不孕症初诊夫妻生育压力、二元应对及生育生活质量的调查  

Investigation of Infertility-Related Stress,Dyadic Coping and Fertility Quality of Life in Newly Diagnosed Patients

作　　者：谢雷 田梅梅 徐于睿[1,2] 黄欣 周艳茂 徐颖 卜桦 奚慧琴[1,3] XIE Lei;TIAN Mei-mei;XU Yu-rui;HUANG Xin;ZHOU Yan-mao;XU Ying;BU Hua;XI Hui-qin(Department of Nursing,Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;Department of Reproduction,Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;School of Nursing,Shanghai Jiao Tong University,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属仁济医院护理部,200127 [2]上海交通大学医学院附属仁济医院生殖科,200127 [3]上海交通大学护理学院

出　　处：《国际生殖健康/计划生育杂志》2025年第2期89-94,共6页Journal of International Reproductive Health/Family Planning

基　　金：上海交通大学医学院护理科研面上项目(Jyh2216)。

摘　　要：目的:调查不孕症初诊夫妻的生育压力、二元应对和生育生活质量现状,探讨二元应对在生育压力与生育生活质量间的主客体互倚中介效应。方法:本研究为横断面研究设计,采取便利抽样法选取2023年9—11月本中心初诊不孕症、拟进行辅助生殖治疗的267对夫妻为研究对象。采用一般资料调查表、生育压力量表(fertility problem inventory,FPI)、二元应对量表(dyadic coping inventory,DCI)和生育生活质量量表(fertility quality of life,FertiQoL)对不孕症夫妻的生育压力、二元应对和生育生活质量进行调查。采用SPSS 26.0软件对数据进行统计分析,运用R4.3.2软件进行主客体互倚中介效应分析。结果:共发放问卷不孕症夫妻267对,回收有效问卷257对,有效回收率为96.25%。Pearson相关分析显示,不孕症夫妻生育压力与二元应对、生育生活质量呈显著相关性(均P<0.001)。主体-主体效应中,二元应对在女方及男方的生育压力和生育生活质量间的主体中介效应均成立(β=-0.35,P<0.05和β=-0.09,P<0.05);伴侣-主体效应中,女方的生育压力能够通过影响男方的二元应对影响男方的生育生活质量(β=-0.04,P<0.05);男方的二元应对能够通过影响女方的二元应对影响女方的生育生活质量(β=0.06,P<0.05)。结论:不孕症夫妻在应对疾病过程中的行为反应是相互关联、相互影响的,临床诊治不孕症时在考虑一方生育压力的同时,还要考虑其自身及其与配偶之间的生育压力的相互影响,给予相应的干预措施提高双方的生育生活质量。Objective:To investigate the infertility-related stress,dyadic coping and the fertility quality of life in newly diagonosed infertility patients and their spouses,and to analyze their interrelationships so as to explore the subjective and object-dependent mediating effect between fertility pressure and fertility quality.Methods:This cross-sectional study included 267 newly diagonsed infertility couples from our center,between September and November 2023.These couples have been proposed the assisted reproductive therapy.The following questionnaires were used:fertility problem inventory(FPI),dyadic coping inventory(DCI)and fertility quality of life(FertiQoL).SPSS 26.0 software was used for statistical description and statistical inference of the data,and R4.3.2 software was used to analyze the actor-partner interdependence mediation model Results:A total of 267 infertility patients and their spouses received questionnaires,and 257 valid questionnaires were collected,with an effective recovery rate of 96.25%.In Pearson correlation analysis,infertility-related stress was significantly correlated with dyadic coping and fertility quality of life(all P<0.001).In the principal-agent effect,the principalmediating effects between male and female fertility pressure and reproductive life quality were established(β=-0.35 for female andβ=-0.09 for male,respectively,P<0.05).In the partner-agent effect,women′s infertility-related stress affects men′s dyadic coping and thus their fertility quality of life(β=-0.04,P<0.05),and men′s dyadic coping affects women′s fertility quality of life through influencing women′s dyadic coping(β=0.06,P<0.05).Conclusions:The behavior responses of infertility patients and their spouses in the process of coping with the disease are interrelated and influence each other.In the clinical diagnosis and treatment of infertility,the women′s infertilityrelated stress should be considered at the same time,and the mutual influence of the infertility-related stress between themselves and their

关 键 词：不育 女(雌)性 不育 男(雄)性 二元应对 生育压力 主客体互倚中介模型 

分 类 号：R711.6[医药卫生—妇产科学]