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江苏卫生事业管理:2022,Vol.>>Issue(11):1505-1510
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辅助生殖助孕患者负面情绪状况及影响因素分析△
李煜阳,马誉铷,龙艳喜,徐 丽,田治花,唐 莉,苏真芳,王华伟*
(昆明医科大学第一附属医院生殖遗传科)
Correlation Analysis of Negative Factors on Affecting Infertility Patients with Assisted Reproduction Technology△
LI Yuyang,MA Yuru,LONG Yanxi,XU Li,TIAN Zhihua,TANG Li,SU Zhenfang,WANG Huawei*
(Department of Genetics and Reproduction,the First Affiliated Hospital of Kunming Medical University)
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中文摘要: 目的:探讨辅助生殖患者助孕过程中产生紧张、担心、害怕等负面情绪的原因和可能的解决方案,为减少辅助生殖助孕者负面因素影响提供依据。方法:选取2021年8-9月在昆明医科大学第一附属医院生殖遗传科开展辅助生殖助孕的301例患者为研究对象,收集患者基本信息、负面情绪、常见的造成患者产生负面情绪的因素及相关诉求,将患者分为轻度负面情绪组和重度负面情绪组,进行数据统计分析。结果:轻度负面情绪组和重度负面情绪组患者在基本资料,如年龄、地区、学历、职业、经济收入等方面无统计学差异,在就诊方式、家庭和社会压力、睡眠、食欲状况、就诊过程中男方配合度及倾诉过程是否顺利等方面,两组之间存在统计学显著差异(P<0.05)。回归分析提示家庭社会压力、睡眠状况及食欲等因素和负面情绪呈相关性。科学普及辅助生殖相关专业知识、优化就诊流程、建立流畅的沟通渠道、医生提高助孕成功率、单位落实相关政策支持等是减少患者负面情绪的重要途径。结论:辅助生殖助孕者负面情绪受家庭和社会压力、睡眠及食欲等多因素影响,而通过医院、家庭及社会等多方面给予配合和支持是减少其负面情绪,提高辅助生殖助孕成功率的关键。
Abstract:Objective:To explore the causes and possible solutions of negative emotions such as tension,worry,fear,etc. in the process of assisted reproduction technology(ART),so as to provide the evidence for reducing the impact of negative factors in assisted reproduction. Methods:A total of 301 patients who were treated with ART from department of Genetics and Reproduction,the First Affiliated Hospital of Kunming Medical University between August and September of 2021 were recruited here. They were classed to mild and severe negative emotions groups,and the basic information,commonfactors on causing negative emotion and related appeals were also collected and analyzed here,and performed the statistical analysis. Results:The results showed that no significant difference was detected for the data on age,region,education,occupation,income between mild and severe negative emotions groups(P > 0.05). However,the significant differences were detected for the factors including way of seeking medical treatment,pressure suffered from the family and society,the quality of sleep and diet,corporation attitude from husband,whether the confession could be well responded between two groups(P<0.05). The logistic analysis result indicated that pressure suffering from the family and society,the lower quality of sleep and diet were correlated with negative emotions. The dissemination of scientific knowledge,optimize the process for visiting doctor,establishing the communication channels between patients and doctors,family members,and so on,improving the pregnancy rate,as well as offering feasible system for the leave to visit the doctor,which would benefit for reducing the occurrence of negative emotions on ART patients. Conclusion:The negative emotions of women with ART were affected by family and social pressure,quality of sleep and diet,and so on. More cooperation and policy support from doctors,families and workplace could reduce their negative emotions and improve pregnancy of ART.
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基金项目:上海市胚胎源性疾病重点实验室开放课题(She2020006);云南省科技厅面上项目(2019FB096);昆明医科大学教改项目(2019-JY-Y-053);云南省卫生健康委员会高层次医学学科带头人基金(D-2017007) 上海市胚胎源性疾病重点实验室开放课题(She2020006);云南省科技厅面上项目(2019FB096);昆明医科大学教改项目(2019-JY-Y-053);云南省卫生健康委员会高层次医学学科带头人基金(D-2017007)
引用文本:
李煜阳,马誉铷,龙艳喜,徐 丽,田治花,唐 莉,苏真芳,王华伟*.辅助生殖助孕患者负面情绪状况及影响因素分析△[J].江苏卫生事业管理,2022,33(11):1505-1510.
LI Yuyang,MA Yuru,LONG Yanxi,XU Li,TIAN Zhihua,TANG Li,SU Zhenfang,WANG Huawei*.Correlation Analysis of Negative Factors on Affecting Infertility Patients with Assisted Reproduction Technology△[J].Jiangsu Health System Management,2022,33(11):1505-1510.

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