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一种二元方法对不孕压力、婚姻调适及抑郁对不孕夫妇生活质量的影响

A Dyadic Approach to Infertility Stress, Marital Adjustment, and Depression on Quality of Life in Infertile Couples.

作者信息

Kim Ju Hee, Shin Hye Sook, Yun Eun Kyoung

机构信息

Kyung Hee University.

出版信息

J Holist Nurs. 2018 Mar;36(1):6-14. doi: 10.1177/0898010116675987. Epub 2016 Nov 10.

DOI:10.1177/0898010116675987
PMID:29436974
Abstract

PURPOSE

This study was conducted to examine the level of infertility stress, marital adjustment, depression, and quality of life in infertile couples and assess the actor and partner effects in these areas using the actor-partner interdependence model.

DESIGN

Cross-sectional study.

METHOD

Participants were 121 infertile couples. After pilot study, data were collected from November 2012 to March 2013 using the following questionnaires: the Fertility Quality of Life, Fertility Problem Inventory, Revised Dyadic Adjustment Scale, and Beck Depression Inventory.

FINDINGS

There was a gender difference in infertility stress, depression, and quality of life. Infertility stress had actor and partner effects on the quality of life. Marital adjustment had an actor effect on the quality of life for the wives. Depression had actor and partner effects on quality of life for the wives, but only an actor effect for the husbands.

CONCLUSION

This study found that there were actor and partner effects of infertility stress, marital adjustment, and depression on the quality of life in infertile couples. These findings may help nurses be aware of such effects and can be used as a baseline data in the development of nursing interventions for infertile couples.

摘要

目的

本研究旨在探讨不孕夫妇的不孕压力水平、婚姻调适、抑郁状况及生活质量,并运用行为-伴侣相互依赖模型评估这些方面的行为效应和伴侣效应。

设计

横断面研究。

方法

研究对象为121对不孕夫妇。经过预试验后,于2012年11月至2013年3月使用以下问卷收集数据:生育生活质量问卷、生育问题量表、修订版二元调适量表及贝克抑郁量表。

结果

在不孕压力、抑郁及生活质量方面存在性别差异。不孕压力对生活质量有行为效应和伴侣效应。婚姻调适对妻子的生活质量有行为效应。抑郁对妻子的生活质量有行为效应和伴侣效应,但对丈夫只有行为效应。

结论

本研究发现,不孕压力、婚姻调适和抑郁对不孕夫妇的生活质量存在行为效应和伴侣效应。这些研究结果可能有助于护士认识到此类效应,并可作为为不孕夫妇制定护理干预措施的基线数据。

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