夫妻自我效能与婚姻调适的关系研究  

Relationship between self-efficacy and marital adjustment in infertile couples based on the Actor-Partner Interdependence Model

作　　者：李佩涛 何立立[2] 宋东红 李葆华[3] 吴俊慧[1] 尚少梅 Li Peitao;He Lili;Song Donghong;Li Baohua;Wu Junhui;Shang Shaomei(School of Nursing,Peking University,Beijing 100191,China;Reproductive Center,Peking University Third Hospital,Beijing 100191,China;Nursing Department,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学护理学院,北京100191 [2]北京大学第三医院生殖医学中心,北京100191 [3]北京大学第三医院护理部,北京100191

出　　处：《中华现代护理杂志》2023年第27期3743-3747,共5页Chinese Journal of Modern Nursing

摘　　要：目的基于主客体互倚模型(APIM)探讨不孕不育夫妻自我效能与婚姻调适的关系。方法本研究为横断面调查。采用方便抽样法选取2022年1—4月于北京大学第三医院生殖医学中心行体外受精-胚胎移植周期治疗的310对不孕不育夫妻为研究对象。采用自我效能感量表和Locke-Wallace婚姻调适量表进行问卷调查。通过Pearson相关分析与构建APIM,分析不孕不育夫妻自我效能与婚姻调适的关系。共发放问卷310组(1组为1对夫妻),回收有效问卷293组,有效回收率为94.5%。结果不孕不育夫妻自我效能得分中,妻子为(25.08±5.54)分,丈夫为(27.08±5.35)分,且妻子自我效能得分低于丈夫(P<0.01)。婚姻调适得分中,妻子为(109.39±23.13)分,丈夫为(111.99±20.87)分。APIM分析结果显示,主体效应方面,不孕不育夫妻双方的自我效能均可影响自身婚姻调适(β值为0.166、0.408,P<0.01);客体效应方面,丈夫的自我效能可影响妻子的婚姻调适(β=0.117,P<0.05)。结论行体外受精-胚胎移植周期治疗的不孕不育夫妻的自我效能处于中等水平,婚姻调适总体良好。夫妻的自我效能与自身的婚姻调适密切相关,且丈夫的自我效能还可正向影响妻子的婚姻调适。在临床工作中,应将不孕不育夫妻视为一个整体,关注双方二元交互作用,并制订有针对性的措施帮助不孕不育夫妻提高自我效能,从而提高婚姻调适,改善健康结局,稳定家庭关系。ObjectiveTo explores the relationship between self-efficacy and marital adjustment in infertile couples based on Actor-Partner Interdependence Model(APIM).MethodsThis study was a cross-sectional survey.A total of 310 infertile couples who underwent in vitro fertilization-embryo transfer cycle treatment in Reproductive Center of Peking University Third Hospital from January to April 2022 were selected as the research objects by the convenient sampling method.General Self-Efficacy Scale and Locke-Wallace Marital Adjustment Test were used to investigate.The relationship between self-efficacy and marital adjustment of infertile couples was analyzed by Pearson correlation analysis and APIM.A total of 310 groups of questionnaires were distributed(1 group was 1 couple),and 293 groups of effective questionnaires were collected,with an effective recovery rate of 94.5%.ResultsThe self-efficacy scores of infertile couples were(25.08±5.54)for wives and(27.08±5.35)for husbands,and the self-efficacy scores of wives were lower than those of husbands(P<0.01).In the score of marital adjustment,the wives scored(109.39±23.13)and the husbands scored(111.99±20.87).The APIM analysis results show that in terms of subjective effects,the self-efficacy of both infertile couples could affect their own marital adjustment(β=0.166,0.408;P<0.01).In terms of object effects,the husbands'self-efficacy could affect the wives'marital adjustment(β=0.117,P<0.05).ConclusionsThe self-efficacy of infertile couples undergoing in vitro fertilization-embryo transfer cycle treatment is at the middle level,and the marriage adjustment is generally good.The self-efficacy of couples is closely related to their own marital adjustment,and the self-efficacy of husbands can also positively affect the wifes'marital adjustment.In clinical work,infertile couples should be regarded as a whole,focusing on the binary interaction between both parties,and developing targeted measures to help infertile couples improve their self-efficacy,thereby improving marital adju

关 键 词：不孕 不育 体外受精-胚胎移植 自我效能 婚姻调适 主客体互倚模型 

分 类 号：R473.71[医药卫生—护理学]