本文選題：不孕癥 + 女性�。� 參考：《中南大學(xué)》2014年碩士論文

【摘要】：目的 了解女性不孕癥患者心理韌性、自我效能、應(yīng)對(duì)方式和不孕相關(guān)心理應(yīng)激水平的現(xiàn)狀；探討女性不孕癥患者心理韌性、自我效能、應(yīng)對(duì)方式與不孕相關(guān)心理應(yīng)激的關(guān)系,為降低其不孕相關(guān)心理應(yīng)激水平和干預(yù)策略的實(shí)施提供依據(jù)。 方法 選取2013年6月至2013年12月在中南大學(xué)湘雅醫(yī)院、中南大學(xué)湘雅二醫(yī)院和中南大學(xué)湘雅三醫(yī)院3所三級(jí)甲等醫(yī)院住院的女性不孕癥患者共476例作為研究對(duì)象。采用自制的一般資料問(wèn)卷、Connor-Davidson韌性量表(CD-RISC)、一般自我效能感量表(GSES)、簡(jiǎn)易應(yīng)對(duì)方式問(wèn)卷(SCSQ)和生育問(wèn)題調(diào)查問(wèn)卷(FPI)；采用Epidata3.0錄入數(shù)據(jù),使用SPSS18.0和AMOS18.0對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)分析。統(tǒng)計(jì)學(xué)方法有統(tǒng)計(jì)描述、方差分析、Pearson相關(guān)分析、多元線性逐步回歸分析、路徑分析等。 結(jié)果 1女性不孕癥患者不孕相關(guān)心理應(yīng)激得分情況：FPI總分為(159.02±27.28),社會(huì)壓力維度得分(30.72±7.46),夫妻關(guān)系維度得分為(30.21±6.65),父母角色的需要維度得分為(43.09±8.67),拒絕沒(méi)有孩子的生活方式維度得分為(33.51±8.25),性壓力維度得分(21.49±7.93)。 2FPI單因素方差分析結(jié)果顯示：文化程度、居住地、職業(yè)、家庭月收入、付費(fèi)方式、是否獨(dú)生女、家庭類型、與丈夫關(guān)系、生育壓力主要來(lái)源方面女性不孕癥患者的FPI,總分差異有統(tǒng)計(jì)學(xué)意義(P0.05)；多元線性回歸分析顯示：文化程度、居住地、家庭月收入、與丈夫關(guān)系進(jìn)入FPI總分的回歸方程。 3Pearson相關(guān)分析結(jié)果顯示： (1) CD-RISC中堅(jiān)韌維度與FPI中3個(gè)維度得分(社會(huì)壓力、拒絕沒(méi)有孩子的生活方式、性壓力)呈負(fù)相關(guān)(r=-0.257；r=-0.168；r=-0.163,P0.01)；自強(qiáng)維度與FPI中4個(gè)維度得分(社會(huì)壓力、夫妻關(guān)系、拒絕沒(méi)有孩子的生活方式、性壓力)均呈負(fù)相關(guān)(r=-0.331；r=-0.178；r=-0.155；r=-0.280,P0.01)；樂(lè)觀維度與FPI中4個(gè)維度(社會(huì)壓力維度、夫妻關(guān)系維度、拒絕沒(méi)有孩子的生活方式維度、性壓力維度)均呈負(fù)相關(guān)=-0.307；r=-0.163；r=-0.187；r=-0.206,P0.01)。自我效能平均分與FPI中3個(gè)維度(社會(huì)壓力、夫妻關(guān)系、拒絕沒(méi)有孩子的生活方式)呈負(fù)相關(guān)(r=-0.264；r=-0.104；r=-0.184,P0.01)。積極應(yīng)對(duì)與FPI中3個(gè)維度(社會(huì)壓力、拒絕沒(méi)有孩子的生活方式、性壓力)均呈負(fù)相關(guān)(r=-0.255；r=-0.177；r=-0.170,P0.01)；消極應(yīng)對(duì)與FPI中4個(gè)維度(社會(huì)壓力、夫妻關(guān)系、父母角色的需要、性壓力)呈正相關(guān)(r=0.120；r=0.135；r=0.149；r=0.209, P0.01)。 (2)堅(jiān)韌維度與自我效能、積極應(yīng)對(duì)呈正相關(guān)(r=0.534；r=0.459P0.01),與消極應(yīng)對(duì)呈負(fù)相關(guān)(r=-0.152,P0.01)；自強(qiáng)維度與自我效能、積極應(yīng)對(duì)呈正相關(guān)(r=0.501；r=0.445,P0.01),與消極應(yīng)對(duì)呈負(fù)相關(guān)(r=-0.180,P0.01)；樂(lè)觀與自我效能、積極應(yīng)對(duì)呈正相關(guān)(r=0.401；r=0.392,P0.01),與消極應(yīng)對(duì)呈負(fù)相關(guān)(r=-0.113,P0.01)；自我效能與積極應(yīng)對(duì)呈正相關(guān)(r=0.443,P0.01),與消極應(yīng)對(duì)呈負(fù)相關(guān)(r=-0.151,P0.01)。 