不孕不育人群生育生活质量评价及其影响因素分析  

Evaluation of Fertility Quality of Life in Infertile Population and Analysis of Influencing Factors

作　　者：郝佳丽 何玉洁(审校)[2] HAO Jia-li;HE Yu-jie(Shanxi Medical University,Taiyuan 030001,China;Reproductive Medicine Center,The First Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学,太原030001 [2]山西医科大学第一医院生殖医学中心

出　　处：《国际生殖健康／计划生育杂志》2024年第2期159-165,共7页Journal of International Reproductive Health/Family Planning

摘　　要：生育生活质量量表(Fertility Quality of Life Questionnaire,FertiQoL)是不孕不育人群生活质量测量的特异性量表。生育生活质量下降会影响不孕不育人群的治疗积极性及治疗依从性,从而影响患者的助孕结局。大量研究表明,不孕不育人群生育生活质量各模块及维度均有受损,但影响因素及对不同维度的影响程度尚无统一结论。中国和国外不孕不育人群生育生活质量受损情况不同,中国患者治疗模块受损更严重,国外患者核心模块受损更严重。社会支持、心理韧性是生育生活质量的保护因素,焦虑、抑郁、述情障碍、生育压力、病耻感则与生育生活质量呈负相关。除此之外,性别、年龄、居住地、受教育程度及不孕年限等一般特征也是不孕不育人群生育生活质量的重要影响因素。但目前对于提高患者生育生活质量的干预措施及干预后临床妊娠率是否得到提升的研究尚不充分。Fertility Quality of Life Questionnaire(FertiQoL)is a specific scale to measure the quality of life in infertile population.The decline of fertility quality of life will affect the treatment enthusiasm and treatment compliance of infertile population,thus affecting the outcome of assisted pregnancy.A large number of studies have shown that all modules and dimensions of the quality of life of infertile people are impaired,and that there is no unified conclusion on the influencing factors and the influence degree of different dimensions.It is clear that the impaired quality of life of infertile population is different in China and abroad.The treatment FertiQoL is more seriously damaged in Chinese infertile people,while the core FertiQoL is more seriously damaged in foreign infertile people.Social support and psychological resilience were the protective factors of FertiQoL,while anxiety,depression,alexithymia,reproductive stress and infertility stigma were negatively correlated with FertiQoL.In addition,general characteristics such as sex,age,place of residence,education level and duration of infertility are also important influencing factors.The present research is not enough about what interventions improving the quality of life of patients,and whether the clinical pregnancy rate can be improved after intervention.

关 键 词：不育 生活质量 影响因素分析 生殖技术 辅助 体外受精 胚胎移植 授精 人工 

分 类 号：R711.6[医药卫生—妇产科学]