国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2019, Vol. 38 ›› Issue (3): 201-205.

• 论著 • 上一篇    下一篇

接受供精人工授精夫妇生育压力和生活质量研究

罗丽燕，史莉，赵阳   

  1. 100191 北京大学第三医院生殖医学中心
  • 收稿日期:2019-02-13 修回日期:2019-04-02 出版日期:2019-05-15 发布日期:2019-05-16

Study on Fertility Stress and Life Quality in Couples Undergoing Artificial Insemination by Donor

LUO Li-yan，SHI Li，ZHAO Yang   

  1. Reproductive Medicine Center，Peking University Third Hospital，Beijing 100191，China
  • Received:2019-02-13 Revised:2019-04-02 Published:2019-05-15 Online:2019-05-16

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摘要： 目的：调查接受供精人工授精（AID）夫妇的生育压力与生活质量，了解生育压力和生活质量的关系，为这些夫妇进行心理和生活质量干预时提供理论依据。方法：采用患者夫妇一般情况调查表、生育压力量表（FPI量表）和生活质量量表（FertiQoL量表）对北京大学第三医院2018年5—9月生殖中心门诊就诊的129对准备接受AID助孕的夫妇进行横断面调查，比较夫妇双方生育压力和生活质量的差异，分析生育压力和生活质量之间的关系。结果：接受AID的女性患者FPI总分为（159.00±17.52）分，FertiQoL总分为（62.27±9.26）分；男性配偶FPI总得分为（153.91±19.96）分，男性配偶FertiQoL总分为（65.12±11.62）分。女性FPI总分高于男性（t=2.436，P=0.016），女性无子女压力维度得分高于男性（t=3.145，P=0.002）。男性FertiQol总分高于女性（t=-2.881，P=0.005），女性情感反应维度得分高于男性（t=3.681，P=0.000），男性身心关系维度得分高于女性（t=-11.401，P=0.000）。Pearson 相关分析结果显示，接受AID助孕的女性FPI总分及性压力、夫妻关系、父母角色需求压力三个维度与其生活质量呈负相关（P＜0.05），接受AID男性配偶FPI总分和社会压力、性压力、夫妻关系维度、父母角色需求压力这4个维度与其生活质量呈负相关（P＜0.05）。多重线性回归显示，生育压力、居住地、文化程度是影响接受AID助孕女性患者生活质量的重要影响因素（F=3.485，R2=0.168，P＜0.05），生育压力、文化程度、家庭月收入是影响接受AID助孕男性配偶生活质量的重要影响因素（F=4.390，R2=0.203，P＜0.01）。结论：接受AID女性患者生育压力高于男性配偶，生活质量低于男性配偶；生育压力是影响AID夫妇生活质量的重要因素，夫妇双方生育压力越大，生活质量越低。

关键词: 授精, 人工（非丈夫供体）, 生殖技术, 辅助, 生活质量, 生育压力

Abstract: Objective：To investigate the fertility stress and life quality in those couples undergoing artificial insemination by donor (AID), and to provide a theoretical reference for the psychological intervention. Methods：The cross-sectional survey was carried out in 129 infertile couples using the Fertility Question Inventory (FPI) scale and the Fertility Quality of Life (FertiQoL) scale who were undergoing AID in our hospital from May 2018 to September 2018. The fertility stress and life quality in husband and wife, and the relationship between the fertility stress and life quality were analyzed. Results：The total FPI score in female patients undergoing AID was 159.00±17.52, and the total FertiQoL score 62.27±9.26. The total FPI score in those husbands was 153.91±19.96, and the total FertiQoL score 65.12±11.62. The total score of fertility stress (t=2.436, P=0.016) and the childless stress dimension score (t=3.145, P=0.002) in wives were higher than those in husbands. The total FertiQoL score (t=-2.881, P=0.005) and the body-mind dimension score (t=-11.401, P=0.000) in husbands were higher than those in wives, while the affective response dimension score (t=3.681, P=0.000) in wives was higher than that in husbands. Pearson analysis showed that there were negative correlations between the total FertiQoL score and the total fertility stress score, or sexual concern score, relationship concern score, or the need for parenthood score in FPIin wives (P＜0.05), and that there were negative correlations between the FertiQoL and the fertility stress score, or other dimension score except need for parenthood score in FPI in husbands (P＜0.05). Multiple linear regression analysis showed that the fertility stress, culture degree and residence place were three main factors of the life quality in wives (F=3.485, R2=0.168, P＜0.05), and that the fertility stress, education degree and family monthly income were three main factors of the life quality in husbands (F=4.390, R2=0.203, P＜0.01). Conclusions：The fertility stress of female patients undergoing AID was higher than that of male spouses, and the life quality of female patients is also lower than that of male spouses. The fertility stress is often an important factor of the life quality. The greater fertility stress, the lower life quality.

Key words: Insemination, artificial, heterologous, Reproductive techniques, assisted, Quality of life, Fertility stress