诊疗期不孕症夫妇婚姻调适现状及其影响因素分析  

Analysis of marital adjustment status and influencing factors of couples with infertility during diagnosis and treatment

作　　者：程静娴 王婕妤 王春艳[1] 庞晶晶 吴炫烨 王吟霜 罗桂英[1] Cheng Jingxian;Wang Jieyu;Wang Chunyan;Pang Jingjing;Wu Xuanye;Wang Yinshuang;Luo Guiying(The Reproductive Center of the First Affiliated Hospital,Anhui Medical University,Hefei 230000,Anhui,China)

机构地区：[1]安徽医科大学第一附属医院生殖中心,安徽合肥230000

出　　处：《中国男科学杂志》2024年第2期74-81,共8页Chinese Journal of Andrology

基　　金：安徽省高校自然科学研究项目(KJ2020A0203);安徽省高校人文社会科学研究项目(SK2020A0146)。

摘　　要：目的探讨不孕症夫妇诊疗期的婚姻调适状况并分析其影响因素,为早期干预提供依据。方法选取安徽省某三甲医院符合不孕症诊断标准的夫妻413对,使用Locke⁃Wollance婚姻调适问卷(MAT)调查不孕症夫妇婚姻调适现状,采用一般资料调查法、社会支持评定量表(SSRS)以及心理韧性量表(CD⁃RISC)调查不孕症夫妇婚姻失调的相关影响因素。运用二元Logistic回归分析讨论婚姻失调的危险因素。结果女性婚姻失调比例为31.9%,高于男性的20.0%。不孕原因是女方原因(OR=2.331,95%CI=1.160~4.683)、与长辈同住(OR=0.453,95%CI=0.284~0.722)、心理韧性差(OR=1.024,95%CI=1.008~1.040)和社会支持缺乏(OR=1.084,95%CI=1.041~1.129)是女性婚姻失调的危险因素,年龄增加(OR=0.652,95%CI=0.432~0.984)、心理韧性差(OR=1.047,95%CI=1.025~1.070)和社会支持缺乏(OR=1.070,95%CI=1.023~1.118)是男性婚姻失调的危险因素。结论女性婚姻失调比例高于男性,夫妻双方婚姻失调的相关影响因素集中在个体、家庭和社会方面,应针对这些危险因素进行二元干预,提高患者的婚姻质量。Objective To explore the marital adjustment status of infertile couples and analyze inflvencing related factors for obtaining the basis of early intervention during diagnosis and treatment.Methods Total of 413 couples who met the criteria for infertility diagnosis were recruited from a tertiary⁃level hospital in Anhui Province.The Locke⁃Wollance Marriage Adjustment Questionnaire(MAT)was used to investigate the marital adjustment status of infertile couples.General data survey,Social Support Rating Scale(SSRS)and Psychological Resilience Scale(CD⁃RISC)were used to investigate the factors related to marital disorders in infertile couples.The risk factors of marital disorder were analyzed by binary logistic regression analysis.Results The proportion of marital disorder in females was 31.9%,which was higher than that in males(20.0%).The infertility caused by female(OR=2.331,95%CI=1.160~4.683),living with elders(OR=0.453,95%CI=0.284~0.722),poor psychological resilience,and(OR=1.024,95%CI=1.008~1.040)lack of social support(OR=1.084,95%CI=1.041~1.129)were the risk factors for marital disorder in women.Increasing age(OR=0.652,95%CI=0.432~0.984),poor psychological resilience(OR=1.047,95%CI=1.025~1.070)and lack of social support(OR=1.070,95%CI=1.023~1.118)were the risk factors for marital disorder in men.Conclusion The proportion of marital disorders in women is higher than that in men.The factors related to marital disorders are concentrated in individual,family and social aspects.Dual intervention should be carried out to improve the marital quality of patients.

关 键 词：不育 女性 婚姻调适 相关因素 

分 类 号：R698.2[医药卫生—泌尿科学] R711.6[医药卫生—外科学]