Status and Influencing Factors of Social Alienation in Infertility Patients

doi:10.12280/gjszjk.20220195

Abstract

Abstract:

Objective: To understand the status of social alienation in infertility patients, and to analyze its influencing factors, so as to provide a reference for nursing intervention in the future. Methods: The convenience sampling method was used to select 208 infertile patients who received in vitro fertilization and embryo transfer (IVF-ET) from The Reproductive Center of The First Hospital of Lanzhou University from July to December 2021. The general data questionnaire, General Alie-nation Scale, Infertility Stigma Scale and Perceived Social Support Scale were used to conduct a cross-sectional survey. SPSS 26.0 software was used for data analysis. Results: The score of social alienation in IVF-ET patients was (38.21±4.30). The score of social alienation was positively correlated with the score of stigma (r=0.520, P<0.01), and negatively correlated with the score of perceived social support (r=-0.271, P<0.01) in IVF-ET patients. The results of multiple linear regression analysis showed that the main factors influencing the social alienation of IVF-ET infertility patients included the patient′s educational level, length of marriage, stigma and perceived social support. Conclusions: There is a certain degree of social alienation in the infertility patients receiving IVF-ET treatment. Medical staff should pay more attention to the patients with low education level and long married life, to reduce the stigma of this group and improve the level of understanding social support of patients, and to reduce the social isolation of patients.

Key words: Infertility, female, Loneliness, Anxiety, Root cause analysis, Social alienation, Stigma

XIE Lei, PEI Meng-yue, DONG Lu, LI Shuai-tong, YANG Yuan, HU Jun-ping. Status and Influencing Factors of Social Alienation in Infertility Patients[J]. Journal of International Reproductive Health/Family Planning, 2022, 41(5): 382-385.

Figures/Tables 3

References 20

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项目	得分（分）	条目均分（分）
社会疏离感
他人疏离感	12.15±2.32	2.43±0.46
怀疑感	10.21±1.71	2.55±0.43
自我疏离感	7.40±1.23	2.47±0.41
无意义感	8.28±0.88	2.76±0.29
病耻辱感
自我贬损	20.75±6.55	2.97±0.95
社会退缩	16.61±4.59	3.32±0.92
周围人群的羞辱	24.04±8.50	2.67±0.94
家庭的羞辱	15.30±5.84	2.55±0.97
领悟社会支持
家庭内支持	19.76±6.51	4.95±1.63
家庭外支持	37.43±11.88	4.68±1.48

项目	得分（分）	条目均分（分）
社会疏离感
他人疏离感	12.15±2.32	2.43±0.46
怀疑感	10.21±1.71	2.55±0.43
自我疏离感	7.40±1.23	2.47±0.41
无意义感	8.28±0.88	2.76±0.29
病耻辱感
自我贬损	20.75±6.55	2.97±0.95
社会退缩	16.61±4.59	3.32±0.92
周围人群的羞辱	24.04±8.50	2.67±0.94
家庭的羞辱	15.30±5.84	2.55±0.97
领悟社会支持
家庭内支持	19.76±6.51	4.95±1.63
家庭外支持	37.43±11.88	4.68±1.48

项目	n	疏离感得分	t或F	P
年龄			2.047	0.132
[20~30）岁	64	37.48±3.65
[30~35）岁	94	38.21±4.21
35岁及以上	50	39.12±5.10
民族			-0.079	0.937
汉族	182	38.20±4.41
少数民族	26	38.27±3.54
居住地			6.367	0.002
城市	112	37.30±3.86
农村	60	39.67±4.68
乡镇	36	38.58±4.36
文化程度			5.771	<0.001
小学及以下	25	41.20±3.25
初中	51	38.39±4.67
高中或中专	50	38.72±3.99
大专	31	37.19±3.66
本科及以上	51	36.67±4.33
婚史			0.476	0.634
初婚	175	38.27±4.23
再婚	33	37.88±4.75
结婚时间			4.931	0.003
小于3年	49	38.00±4.16
[3~5）年	89	38.53±4.34
[5~10）年	52	36.85±3.67
10年及以上	18	41.11±4.40
来自他人的社会压力			4.691	0.003
比较大	107	39.15±4.32
一般	85	37.52±4.17
比较小	9	35.67±3.08
非常小	7	35.43±3.46
与丈夫的关系			4.447	0.013
比较好	152	37.69±4.30
一般	54	39.69±4.04
比较差	2	39.50±3.54

项目	n	疏离感得分	t或F	P
年龄			2.047	0.132
[20~30）岁	64	37.48±3.65
[30~35）岁	94	38.21±4.21
35岁及以上	50	39.12±5.10
民族			-0.079	0.937
汉族	182	38.20±4.41
少数民族	26	38.27±3.54
居住地			6.367	0.002
城市	112	37.30±3.86
农村	60	39.67±4.68
乡镇	36	38.58±4.36
文化程度			5.771	<0.001
小学及以下	25	41.20±3.25
初中	51	38.39±4.67
高中或中专	50	38.72±3.99
大专	31	37.19±3.66
本科及以上	51	36.67±4.33
婚史			0.476	0.634
初婚	175	38.27±4.23
再婚	33	37.88±4.75
结婚时间			4.931	0.003
小于3年	49	38.00±4.16
[3~5）年	89	38.53±4.34
[5~10）年	52	36.85±3.67
10年及以上	18	41.11±4.40
来自他人的社会压力			4.691	0.003
比较大	107	39.15±4.32
一般	85	37.52±4.17
比较小	9	35.67±3.08
非常小	7	35.43±3.46
与丈夫的关系			4.447	0.013
比较好	152	37.69±4.30
一般	54	39.69±4.04
比较差	2	39.50±3.54

变量	赋值	β	SE	标准化β	t	P
常量	-	36.274	2.696	-	13.454	<0.001
居住地	城市=1,农村=2,乡镇=3	0.063	0.386	-0.113	-1.651	0.100
文化程度	小学及以下=1,初中=2,高中或中专=3,大专=4,本科及以上=5	-0.651	0.254	-0.190	-2.562	0.011
结婚时间	小于3年=1,3~5年=2,5~10年=3,10年以上=4	0.552	0.219	0.151	2.518	0.013
来自他人的社会压力	比较大=1,一般=2,比较小=3,非常小=4	-0.305	0.369	-0.052	-0.825	0.410
与丈夫的关系	比较好=1,一般=2,比较差=3	-0.312	0.592	-0.034	-0.528	0.598
病耻感	连续型变量	0.082	0.013	0.434	6.146	<0.001
领悟社会支持	连续型变量	-0.036	0.018	-0.135	-1.997	0.047