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反复种植失败患者的生育质量分析及其影响因素。

The analysis of fertility quality of life and the influencing factors of patients with repeated implantation failure.

机构信息

Nursing Department of Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, 197 Ruijin 2nd Road, Shanghai, 200025, China.

Reproductive Medical Center of Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, 197 Ruijin 2nd Road, Shanghai, 200025, China.

出版信息

Health Qual Life Outcomes. 2021 Jan 25;19(1):32. doi: 10.1186/s12955-021-01666-3.

Abstract

BACKGROUND

The objective of this study was to investigate the current status of fertility quality of life (QoL) and explore the influencing factors for infertile women with repeated implantation failure (RIF).

METHODS

The sample consisted of 137 infertile women with RIF who were under treatment from January 2019 to December 2019 in the Reproductive Medical Center of Ruijin Hospital, affiliated with Shanghai Jiaotong University School of Medicine in China. A general information questionnaire, FertiQoL scale, perceived social support scale (PSSS), self-rating anxiety scale (SAS), and self-rating depression scale (SDS) were used to analyse the fertility QoL and related factors of RIF patients.

RESULTS

The total fertility QoL score of RIF patients was 60.44 ± 11.60. The results of multivariate regression analysis showed that residence, financial difficulties, male infertility, BMI index, depression, and family social support were the main factors that influenced the fertility QoL of RIF patients (adjusted R = 0.762).

CONCLUSION

Based on the results of this study, RIF patients' psychological status must be addressed. Corresponding interventions such as building a sound family and social support system, creating a good medical environment and offering diverse health education should be provided to improve the fertility QoL of RIF patients.

摘要

背景

本研究旨在调查反复种植失败(RIF)不孕女性的生育生活质量(QoL)现状,并探讨其影响因素。

方法

本研究采用便利抽样法,选取 2019 年 1 月-12 月在上海交通大学医学院附属瑞金医院生殖医学中心接受治疗的 137 例 RIF 患者为研究对象。采用一般资料问卷、FertiQoL 量表、领悟社会支持量表(PSSS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者的生育 QoL 及相关因素进行分析。

结果

RIF 患者的总生育 QoL 评分为 60.44±11.60。多元回归分析结果显示,居住地、经济困难、男方因素、BMI 指数、抑郁、家庭社会支持是影响 RIF 患者生育 QoL 的主要因素(调整 R²=0.762)。

结论

基于本研究结果,必须关注 RIF 患者的心理状况。应提供相应的干预措施,如建立健全的家庭和社会支持系统、创造良好的医疗环境和提供多样化的健康教育,以提高 RIF 患者的生育 QoL。

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