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接受辅助生殖技术的患者的应对方式、心理困扰及生活质量差异:一项潜在剖面分析

Coping Profiles and Differences in Psychological Distress and Quality of Life in Clients Undergoing Assisted Reproductive Techniques: A Latent Profile Analysis.

作者信息

Bai Jie, Zheng Jinxia, Guo Nafei, Dong Yueyan, Wang Ke, Cheng Cheng, Jiang Hui, Qian Lin

机构信息

Shanghai Key Laboratory of Maternal-Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, People's Republic of China.

Nursing Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, People's Republic of China.

出版信息

J Multidiscip Healthc. 2024 Feb 5;17:533-540. doi: 10.2147/JMDH.S444053. eCollection 2024.

Abstract

PURPOSE

Receiving assisted reproductive technology is stressful due to its long-lasting process, which might pose negative impacts on clients' psychological well-being and quality of life. This study was to investigate coping profiles among couples undergoing assisted reproductive technology and examine their associations with psychological distress and quality of life.

METHODS

This cross-sectional study was conducted at the IVF center of a specialized hospital in Shanghai, China. Of 502 eligible clients completed a structured, online survey of socio-demographic information, Dyadic Coping Inventory, Kessler Psychological Stress Scale, and Fertility quality of life. Coping profiles were identified using latent profile analysis and differences between identified profiles on psychological distress and quality of life were examined using analyses of covariance.

RESULTS

A three-profile solution was supported: low dyadic coping group (n = 168, 33.50%), moderate dyadic coping group (n = 241, 48.00%), and high dyadic coping group (n = 93, 18.50%). Significant differences between those groups were found in psychological distress and quality of life.

CONCLUSION

The findings of this study have revealed dyadic coping profiles in clients undergoing assisted reproductive technology, which are differentially associated with psychological distress and quality of life.

摘要

目的

接受辅助生殖技术因其过程漫长而压力重重,这可能会对客户的心理健康和生活质量产生负面影响。本研究旨在调查接受辅助生殖技术的夫妇的应对模式,并检验它们与心理困扰和生活质量的关联。

方法

这项横断面研究在中国上海一家专科医院的体外受精中心进行。502名符合条件的客户完成了一项关于社会人口学信息、二元应对量表、凯斯勒心理压力量表和生育生活质量的结构化在线调查。使用潜在剖面分析确定应对模式,并使用协方差分析检验所确定模式在心理困扰和生活质量方面的差异。

结果

支持三种模式的解决方案:低二元应对组(n = 168,33.50%)、中度二元应对组(n = 241,48.00%)和高二元应对组(n = 93,18.50%)。这些组在心理困扰和生活质量方面存在显著差异。

结论

本研究结果揭示了接受辅助生殖技术的客户的二元应对模式,这些模式与心理困扰和生活质量存在不同的关联。

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