比较辅助生殖技术治疗和非辅助生殖技术治疗中与不孕症有关的压力、应对方法和生活质量。

IF 2.1 4区 医学 Q2 OBSTETRICS & GYNECOLOGY Human Fertility Pub Date : 2023-12-01 Epub Date: 2023-01-04 DOI:10.1080/14647273.2022.2163465
Alison Swift, Pamela Reis, Melvin Swanson
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引用次数: 1

摘要

接受辅助生殖技术(ART)治疗的女性会承受与不孕症相关的压力,并且生活质量(QOL)较低。然而,人们对接受非 ART 治疗的女性的不孕症相关压力、应对方法或 QOL 的了解却很有限。本研究旨在探讨接受 ART 和非 ART 不孕不育治疗的女性中与不孕不育相关的压力、应对方式和 QOL。我们采用描述性相关横断面设计,招募了 200 名接受不孕不育治疗的女性。参与者完成了哥本哈根多中心社会心理不孕症(COMPI)不孕症问题压力量表、COMPI应对方式量表、不孕症生活质量工具和不孕症人口调查。数据分析包括描述性统计、独立 t 检验、卡方检验和分层多元回归。与接受抗逆转录病毒疗法治疗的妇女相比,接受非抗逆转录病毒疗法治疗的妇女个人压力更大,使用的主动回避应对方式更多,情感、社交和治疗环境的生活质量更低。接受抗逆转录病毒疗法的妇女使用更多的意义应对方法,但治疗耐受性 QOL 较低。在不孕症治疗组中,压力和应对方式对核心 QOL 的影响各不相同。两个治疗组对情感服务的满意度都很低。无论采用哪种治疗方式,接受不孕症治疗的女性都需要心理健康护理。
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Comparing infertility-related stress, coping, and quality of life among assisted reproductive technology and non-assisted reproductive technology treatments.

Women who undergo assisted reproductive technology (ART) treatments experience infertility-related stress and have low quality of life (QOL). However, there is limited understanding of infertility-related stress, coping, or QOL among women who undergo non-ART treatments. The purpose of this study was to examine infertility-related stress, coping, and QOL among women who undergo ART and non-ART infertility treatments. Using a descriptive correlational cross-sectional design, we recruited 200 women who underwent infertility treatments. Participants completed the Copenhagen Multi-centre Psychosocial Infertility (COMPI) Fertility Problem Stress Scale, COMPI Coping Styles Scale, Fertility Quality of Life tool, and a demographic infertility survey. Data analysis included descriptive statistics, independent t-test, chi-square, and hierarchical multiple regression. Women who underwent non-ART had more personal stress, used more active-avoidance coping, and had lower emotional, social, and treatment environment QOL compared to those in ART treatment. Women who underwent ART treatments used more meaning-based coping but had lower treatment tolerability QOL. Stress and coping contribute to core QOL differently among infertility treatment groups. Both treatment groups report low satisfaction with emotional services. Regardless of the treatment type, women who undergo infertility treatments may need care to address their psychological health.

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来源期刊
Human Fertility
Human Fertility OBSTETRICS & GYNECOLOGY-REPRODUCTIVE BIOLOGY
CiteScore
3.30
自引率
5.30%
发文量
50
期刊介绍: Human Fertility is a leading international, multidisciplinary journal dedicated to furthering research and promoting good practice in the areas of human fertility and infertility. Topics included span the range from molecular medicine to healthcare delivery, and contributions are welcomed from professionals and academics from the spectrum of disciplines concerned with human fertility. It is published on behalf of the British Fertility Society. The journal also provides a forum for the publication of peer-reviewed articles arising out of the activities of the Association of Biomedical Andrologists, the Association of Clinical Embryologists, the Association of Irish Clinical Embryologists, the British Andrology Society, the British Infertility Counselling Association, the Irish Fertility Society and the Royal College of Nursing Fertility Nurses Group. All submissions are welcome. Articles considered include original papers, reviews, policy statements, commentaries, debates, correspondence, and reports of sessions at meetings. The journal also publishes refereed abstracts from the meetings of the constituent organizations.
期刊最新文献
Do sperm and lubricants gel well with each other? A systematic review. Best practice recommendations for medically assisted reproduction in patients with known cardiovascular disease or at high risk of cardiovascular disease. Effect of paternal body mass index on maternal and child-health outcomes of singletons after frozen-thawed embryo transfer cycles: a retrospective study. Evidence based management of patients with endometriosis undergoing assisted conception: British fertility society policy and practice recommendations. Characterising umbilical abdominal wall endometriosis as a distinct subgroup of abdominal wall endometriosis - retrospective cohort study.
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