4路徑分析顯示：樂(lè)觀對(duì)不孕相關(guān)心理應(yīng)激的影響效應(yīng)最大(總效應(yīng)值為-0.210),既有直接負(fù)向效應(yīng)(效應(yīng)值為-0.175),又有間接負(fù)向效應(yīng)(效應(yīng)值為-0.035)；堅(jiān)韌和自強(qiáng)維度對(duì)不孕相關(guān)心理應(yīng)激均為間接負(fù)向效應(yīng)(效應(yīng)值分別為-0.057,-0.046)；自我效能對(duì)不孕相關(guān)心理應(yīng)激為間接負(fù)向效應(yīng)(效應(yīng)值為-0.046)；積極應(yīng)對(duì)方式對(duì)不孕相關(guān)心理應(yīng)激有直接負(fù)向效應(yīng),(效應(yīng)值為-0.175)；消極應(yīng)對(duì)對(duì)不孕相關(guān)心理應(yīng)激有直接正向作用(效應(yīng)值為0.198)。 結(jié)論 1文化程度、居住地、職業(yè)、家庭月收入、付費(fèi)方式、是否獨(dú)生女、家庭類型、與丈夫關(guān)系、生育壓力主要來(lái)源是女性不孕癥患者不孕相關(guān)心理應(yīng)激的影響因素 2堅(jiān)韌、自強(qiáng)、樂(lè)觀三維度與不孕相關(guān)心理應(yīng)激呈負(fù)相關(guān),自我效能與不孕相關(guān)心理應(yīng)激呈負(fù)相關(guān),積極應(yīng)對(duì)與不孕相關(guān)心理應(yīng)激呈負(fù)相關(guān),消極應(yīng)對(duì)與不孕相關(guān)心理應(yīng)激呈正相關(guān)。 3堅(jiān)韌、自強(qiáng)、樂(lè)觀對(duì)不孕相關(guān)心理應(yīng)激有直接和間接負(fù)向影響,自我效能對(duì)不孕相關(guān)心理應(yīng)激有間接負(fù)向影響,應(yīng)對(duì)方式對(duì)不孕相關(guān)心理應(yīng)激有直接影響。自我效能、積極應(yīng)對(duì)和消極應(yīng)對(duì)作為中介變量調(diào)節(jié)心理韌性和不孕相關(guān)心理應(yīng)激的關(guān)系。
[Abstract]:objective
To understand the status of mental resilience, self efficacy, coping style and psychological stress related to infertility in female infertility, and to explore the relationship between psychological resilience, self efficacy, coping style and psychological stress related to infertility in women with infertility, and to provide a basis for reducing the psychological stress level and the implementation of intervention strategies for infertility related infertility.
Method
From June 2013 to December 2013, 476 cases of female infertility hospitalized in Xiangya Hospital of Central South University, Central South University, Central South University and Xiangya Third Hospital of Central South University were studied. The self-made general data questionnaire, Connor-Davidson toughening scale (CD-RISC), and general self-efficacy scale (GSE) were used. S), the simple coping style questionnaire (SCSQ) and the birth problem questionnaire (FPI); the data were recorded by Epidata3.0, and the data were statistically analyzed using SPSS18.0 and AMOS18.0. Statistical description, variance analysis, Pearson correlation analysis, multivariate linear stepwise regression analysis, path analysis, etc.
