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接受宫内人工授精和体外受精治疗的夫妇的不孕压力

Infertility Stress in Couples Undergoing Intrauterine Insemination and Fertilization Treatments.

作者信息

Awtani Manisha, Mathur Kamayani, Shah Sandeep, Banker Manish

机构信息

Senior Counselor, Nova IVI Fertility, Ahmedabad, India.

Professor and Head of the Department, Department of Psychology, Gujarat University, Ahmedabad, India.

出版信息

J Hum Reprod Sci. 2017 Jul-Sep;10(3):221-225. doi: 10.4103/jhrs.JHRS_39_17.

Abstract

AIM

The main aim of the study was to assess the stress levels of husbands and wives undergoing intrauterine insemination (IUI) and fertilization (IVF) treatments, and also to observe whether the stress levels differed between the methods of treatments.

MATERIALS AND METHODS

This research focused on 120 infertile couples who underwent IUI and Fertilization-Intra Sperm Cytoplasmic sperm Injection (IVF-ICSI) at an infertility clinic from April 2014 to November 2014. Sixty couples who underwent each method of treatment were selected using purposive sampling technique. Fertility Problem Inventory (Newton ., 1999) was used to collect the data after obtaining their consent.

STATISTICAL ANALYSIS

Statistical analysis was performed at descriptive (mean, standard deviation, and Kolmogorov test) and inferential (analysis of variance, ANOVA) levels.

RESULTS AND CONCLUSION

The prevalence of global stress was very high in couples undergoing IUI and IVF treatments, as found by descriptive analysis [mean = 149.95, standard deviation (SD) = 29.76]. Considering the various subscales, stress related to the need for parenthood was found to be high (mean = 45.95, SD = 9.53). Infertility stress (global) was higher among wives when compared to their husbands ( = 9.408; = 0.002), and the same was noted on the domains of need for parenthood ( = 10.145; = 0.002), social concern ( = 11.107; = 0.001), and sexual concern ( = 4.013; = 0.046). No difference in the levels of global stress was observed when both the modes of treatments were compared ( = 0.180, = 0.672). For couples, infertility stress showed no significant difference irrespective of whether they underwent IUI or IVF.

摘要

目的

本研究的主要目的是评估接受宫内人工授精(IUI)和体外受精(IVF)治疗的夫妻的压力水平,并观察不同治疗方法之间的压力水平是否存在差异。

材料与方法

本研究聚焦于2014年4月至2014年11月期间在一家不孕不育诊所接受IUI和卵胞浆内单精子注射体外受精(IVF-ICSI)的120对不孕不育夫妇。采用目的抽样技术选取了每种治疗方法各60对夫妇。在获得他们的同意后,使用生育问题量表(牛顿等人,1999年)收集数据。

统计分析

在描述性(均值、标准差和柯尔莫哥洛夫检验)和推断性(方差分析,ANOVA)水平上进行统计分析。

结果与结论

描述性分析发现,接受IUI和IVF治疗的夫妇中总体压力的患病率非常高[均值 = 149.95,标准差(SD)= 29.76]。考虑到各个子量表,发现与生育需求相关的压力较高(均值 = 45.95,SD = 9.53)。与丈夫相比,妻子的不孕压力(总体)更高(F = 9.408;P = 0.002),在生育需求(F = 10.145;P = 0.002)、社会关注(F = 11.107;P = 0.001)和性关注(F = 4.013;P = 0.046)等领域也是如此。比较两种治疗方式时,总体压力水平未观察到差异(F = 0.180,P = 0.672)。对于夫妇来说,无论接受IUI还是IVF,不孕压力均无显著差异。

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