不孕症女性不良情绪的影响因素及干预对策研究  

Research on the Influencing Factors and Intervention Measures of Negative Emotions in Infertile Women

作　　者：涂殊 Tu Shu(Department of Reproductive Medicine,Xinyang People’s Hospital,Xinyang,Henan,464000,China)

机构地区：[1]信阳市人民医院生殖医学科,河南信阳464000

出　　处：《黑龙江医学》2024年第23期2823-2826,共4页Heilongjiang Medical Journal

摘　　要：目的:分析不孕症女性不良情绪的影响因素,探讨具体干预对策。方法:回顾性分析2021年1月—2023年1月信阳市人民医院收治的125例不孕症患者的临床资料。根据心理状态评分将患者分为不良情绪组(n=55)与非不良情绪组(n=70)。归纳可导致不孕症患者发生不良情绪的危险因素并探讨具体干预措施。结果:两组患者年龄、不孕年限、身体质量指数(BMI)、受教育程度、居住区域、与父母同住、与伴侣分居、夫妻满意度指数量表(CSI-4)评分、修正后家庭沟通量表(RFCP)评分、家庭居住面积、家庭月收入、每月性生活次数、生育困难量表(FPI)评分、感知压力量表(PES)评分、心理弹性量表(CD-RISC)评分比较,差异均有统计学意义(χ^(2)=4.611、5.132、5.648、6.111、7.167、6.612、9.897、11.594、7.536、8.276、4.460、13.062、7.336、8.693、10.705,P<0.05)。logistic回归分析结果显示,年龄>30岁、不孕年限>5年、与伴侣分居、CSI-4≤10分、RFCP≤100分、家庭月收入<8000元、FPI≥150分、PES≥20分、CD-RISC≤30分为导致不孕症女性产生不良情绪的危险因素。结论:年龄>30岁、不孕年限>5年、与伴侣分居、CSI-4≤10分、RFCP≤100分、家庭月收入<8000元、FPI≥150分、PES≥20分、CD-RISC≤30分是导致不孕症女性产生不良情绪的危险因素。系统健康教育、认知行为治疗以及支持性心理治疗是改善或消除不孕患者不良情绪的有效措施。Objective:To analyze the influencing factors of negative emotions in infertile women and explore specific intervention strategies.Methods:Retrospective analysis of clinical data from 125 infertile patients in Xinyang People’s Hospital from January 2021 to January 2023.Based on psychological status scores,the 125 patients were divided into negative emotion group(n=55)and non negative emotion group(n=70).The risk factors that can lead to negative emotions in infertility patients were summarized,and specific intervention measures were explored.Results:There were statistically significant differences in age,infertility years,BMI index,education level,living area,living with parents,living apart from partners,CSI-3 score,RFCP score,family size,family monthly income,monthly sexual frequency,FPI score,PES score and CD-RISC score between the two groups(χ^(2)=4.611,5.132,5.648,6.111,7.167,6.612,9.897,11.594,7.536,8.276,4.460,13.062,7.336,8.693,10.705;P<0.05).Logistic regression analysis showed that age>30 years old,infertility>5 years,separation from partner,couple Satisfaction Index scale(CSI4)≤10 points,revised Family Communication Scale(RFCP)≤100 points,monthly family income<8000 yuan,fertility difficulty scale(FPI)≥150 points,perceived stress scale(PES)≥20 points,psychological resilience scale(CD-RISC)≤30 points were divided into risk factors leading to the bad mood of infertility women.Conclusion:Age>30 years old,infertility years>5 years,separation from partner,CSI-4≤10 points,RFCP≤100 points,monthly household income<8000 yuan,FPI≥150 points,PES≥20 points,CD-RISC≤30 points are the risk factors for infertility women to have bad mood.Systematic health education,cognitive behavioral therapy and supportive psychotherapy are effective measures to improve or eliminate negative emotions to some extent in infertile patients.

关 键 词：不孕症 不良情绪 影响因素 心理干预 

分 类 号：R711.6[医药卫生—妇产科学]