School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
Hum Fertil (Camb). 2022 Jul;25(3):540-547. doi: 10.1080/14647273.2021.1871781. Epub 2021 Jan 12.
This is a cross-sectional study with the objective to examine the relationships between infertility-related stress, family sense of coherence and quality of life of Chinese couples with infertility in Hong Kong. A convenience sample of 135 Chinese couples were recruited at the subfertility clinics of the Family Planning Association of Hong Kong. Data were collected using the Fertility Problem Inventory, Family Sense of Coherence Scale and Fertility Quality of Life. Path analysis was used for data analysis. The results showed that infertility-related stress had a negative association with the quality of life of infertile couples and family sense of coherence mediated the effect of infertility-related stress on quality of life for both partners. The infertility-related stress of women had a negative association with their husbands' quality of life. Infertile women had more infertility-related stress and a lower quality of life than their husbands. The findings provide new insights into the importance of family sense of coherence in facilitating couples' adjustment to infertility. Culturally competent heath care interventions should be developed to strengthen family sense of coherence among Chinese couples with infertility and help them reduce their infertility-related stress, thus improving their quality of life.
这是一项横断面研究，旨在探讨香港不孕夫妇的不孕相关压力、家庭凝聚力感与生活质量之间的关系。本研究采用便利抽样法，选取香港计划生育协会的不孕诊所的 135 对中国夫妇作为研究对象。采用生育问题清单、家庭凝聚力感量表和生育生活质量量表收集数据。采用路径分析法进行数据分析。结果表明，不孕相关压力与不孕夫妇的生活质量呈负相关，家庭凝聚力感在不孕相关压力对双方生活质量的影响中起中介作用。女性的不孕相关压力与丈夫的生活质量呈负相关。不孕女性的不孕相关压力比丈夫更大，生活质量更低。研究结果为家庭凝聚力感在促进夫妇适应不孕方面的重要性提供了新的见解。应制定具有文化适应性的医疗干预措施，以增强不孕中国夫妇的家庭凝聚力感，并帮助他们减轻不孕相关压力，从而提高他们的生活质量。