Result
1 the score of psychological stress related to infertility in women with infertility: the total score of FPI was (159.02 + 27.28), the score of social stress dimension (30.72 + 7.46), the score of relationship dimension of husband and wife (30.21 + 6.65), the score of need dimension of parents' role (43.09 + 8.67), the score of refusing the life style dimension of no children was (33.51 + 8.25), and the dimension of sexual pressure was obtained. The score is (21.49 + 7.93).
2FPI single factor analysis of variance showed that: cultural degree, residence, occupation, family monthly income, payment mode, family type, relationship with husbands, and the main sources of reproductive pressure in women with FPI, the total score difference was statistically significant (P0.05); multiple linear regression analysis showed that cultural degree, residence, The regression equation of family monthly income and husband's relationship entered FPI total score.
The results of 3Pearson correlation analysis show that:
(1) the tenacity dimension of CD-RISC was negatively correlated with the score of 3 dimensions in FPI (social pressure, rejection of no child's lifestyle, sexual stress) (r=-0.257; r=-0.168; r=-0.163, P0.01); the self strength dimension was negatively correlated with the 4 dimensions in FPI (social pressure, husband and wife relationship, refusing to have children's lifestyle, sexual stress) (r=-0.331; r=) -0.178; r=-0.155; r=-0.280, P0.01); the 4 dimensions of optimism and FPI (social pressure dimension, marital relationship dimension, denial of life style dimension, sexual stress dimension) were negatively correlated =-0.307; r=-0.163; r=-0.187; r=-0.206, P0.01). The average score of self efficiency and FPI (social pressure, husband and wife relationship, refusal) No children's lifestyle was negatively correlated (r=-0.264; r=-0.104; r=-0.184, P0.01). Positive responses were negatively correlated with 3 dimensions in FPI (social pressure, refusal to have children's lifestyle, sexual stress) (r=-0.255; r=-0.177; r=-0.170, P0.01); negative coping and FPI 4 dimensions (social pressure, husband and wife relationship, parental role) There was a positive correlation between demand and sexual pressure (r=0.120; r=0.135; r=0.149; r=0.209, P0.01).
(2) the resilience dimension and self-efficacy, positive response (r=0.534; r=0.459P0.01), negative correlation (r=-0.152, P0.01); self strength dimension and self-efficacy, positive response (r=0.501; r=0.445, P0.01), negative correlation (r=-0.180, P0.01); optimism and self-efficacy, positive response is positively correlated (r=). 0.401; r=0.392, P0.01) was negatively correlated with negative coping (r=-0.113, P0.01); self efficacy was positively correlated with positive response (r=0.443, P0.01), and negatively correlated with negative coping (r=-0.151, P0.01).
The 4 path analysis showed that optimism had the greatest impact on psychological stress (total effect value -0.210), both direct negative effect (effect value -0.175) and indirect negative effect (effect value -0.035), and the psychological stress of tenacity and self strength dimension to infertility was indirect negative effect (effect value was -0.057, -0.046, respectively). The effect of self efficacy on infertility related psychological stress was indirect negative effect (effect value -0.046); positive coping style had direct negative effect on infertility related psychological stress, (effect value was -0.175); negative coping had direct positive effect on sterility related psychological stress (the effect value was 0.198).
conclusion
1 cultural degree, residence, occupation, family monthly income, payment method, single child, family type, relationship with husbands, and the main source of reproductive pressure are the factors affecting psychological stress related to infertility in women's infertility.
2 tenacity, self strength, optimism and optimism were negatively correlated with psychological stress related to infertility, self efficacy was negatively correlated with psychological stress related to infertility, positive coping with psychological stress related to infertility was negatively correlated, negative coping was positively correlated with psychological stress related to infertility.
3 tenacity, self-improvement and optimism have direct and indirect negative effects on psychological stress related to infertility, self efficacy has indirect negative influence on infertility related psychological stress, coping style has direct influence on psychological stress related to infertility. Self efficacy, positive coping and negative coping as mediator variables regulate psychological resilience and infertility related psychological stress. The relationship.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R473.71

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