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不孕女性的心理健康及其与人口统计学因素和生育史的关系:一项横断面研究。

Psychological well-being of infertile women and its relationship with demographic factors and fertility history: a cross-sectional study.

机构信息

Department of Midwifery and Reproductive, Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Rashid Yasemi St., Valiasr St., Tehran, 1996713883, Iran.

Department of Obstetrics and Gynecology, Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

BMC Womens Health. 2021 Jan 12;21(1):22. doi: 10.1186/s12905-020-01167-3.

Abstract

BACKGROUND

Infertility leads to a wide range of psychological injuries that may reduce psychological well-being. This study aimed to determine the psychological well-being of infertile women and its relation with demographic factors and fertility history.

METHODS

This cross-sectional study was conducted on 300 infertile women referred to three infertility centres, Tehran, Iran. The sampling was continuous. We collected data from a self-generated demographic and fertility questionnaire and Ryff's Psychological Well-being Scale (PWB). Data analysis was done by independent t-test, one way ANOVA. The significance level was set at P < 0.05.

RESULTS

The results showed that there was no significant relationship between demographic variables including age, occupation of each couple, spousal's education, economic status and place of residence with PWB, but the mean score of PWB was significantly different in women's educational levels (P = 0.03). There was also a significant difference between the mean score of PWB among different groups in the duration of marriage (P = 0.01). Fertility characteristics variables include the duration of infertility, duration of treatment of infertility, and current treatment were not the relation with PWB. However, the mean score of PWB in the number of IVF (P = 0.003) and the failed IVF pregnancies (P = 0.01) had a significant statistical difference.

CONCLUSION

The results showed that PWB related to several variables. Paying attention to these variables can help in the preparation and development of counseling or educational programs.

摘要

背景

不孕导致广泛的心理伤害,可能会降低心理健康水平。本研究旨在确定不孕女性的心理健康状况及其与人口统计学因素和生育史的关系。

方法

这是一项横断面研究,在伊朗德黑兰的三个不孕中心对 300 名不孕妇女进行了研究。采用连续抽样方法。我们从自我生成的人口统计学和生育问卷以及 Ryff 的心理幸福感量表(PWB)中收集数据。采用独立 t 检验、单因素方差分析进行数据分析。显著性水平设为 P<0.05。

结果

结果表明,人口统计学变量(包括年龄、夫妻双方的职业、配偶的教育程度、经济状况和居住地)与 PWB 之间无显著关系,但女性受教育程度的 PWB 平均得分存在显著差异(P=0.03)。在婚姻持续时间方面,不同组别的 PWB 平均得分也存在显著差异(P=0.01)。生育特征变量(包括不孕持续时间、不孕治疗持续时间和当前治疗)与 PWB 无关。然而,IVF 次数(P=0.003)和 IVF 失败妊娠次数(P=0.01)的 PWB 平均得分存在显著的统计学差异。

结论

结果表明,PWB 与多个变量有关。关注这些变量有助于准备和制定咨询或教育计划。

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