Phromyothi Valaikorn, Virutamasen Pramuan
Department of Counseling Psychology, Assumption University, Bangkok 10240, Thailand.
J Med Assoc Thai. 2003 May;86(5):425-9.
The determinant factors and the anxiety level of infertile couples during the treatment of in vitro fertilization and embryo transfer were studied in 60 infertile couples between 1 January to 31 May 2000. The instruments employed in the study were Personal and Health Data Questionnaire, the Cornell Medical Index, and the Determinant Factors of Anxiety. The average age was between 36-40 years old, holding a Bachelor's degree and working in private companies earning a monthly income between 10,000-20,000 Baht. Most infertile couples wanted to have a child in order to fulfill the meaning of being a "family" and were anxious about the treatment. The couples in general did not have any background of emotional disturbance. Women were found to have a slightly higher anxiety than men. The determinant factors of anxiety were found to be the side-effects of the infertility treatment, inadequate time to consult with the physician/nurse, the outcome of the infertility treatment, possibility to possibility of not succeeding/infertility cannot be treated and the process of the diagnostic procedures accordingly. The results of the study will serve as a guideline for improving better services and understanding between the physician and the patient regarding the expectations of the IVF treatment.
2000年1月1日至5月31日期间,对60对不孕夫妇在体外受精和胚胎移植治疗过程中的决定因素及焦虑水平进行了研究。本研究采用的工具包括个人与健康数据问卷、康奈尔医学指数以及焦虑决定因素量表。平均年龄在36至40岁之间,拥有本科学历,在私人公司工作,月收入在10,000至20,000泰铢之间。大多数不孕夫妇想要孩子是为了实现“家庭”的意义,并且对治疗感到焦虑。这些夫妇总体上没有任何情绪障碍背景。发现女性的焦虑程度略高于男性。焦虑的决定因素包括不孕治疗的副作用、与医生/护士咨询的时间不足、不孕治疗的结果、治疗不成功/不孕无法治疗的可能性以及相应的诊断程序过程。研究结果将作为改善服务以及医生与患者之间关于体外受精治疗期望的理解的指导方针。