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[不孕女性生活质量的结构模型]

[A structural model for quality of life of infertile women].

作者信息

Kim Ju Hee, Shin Hye Sook

机构信息

Department of Nursing, Dankook University, Cheonan, Korea.

出版信息

J Korean Acad Nurs. 2013 Jun;43(3):312-20. doi: 10.4040/jkan.2013.43.3.312.

Abstract

PURPOSE

The purpose of this study was to test a model for quality of life among infertile women. This model was based primarily on the concept of the Fertility Quality of Life by Boivin et al. (2011) and the Infertility Resilience Model by Rindenour (2009).

METHODS

Fifteen measurable variables were used to estimate quality of life. They included endogenous variables such as fertility quality of life and resilience, and exogenous variables such as infertility related stress, depression, marital adjustment, and family support. Data sets (n=203) used for analysis were collected in a general hospital which had, on average, 400 assisted reproductive technologies per month.

RESULTS

The assessment of the modified model indicated acceptable fit, with chi2/d.f=2.07, GFI=.90, AGFI=.89, NFI=.89, CFI=.91, RMSEA=.07. Depression, infertility related stress, marital adjustment, resilience, and family support had direct influences on quality of life.

CONCLUSION

The results of this study should contribute to the development of nursing intervention programs to enhance quality of life using factors that affect fertiQol (fertility quality of life) of infertile women.

摘要

目的

本研究旨在测试一个针对不孕女性生活质量的模型。该模型主要基于博伊文等人(2011年)提出的生育生活质量概念以及林德努尔(2009年)提出的不孕适应力模型。

方法

使用15个可测量变量来评估生活质量。这些变量包括生育生活质量和适应力等内生变量,以及不孕相关压力、抑郁、婚姻调适和家庭支持等外生变量。用于分析的数据集(n = 203)是在一家平均每月有400例辅助生殖技术案例的综合医院收集的。

结果

对修正模型的评估显示拟合度可接受,卡方/自由度 = 2.07,GFI = 0.90,AGFI = 0.89,NFI = 0.89,CFI = 0.91,RMSEA = 0.07。抑郁、不孕相关压力、婚姻调适、适应力和家庭支持对生活质量有直接影响。

结论

本研究结果应有助于开发护理干预项目,利用影响不孕女性生育生活质量的因素来提高生活质量。

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