体外受精-胚胎移植治疗前患者的心理压力及影响因素分析

摘要

目的 了解体外受精-胚胎移植(IVF-ET)接受者治疗前的心理压力状况,并探讨影响心理压力的相关因素.方法 随机抽取准备在我院生殖中心行IVF-ET治疗的115例不育患者为研究对象,采用一般情况调查表(GSIS)、中文版知觉压力量表(CPSS)、艾森克个性问卷(EPQ)和生活事件量表(LES)进行调查及相关分析.结果 IVF-ET治疗前患者CPSS量表分为(26.47±5.12),高于中国女性常模(24.68±5.61),差异有显著性(t=3.01,P<0.01).CPSS量表分与年龄、EPQ-N、EPQ-P、LES家庭生活事件、LES社交及其他事件呈正相关(P均<0.01),与兴趣爱好、社会支持和经济状况呈负相关(P均<0.01).多元逐步回归分析显示,年龄、兴趣爱好、EPQ-N、LES家庭生活事件、社会支持和经济状况等变量与IVF前心理压力密切相关.结论 准备接受IVF-ET治疗的患者存在明显的心理压力,年龄、兴趣爱好、性格、家庭生活事件、社会支持和经济状况等因素对其心理压力状态影响较大.%Objective: To analyze the psychological stress status of the patients before in vitro fertilization and embryo transfer (IVF-ET), and explore the related factors of the psychological stress.Methods: The General Status Invested Score (GSIS), Chinese Perceived Stress Scale (CPSS),Eysenck Personality Questionnaire (EPQ) and Life Event Scale (LES) were used to test 115 patients before the IVF-ET treatment. The results were processed by a correlation analysis.Results: The CPSS scores (26. 47± 5. 12) of patients were significantly higher than norm scores (24.68±5.61) (P＜0.01). There were significantly positive correlations between the score of CPSS and the age, EPQ-N, EPQ-P, family's event factor scores of LES, social intercourse and other event factor scores of LES (P＜0.01). The significant negative correlations were found between the score of CPSS and the hobbies, social support, economic condition (P ＜ 0. 01). Regression analysis showed that the stress correlated signifieanlly with the age, hobbies, family history, EPQ-N, family's event factor scores of LES, social support, and economic condition.Conclusions: The patient preparing to accept the treatment of IVF-ET showed obvious psychological stress. The stress correlated with the age, hobbies, character, family's event factor, and economic condition.