体外受精-胚胎移植周期卵巢过度刺激综合征住院患者生育压力、心理资本与夫妻沟通方式的相关性

IF 2.6 4区医学 Q2 OBSTETRICS & GYNECOLOGY

International Journal of Women's Health Pub Date : 2025-09-02 eCollection Date: 2025-01-01 DOI:10.2147/IJWH.S537423

Weili Wu, Na Zhou, Ying He

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引用次数: 0

摘要

背景：卵巢过度刺激综合征（OHSS）是体外受精-胚胎移植（IVF-ET）的一种令人痛苦的并发症，可加重患者的情绪和心理负担。生育压力受个体心理资源和婚姻沟通质量的影响。然而，有限的研究已经在住院的OHSS患者中检查了这些关联。目的：探讨IVF-ET后住院OHSS患者生育压力、夫妻沟通方式与心理资本的关系。方法：本横断面研究纳入了2022年6月至2023年12月在中国一家三级医院生育病房住院的185名妇女。被试完成了生育问题问卷（FPI）、心理资本问卷（PCQ）和中文版Christensen婚姻沟通模式问卷。使用SPSS 26.0版本进行描述性统计、Pearson相关和多元线性回归分析。结果包括生育压力水平及其与夫妻沟通、心理资本、相关人口统计学和临床预测因素的关系。结果：参与者报告生育压力升高（平均±标准差：155.08±30.58），夫妻沟通不理想（60.15±24.06），心理资本中等（120.05±18.92）。生育应激与总回避交际呈正相关（r = 0.373, p < 0.01），与心理资本负相关（r = -0.322, p < 0.01）。回归分析显示，胚胎移植周期（β = 9.284, p = 0.007）、第二次妊娠尝试（β = 11.398, p = 0.049）、总回避沟通（β = 2.080, p < 0.001）和心理资本（β = -0.337, p = 0.002）是生育压力的显著预测因子。结论：IVF-ET治疗的OHSS患者生育压力升高与夫妻沟通不适应和心理资本减少有显著关系。整合社会心理支持，以加强婚姻沟通和心理弹性可能有助于减轻压力和改善患者的结果。

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Correlation Between Fertility Stress, Psychological Capital, and Conjugal Communication Patterns in Hospitalized Patients with Ovarian Hyperstimulation Syndrome During in vitro Fertilization-Embryo Transfer Cycles.

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Background: Ovarian hyperstimulation syndrome (OHSS) is a distressing complication of in vitro fertilization-embryo transfer (IVF-ET) that can amplify emotional and psychological burden. Fertility-related stress is influenced by individual psychological resources and the quality of marital communication. However, limited research has examined these associations in patients hospitalized with OHSS.

Objective: To examine the relationship between fertility stress, conjugal communication patterns, and psychological capital in hospitalized patients with OHSS following IVF-ET.

Methods: This cross-sectional study included 185 women admitted to the fertility ward of a tertiary hospital in China between June 2022 and December 2023. Participants completed the Fertility Problem Inventory (FPI), the Psychological Capital Questionnaire (PCQ), and the Chinese version of the Christensen Marital Communication Model Questionnaire. Descriptive statistics, Pearson correlation, and multiple linear regression analyses were conducted using SPSS version 26.0. Outcomes included the level of fertility stress and its associations with conjugal communication, psychological capital, and relevant demographic and clinical predictors.

Results: Participants reported elevated fertility stress (mean ± SD: 155.08 ± 30.58), suboptimal conjugal communication (60.15 ± 24.06), and moderate psychological capital (120.05 ± 18.92). Fertility stress was positively correlated with total avoidance communication (r = 0.373, p < 0.01) and negatively correlated with psychological capital (r = -0.322, p < 0.01). Regression analysis revealed that embryo transfer cycles (β = 9.284, p = 0.007), second pregnancy attempts (β = 11.398, p = 0.049), total avoidance communication (β = 2.080, p < 0.001), and psychological capital (β = -0.337, p = 0.002) were significant predictors of fertility stress.

Conclusion: Maladaptive conjugal communication and diminished psychological capital are significantly associated with heightened fertility stress in OHSS patients undergoing IVF-ET. Integrating psychosocial support to enhance marital communication and psychological resilience may help alleviate stress and improve patient outcomes.

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来源期刊

International Journal of Women's Health OBSTETRICS & GYNECOLOGY-

CiteScore

3.70

自引率

0.00%

发文量

194

审稿时长

16 weeks

期刊介绍： International Journal of Women''s Health is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of women''s healthcare including gynecology, obstetrics, and breast cancer. Subject areas include: Chronic conditions including cancers of various organs specific and not specific to women Migraine, headaches, arthritis, osteoporosis Endocrine and autoimmune syndromes - asthma, multiple sclerosis, lupus, diabetes Sexual and reproductive health including fertility patterns and emerging technologies to address infertility Infectious disease with chronic sequelae including HIV/AIDS, HPV, PID, and other STDs Psychological and psychosocial conditions - depression across the life span, substance abuse, domestic violence Health maintenance among aging females - factors affecting the quality of life including physical, social and mental issues Avenues for health promotion and disease prevention across the life span Male vs female incidence comparisons for conditions that affect both genders.