不孕患者心理健康状况的影响因素分析

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摘要目的调查不孕患者不良情绪、焦虑和抑郁的情况及其影响相关因素，为今后的治疗提供建议。方法选取北京市大兴区妇幼保健院2019年1～12月收治的205例不孕患者作为研究对象，填写一般资料调查表、症状自评量表SCL-90、宗氏焦虑量表及宗氏抑郁量表，将数据整理、量化并赋值，对不孕患者的不良情绪‘抑郁情绪及焦虑情绪应用单因素分析和多因素Logistic回归分析。结果在不孕患者中不良情绪发生率为24.88%，焦虑情绪发生率为19.02%，抑郁情绪发生率为20.00%。不孕治疗时间（β=0.538，OR=1.713，95%CI=1.114～2.634）是不良情绪的危险因素（P<0.05），收入（β=-0.334，OR=0.716，95%CI=0.523～0.980）和社会支持（β=-2.911，OR=0.054，95%CI=0.023～0.130）是不良情绪的保护因素（P<0.05）；居住地（β=0.985，OR=2.678，95%CI=1.189～6.032）和未孕时间（β=1.228，OR=3.415，95%CI=1.834～6.358）是焦虑情绪的危险因素（P<0.05），社会支持（β=-1.786，OR=0.168，95%CI=0.074～0.377）是焦虑情绪的保护因素（P<0.05）；治疗费用（β=0.552，OR=1.738，95%CI=1.029～2.933）是抑郁情绪的危险因素，文化程度（β=-0.280，OR=0.756，95%CI=0.543～0.949）和社会支持（β=-2.949，OR=0.052，95%CI=0.020～0.135）是抑郁情绪的保护因素（P<0.05）。结论不孕症是与生理、心理和社会问题相关的疾病，患者容易出现不良情绪、焦虑情绪及抑郁情绪，治疗时间、居住地、未孕时间及治疗费用是上述情绪的危险因素，收入、文化程度及社会支持是其保护性因素，多给予社会支持能更好地治疗不孕症。

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关键词 ：不孕症, 不良情绪, 焦虑, 抑郁, 影响因素

Abstract：Objective To investigate the situation of unhealthy emotions,anxiety and depression in infertile patients and the related factors,so as to provide suggestions for the future treatment.Methods A total of 205 infertile patients from January 2019 to December 2019 in Beijing Daxing District Maternal and Children Health Care Hospital were selected as the research objects.General information questionnaire,symptom self-assessment scale SCL-90,Zong anxiety scale and Zong depression scale were filled in.The data were sorted,quantified and assigned.The negative emotions,depression and anxiety of infertile patients were analyzed by chi square test,the related risk factors of multiple factors were analyzed by Logistic regression,and LR backward stepwise method was selected..Results Among infertile patients,the incidence of bad mood was 24.88%,the incidence of anxiety was 19.02%,and the incidence of depression was 20.00%.Infertility treatment time (β=0.538,OR=1.713,95%CI=1.114-2.634) was a risk factor for bad mood (P<0.05),income (β=-0.334,OR=0.716,95%CI=0.523-0.980) and social support (β=-2.911,OR=0.054,95%CI=0.023-0.130)were protective factors for bad mood (P<0.05); residence (β=0.985,OR=2.678,95%CI=1.189-6.032) and non-pregnancy time (β=1.228,OR=3.415,95%CI=1.834-6.358) were risk factors for anxiety (P<0.05),social support (β=-1.786,OR=0.168,95 %CI=0.074-0.377) was a protective factor for anxiety(P<0.05); treatment cost (β=0.552,OR=1.738,95%CI=1.029-2.933) was a risk factor for depression,education level (β=-0.280,OR=0.756,95%CI=0.543-0.949) and social support (β=-2.949,OR=0.052,95%CI=0.020-0.135) were the protective factors of depression (P<0.05).Conclusion Infertility is a disease related to physiological,psychological and social problems.Patients are prone to have unhealthy emotions,anxiety and depression.Treatment time,residence,time of infertility and treatment cost are the risk factors of the above emotions.Income,cultural level and social support are the protective factors.More social support can better treat infertility.

Key words： Infertility Unhealthy emotions Anxiety;Depression Influence factors

基金资助:北京市大兴区妇幼保健院院级课题项目（2018008）

作者简介: 门晓亮（1980-），女，硕士，副主任医师，研究方向：妇科内分泌

引用本文:

门晓亮；李丹凤；王若珂；赵丽萍. 不孕患者心理健康状况的影响因素分析[J]. 中国当代医药, 2020, 27(36): 178-182转187.
MEN Xiao-liang LI Dan-feng WANG Ruo-ke ZHAO Li-ping▲.

Analysis of factors influencing mental health status of infertile patients

#br#. 中国当代医药, 2020, 27(36): 178-182转187.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2020/V27/I36/178

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