Tang Nan, Jia Yingying, Zhao Qing, Liu Huihui, Li Junzheng, Zhang Hongchen, Han Lin, Huangfu Chaoji
Center for Evidence-Based Nursing, School of Nursing, Lanzhou University, Lanzhou, China.
Center for Disease Control and Prevention, Western Theater Command, Lanzhou, China.
Front Psychiatry. 2022 Mar 28;13:830039. doi: 10.3389/fpsyt.2022.830039. eCollection 2022.
The infertility prevalence of married couples in China is increasing gradually. The dyadic coping level and its influencing factors of infertile women in China are poorly reported. The relationship between dyadic coping and the family cohesion and adaptability in infertile women was investigated.
A total of 482 infertile women in the reproductive clinics of three affiliated hospitals of the Lanzhou University were selected by the convenience sampling method. The self-made general information questionnaire, family adaptability and cohesion evaluation scale, and dyadic coping questionnaire were used in this study.
The average age of infertile women was 31.73 ± 4.57 years, the duration of infertility was 28.66 ± 27.99 months, the total score of dyadic coping was 132.66 ± 25.49, the total score of family cohesion and adaptability was 101.48 ± 20.96. A significant positive correlation between dyadic coping and family cohesion and adaptability was observed ( = 0.74, < 0.01). The multiple linear regression analysis showed that religious belief, number of miscarriages, relationship between family members, family intimacy, and adaptability were the influencing factors of dyadic coping level in the family of infertile women ( = 0.566, < 0.01).
The dyadic coping level of infertile women is in the medium level, which is significantly positively correlated with family intimacy and adaptability. In clinical nursing, nurses try to improve the family relationship of patients to increase the level of dyadic coping of infertile women.
中国已婚夫妇的不孕不育患病率正逐渐上升。目前关于中国不孕女性的二元应对水平及其影响因素的报道较少。本研究旨在探讨不孕女性的二元应对与家庭凝聚力和适应性之间的关系。
采用便利抽样法，选取兰州大学3家附属医院生殖门诊的482例不孕女性作为研究对象。本研究使用了自制的一般资料问卷、家庭适应性和凝聚力评估量表以及二元应对问卷。
不孕女性的平均年龄为31.73±4.57岁，不孕时间为28.66±27.99个月，二元应对总分132.66±25.49，家庭凝聚力和适应性总分101.48±20.96。二元应对与家庭凝聚力和适应性之间呈显著正相关（=0.74，<0.01）。多元线性回归分析显示，宗教信仰、流产次数、家庭成员关系、家庭亲密度和适应性是不孕女性家庭二元应对水平的影响因素（=0.566，<0.01）。
不孕女性的二元应对水平处于中等水平，与家庭亲密度和适应性显著正相关。在临床护理中，护士应努力改善患者的家庭关系，以提高不孕女性的二元应对水平。
