不孕症患者焦虑及影响因素

目的：调查不孕症患者的焦虑情况及其影响因素。方法：使用自行设计的一般资料问卷和焦虑自评量表对2013年6月至2014年6月在中南大学湘雅医院妇科门诊、生殖门诊和中信湘雅生殖与遗传专科医院就诊的306例不孕症患者进行问卷调查。结果：被测不孕症患者的焦虑发生率为61.4%。单因素分析结果显示：不孕症患者在因年龄、结婚年限、不孕年限、接受辅助生育技术次数、不孕原因、治疗费用、就诊次数等因素导致的焦虑中差异均有统计学意义(P<0.05)。多因素分析结果显示：接受辅助生育技术次数和不孕原因来源等因素与不孕症患者焦虑有关。其中不孕症患者结婚年限高、医疗费用高和患者接受辅助生育技术次数是焦虑阳性的危险因素,而不孕原因来源于夫妻双方是焦虑阴性的保护因素。结论：不孕症存在治疗过程复杂、治疗时间长、治愈率较低的特点,这些客观因素会引发并加重患者的心理负担,进而导致焦虑,这使得不孕症患者成为焦虑症状高发人群。

Anxiety status and influential factors in patients with infertility

Objective: To investigate the anxiety status of infertile patients and the infl uential factors.Methods: A questionnaire survey was performed in 306 infertile patients, who were consulted in Xiangya Hospital, Central South University, and Productive and Genetic Hospital of CITIC-Xiangya from June, 2013 to June, 2014. A self-designed questionnaire and general information onthe anxiety due to infertility were used in the investigation.Results: Th e anxiety incidence for the participants was 61.4%. Th e single factor analysis showed that some information about the patients, including ages, marriage age, duration of infertility, number of reproductive technological intervention, infertility sources, the cost of treatment and the number of infertility clinic visits, signifi cantly aff ected the anxiety of infertile patients (P<0.05).The multivariate analysis showed that the number of reproductive technological intervention and infertile causes was related to the anxiety of infertile patients. Among them, the number of reproductive intervention more than 6 times was the risk factor for the low score of anxiety whilethe infertile causes from both spouses were the protective factor for low scores of anxiety.Conclusion: Infertility treatment are of complexity and long duration with the relatively low curerate, which may cause and aggravate the patient's psychological burden, leading to the anxiety. As aresult, infertility patients were the high-risk groups for anxiety symptoms.