智障儿童父母的心理健康与生育意愿之间的关联：生殖教育的基础
The association of psychological well-being and fertility intention in parents of children with intellectual disability: A foundation for reproductive education.
作者信息
Sheidanik Sepideh, Savabi-Esfahani Mitra, Ghamarani Amir, Erfani Amir
机构信息
MSc Student of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
J Educ Health Promot. 2021 Jan 28;10:13. doi: 10.4103/jehp.jehp_679_20. eCollection 2021.
INTRODUCTION
Childbearing is an important event in a couple's life. The parents might have children with disability that affected on their well-being after the children's birth. Well-being considered as an important aspect of a couple's quality of life which may alter the future of their fertility. The present study was conducted to the association of psychological well-being and fertility intention in parents with educable intellectually disabled children.
METHODS
The study was a cross-sectional descriptive research conducted on parents of children with intellectual disability ( = 386). Parents were selected randomly of schools of exceptional education and welfare. The data were collected using Ryff's scale of psychological well-being, demographic information, and fertility intention questionnaire. Data were analyzed using descriptive and analytical tests including independent -test, Chi-square test, Mann-Whitney U-test, and Logistic regression.
RESULTS
The majority of parents (83.9%) reported the negative infertility intention. Despite the mean score of well-being in parents without fertility intention (75.71 ± 11.67) was lower than parents with fertility intention (76.90 ± 11.27), the difference was not statistically significant ( > 0.05). The logistic regression analysis indicated that the parents' age and number of children with intellectual disability were predictors of fertility intention ( < 0.05), and their increase decreased the fertility intention.
CONCLUSION
It seems that the lack of difference in psychological well-being scores between the two groups of parents might be due to the equal severity of disability in children. The results also indicated parents' age and the number of children correlated with fertility intention. The findings can be used to advance counseling programs in the field of healthy reproduction for this group of parents.
引言
生育是夫妻生活中的一件大事。孩子出生后，父母可能会生育有残疾的子女，这会影响他们的幸福感。幸福感被认为是夫妻生活质量的一个重要方面，可能会改变他们未来的生育意愿。本研究旨在探讨有可教育智力残疾儿童的父母的心理健康与生育意愿之间的关联。
方法
本研究是一项横断面描述性研究，对象为智障儿童的父母（n = 386）。父母是从特殊教育和福利学校中随机选取的。使用Ryff心理健康量表、人口统计学信息和生育意愿问卷收集数据。采用描述性和分析性检验进行数据分析，包括独立样本t检验、卡方检验、曼-惠特尼U检验和逻辑回归。
结果
大多数父母（83.9%）表示有消极的生育意愿。尽管无生育意愿的父母的幸福感平均得分（75.71±11.67）低于有生育意愿的父母（76.90±11.27），但差异无统计学意义（P>0.05）。逻辑回归分析表明，父母的年龄和智障儿童的数量是生育意愿的预测因素（P<0.05），且它们的增加会降低生育意愿。
结论
两组父母心理健康得分缺乏差异似乎是由于儿童残疾严重程度相同。结果还表明，父母的年龄和孩子数量与生育意愿相关。这些发现可用于推进针对这组父母的健康生殖领域的咨询项目。
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