Xiaoyu Jing, Wei Gu, Xiuli Xu, Chunfang Yan, Peijuan Jiao, Lu Zhang, Xiaomei Li, Xiaoqin Wang, Wenru Wang
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引用次数: 20
Abstract
Objective: To investigate stigma and fertility quality of life (FertiQoL) and identify predictors of FertiQoL in Chinese infertile women undergoing in vitro fertilization-embryo transfer (IVF-ET).
Methods: A descriptive correlational design was adopted to investigate the association between stigma and FertiQoL in 588 infertile women undergoing IVF-ET. The personal information questionnaire, Infertility Stigma Scale (ISS) and FertiQoL tool were used to measure study variables.
Results: The mean scores of ISS and FertiQoL were 62.59 (SD = 21.58) and 63.64 (SD = 13.72), respectively. There were significant differences of ISS scores among participants with different educational level, residence, occupation, religious belief, financial condition, age group, duration of infertility and infertility treatment, while significant differences of the FertiQoL scores were found in participants with different insurance status, determinism of etiology, infertile type, duration of infertility treatment and cycles of IVF-ET. Pearson's correlation analysis showed stigma was negatively correlated with FertiQoL (r = -0.081 to -0.669, p < .05). The self-devaluation (β = -0.290, p < .001), social withdrawal (β = -0.237, p < .001), family stigma (β = -0.217, p < .001) and insurance status (β = 0.066, p=.035) were identified as the significant predictor of FertiQoL accounting for 43.5% of variance.
Conclusions: The stigma was significantly associated with FertiQoL in infertile women undergoing IVF-ET with higher level of stigma predicting poorer FertiQoL. More psychological support should be provided to infertile women to reduce stigma and improve FertiQoL.
目的:探讨中国接受体外受精-胚胎移植(IVF-ET)的不孕妇女的耻辱感和生育生活质量(FertiQoL)，并确定其预测因素。方法:采用描述性相关设计对588例接受IVF-ET治疗的不孕症妇女进行柱头与FertiQoL的相关性研究。采用个人信息问卷、不孕症耻感量表(ISS)和FertiQoL工具对研究变量进行测量。结果:ISS和FertiQoL的平均得分分别为62.59分(SD = 21.58)和63.64分(SD = 13.72)。不同教育程度、居住地、职业、宗教信仰、经济状况、年龄、不孕持续时间和不孕治疗时间的被试在ISS得分上存在显著差异，而不同保险状况、病因决定论、不孕类型、不孕治疗持续时间和IVF-ET周期的被试在FertiQoL得分上存在显著差异。Pearson相关分析显示，柱头与FertiQoL呈负相关(r = -0.081 ~ -0.669, p p p p= 0.035)，为FertiQoL的显著预测因子，占方差的43.5%。结论:在接受IVF-ET的不孕妇女中，耻辱感与FertiQoL显著相关，较高的耻辱感水平预示着较差的FertiQoL。应加强对不孕妇女的心理支持，减少耻辱感，提高生育质量。
期刊介绍：
The Journal of Psychosomatic Obstetrics and Gynecology was founded in 1982 in order to provide a scientific forum for obstetricians, gynecologists, psychiatrists and psychologists, academic health professionals as well as for all those who are interested in the psychosocial and psychosomatic aspects of women’s health. Another of its aims is to stimulate obstetricians and gynecologists to pay more attention to this very important facet of their profession.
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