对接受辅助生殖治疗的不孕女性负面心理状态的混合方法研究
Jia-Yu Hu1, Yi-Dan Wu2, Zhen Xiao2
1School of Nursing, Hangzhou Medical College, No. 8 Yikang Street, Hangzhou, 311399, China.
Scientific reports
|July 2, 2025
概括
接受辅助生殖治疗的不孕妇女经常经历负面的心理状态. 关键的风险因素包括财务负担,治疗持续时间和缺乏家庭支持,这凸显了针对性干预的必要性.
科学领域:
- 生殖医学和心理学
- 在辅助生殖中心理健康.
背景情况:
- 全球不孕率不断上升,需要有效的辅助生殖治疗 (ART).
- 接受ART的不孕妇女经常经历不良的心理状态,影响治疗结果.
- 现有的知识差距阻碍了为这一群体开发有效的心理干预措施.
研究的目的:
- 确定导致不孕妇女接受ART的负面心理状态的特定风险因素.
- 探索这些心理挑战的特征和来源.
主要方法:
- 一种混合方法的方法,结合了定量调查和定性访谈.
- 定量阶段:437名不育妇女填写了DASS-21问卷;使用描述性统计和多重线性回归分析数据.
- 定性阶段:报告有负面症状的14名妇女接受了以主题分析的半结构面试.
主要成果:
- 观察到高频率的焦虑 (24.3%),抑郁 (10.8%),和压力 (8.7%).
- 定量分析确定了职业类型,家庭收入,不孕症因素,治疗持续时间和先前的ART周期作为重大风险因素.
- 多变量回归显示年人均家庭收入 (抑郁症),治疗持续时间和职业类型 (焦虑症) 以及无法解释的不孕症 (压力) 是主要影响因素.
结论:
- 在接受人工智能治疗的中国不育妇女中存在显著的负面心理状态.
- 关键的因素包括与ART相关的医疗方面,家庭支持不足,工作治疗冲突和财务负担.
- 对有效的心理干预措施的进一步研究对于改善患者福祉至关重要.
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