女性不孕症患者及其配偶二元应对现状分析

目的探讨女性不孕症患者及其配偶二元应对现状,对患者与配偶二元应对策略的差异进行因素分析。方法以一般资料问卷、夫妻支持应对量表为测量工具,采用方便抽样方法对195对女性不孕症患者及其配偶进行调查研究。结果共回收188对患者及配偶有效问卷,不孕症患者及配偶二元应对水平均处于正常偏低水平,患者与配偶自身压力沟通、感知压力沟通、自身代办支持应对、感知代办支持应对、自身消极支持应对、感知消极支持差异有统计学意义(P<0.05)。患者与配偶自身积极支持应对、感知积极支持应对、共同支持应对及应对评价差异无统计学意义(P>0.05)。不同居住地、结婚年限、文化程度、职业、平均月收入、独生子女、不孕时间患者二元应对得分差异有统计学意义(P<0.05);不同居住地、结婚年限、文化程度、职业、月平均收入配偶二元应对得分差异有统计学意义(P<0.05)。多重线性回归模型结果显示,文化程度、月平均收入是患者二元应对得分的影响因素,结婚年限、文化程度、月平均收入是配偶二元应对得分的影响因素(P<0.05)。结论不孕症患者与配偶二元应对水平均有待提高且二元应对策略具有差异。

The status quo analysis of dyadic coping in infertility patients and their spouses

ObjectiveTo explore the status quo of dyadic coping in infertility patients and their spouses, and to analyze the factors of differences in dyadic coping strategies between patients and their spouses.MethodsWith general information questionnaires and Dyadic Coping Inventory(DCI) as measurement tools, a convenient sampling method was used to investigate and study 195 female infertility patients and their spouses.ResultsA total of 188 pairs of valid questionnaires were collected for patients and their spouses. The dyadic coping level of infertility patients and their spouses was at a low normal level. There were statistically significant differences in the patients and their spouses with respect to stress communication,perceived pressure communication, self-agency supportive, perceived agency supportive, self-negative support coping, and perceived negative support coping(P＜0.05). The differences of self-positive support coping, perceived positive support coping, co-response and response evaluation between patients and their spouses was not statistically significant(P＞0.05). There are statistically significant differences in the dyadic coping scores of patients with different residences, years of marriage, education level, occupation, average monthly income, the only child, and duration of infertility(P＜0.05). Significant differences were found in spouses' dyadic coping scores with respect to different residences, years of marriage, education level, occupation and average monthly income(P＜0.05). The results of multiple linear regression model showed that education level and average monthly income were the influencing factors of patients' dyadic coping score, while year of marriage, education level, and average monthly income were the influencing factors of spouse's dyadic coping score(P＜0.05). ConclusionThe dyadic coping levels of infertility patients and their spouses need to be improved. and the dyadic coping strategies are different.