对女性不孕症患者心理和家庭功能现状调查研究

目的对照调查女性不孕症患者和正常生育女性的心理状况和对家庭的满意度，为心理干预和综合治疗不孕症提供依据。方法采用焦虑自评量表（self - rating anxiety scale, SAS）、抑郁自评量表（self- rating depression scale, SDS）及家庭关怀度指数问卷（包含适应度Adaptation、合作度Partnership、成熟度Growth、情感度Affection、亲密度Resolve5项内容，简称APGAR问卷）作为测评工具，对211例女性不孕症患者和200例正常已婚生育女性进行对照测评。结果不孕组女性SAS评分和SDS评分（38．44±6．49、56．31±9．05）均显著高于正常对照组（29．35±4．7l、39．27±7．32，P〈0．01）；不孕组女性家庭功能良好者（48．34％）明显低于正常对照组（87．00％，P〈0．01），家庭功能中度障碍和家庭功能严重障碍者（44．55％、7．11％）明显高于正常对照组（13．00％、0％，P〈0．01）。家庭收入是引起焦虑和家庭功能障碍的主要因素，年龄是引起抑郁的主要因素。结论不孕女性的总体心理健康状况较差，她们承受着巨大的身体痛苦和心理压力，尤其年轻患者，在承受医疗诊治带来的痛苦的同时，还承受着家庭及社会和工作的压力。建议重视不孕患者的心理变化，采取将心理疏导纳入医学治疗过程的综合性手段进行治疗，使患者得到家庭和社会的关怀，减缓心理压力，提高治疗效果。

The investigation on the psychological health and the family function status of infertile females

Objective To provide scientific basis for psychological intervention and comprehensive treatment through investigating the psychological health and the family function status of infertile females and normal married females. Methods Self - rating anxiety scale （ SAS）, Self - rating depression scale （SDS） and Family APGAR Index （including Adaptation,Partnership,Growth,Affection,Resolve, short for APGAR）was used as evaluation tools to 211 patients with sterility and 200 normal married females. Results The scores of SAS,SDS（38.4±4 ± 6. 49,56. 31 ± 9.05） in infertile group were significantly higher than those in the normal married group （29.35 ± 4. 71,39.27 ±7. 32, P 〈 0. 01 ）. The cases getting good scores of family function in infertile group（48.34% ） were absolutely fewer than that in the normal married group （87.0%, P 〈 0. 01 ）. The cases of moderately insufficient （44.55%） and seriously insufficient （7.11%） of family function in infertile group were much more than that in normal married group （P 〈0. 01 ）. The main factors resulting to the anxiety state and insufficient family function was family economic incomes and meanwhile the main factor of the depression state was the age. Conclusion Infertile women that they endured great physical and psychological pain had worse psychological condition in generally especially younger infertile women not only under the sorrow during the diagnosis and treatment but also the great pressure from family, society and works. It suggested that psychological condition change of infertile women should be emphasized and dredging psychotherapy should be added into the comprehensive therapy that improve clinical curative effects and paid more care of family and society to the patients.