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一项关于不孕对女性生活质量影响的调查:病例对照研究。

An investigation of the effects of infertility on Women's quality of life: a case-control study.

机构信息

Department of Public Health, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran.

Public Health Center, 563 Hampshire Road, Apt 273, Westlake Village, CA, 91361, USA.

出版信息

BMC Womens Health. 2019 Sep 4;19(1):114. doi: 10.1186/s12905-019-0805-3.

Abstract

BACKGROUND

Human instinctively desire to have offspring. Infertility can cause painful emotional experiences throughout the life mainly known as quality of life impairment. This study aimed to investigate the impact of infertility on a woman's quality of life.

METHODS

A number of 180 infertile and 540 fertile women participated in this matched case-control study. The cases were selected through a combination of multistage stratified and cluster sampling methods. For each infertile woman three fertile women were randomly selected. The data gathering instrument consisted of demographic variables and the WHOQOL-BREF questionnaire. Data collection was conducted through interview with participants. The multivariate marginal model and SPSS software 21 were used for data analyses with a significance level of 0.05.

RESULTS

The results of the multivariate modeling show infertility can potentially affect various aspects of women's quality of life such as physical health (p <  0.001), mental health (p <  0.001), social health (p <  0.001) and the total score of quality of life (p <  0.001) significantly.

CONCLUSION

An infertile woman practice a relatively lower scores in QOL sub-scales of mental, physical and environmental health; while they experience a higher social health score than a fertile woman.

摘要

背景

人类本能地渴望生育后代。不孕不育会导致女性在整个生命周期中经历痛苦的情感体验,主要表现为生活质量受损。本研究旨在探讨不孕对女性生活质量的影响。

方法

本项匹配病例对照研究纳入了 180 名不孕女性和 540 名生育女性。采用多阶段分层和聚类抽样相结合的方法选择病例。每例不孕女性随机选择 3 名生育女性作为对照。数据收集工具包括人口统计学变量和 WHOQOL-BREF 问卷。通过与参与者面谈收集数据。采用多元边际模型和 SPSS 21 软件进行数据分析,显著性水平为 0.05。

结果

多变量建模结果表明,不孕可能会对女性生活质量的各个方面产生潜在影响,如身体健康(p<0.001)、心理健康(p<0.001)、社会健康(p<0.001)和生活质量总分(p<0.001)。

结论

不孕女性在心理、生理和环境卫生健康方面的生活质量子量表中得分相对较低,而在社会健康方面的得分高于生育女性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3883/6727411/d16f09e83d4d/12905_2019_805_Fig1_HTML.jpg

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