PCOS不孕女性生活方式管理有关因素分析  

Analysis of the related factors of the lifestyle management of infertile women with polycystic ovary syndrome

作　　者：党莉婷 靳维红 高珊 张婷 DANG Liting;JIN Weihong;GAO Shan;ZHANG Ting(Tangdu Hospital of Air Force Military Medical University,Xi'an,Shanxi Province,710038)

机构地区：[1]空军军医大学唐都医院,西安710038

出　　处：《中国计划生育学杂志》2024年第8期1953-1958,共6页Chinese Journal of Family Planning

摘　　要：目的:探究多囊卵巢综合征(PCOS)不孕女性生活方式管理有关影响因素并提出相关对策。方法:采用一般资料调查表、PCOS患者生活方式自评量表、心理韧性量表(CD-RISC)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、领悟社会支持量表(PSSS)对2022年5月-2023年10月本院复诊的PCOS不孕女性259例进行调查,以多元线性回归分析模型探究PCOS不孕女性生活方式管理有关因素。结果:共发放259份问卷,有效回收246份,有效率95.0%;PCOS不孕女性生活方式自评量表评分57.48±7.25分,CD-RISC评分61.27±8.56分,SAS评分56.62±6.71分、SDS评分58.29±6.84分、PSSS评分55.73±6.28分。回归分析显示,体质指数高、对疾病了解程度低、未制定个性化生活方式管理方案、心理韧性低、焦虑高、抑郁高及社会支持低是PCOS不孕女性生活方式管理的主要影响因素(均P<0.05)。结论:PCOS不孕女性生活方式管理有待进一步完善,临床可依据相关影响因素对患者综合评估,通过制定个性化生活方式管理方案提高PCOS不孕女性生活方式管理水平,以促进疾病康复,改善妊娠结局。Objective:To explore the related factors of the lifestyle management of infertile women with polycystic ovary syndrome(PCOS),and to put forward the relevant countermeasures.Methods:A total of 259 revisiting infertile women with PCOS who were treated in the hospital from May 2022 to October 2023 were investigated by the general information questionnaire,the self-rating lifestyle self-rating scale of PCOS patients,the Connor-Davidson resilience scale(CD-RISC),the self-rating anxiety Scale(SAS),the self-rating depression scale(SDS)and the perceived social support scale(PSSS).Multiple linear regression analysis model was used to explore the related factors of the lifestyle management of the infertile women with PCOS.Results:A total of 259 questionnaires were distributed,and 246 valid questionnaires were recovered,with an effective rate of 95.0%.The scores of the life style self-rating scale,CD-RISC,SAS,SDS and PSSS of the infertile women with PCOS were 57.48±7.25 points,61.27±8.56 points,56.62±6.71 points,58.29±6.84 points and 55.73±6.28 points,respectively.Regression analysis showed that the high value of body mass index(BMI),the low understanding PCOS,the no development of personalized lifestyle management program,the low level of psychological resilience,the high levels of anxiety and depression and the low social support of the infertile women with PCOS were the main influencing factors influencing their lifestyle management(all P<0.05).Conclusion:The lifestyle management of the infertile women with PCOS needs to be further improved.Clinically,the comprehensively evaluation of the women should be conducted according to the related influencing factors of their lifestyle.The personalized lifestyle management scheme for the infertile women with PCOS should be conducted to improve their lifestyle management level,to promote the rehabilitation of PCOS and to improve their pregnancy outcomes.

关 键 词：多囊卵巢综合征 不孕 生活方式管理 影响因素 对策 

分 类 号：R711.75[医药卫生—妇产科学] R711.6[医药卫生—临床医学]