目的 探讨供精人工授精女性患者建档日的焦虑抑郁情况,分析其影响因素。方法 采用便利抽样法,选取2020年1月—2021年5月在我院生殖中心就诊的525例供精人工授精女性患者,于建档日采用一般资料问卷、焦虑自评量表、抑郁自评量表及社会支持评定量表对其进行调查,采用多重线性回归分析焦虑、抑郁的影响因素。结果 供精人工授精女性患者焦虑标准总分为（41.20±8.52）分,焦虑检出率为21.4%;抑郁标准总分为（43.66±12.88）分,抑郁检出率为28.2%。多重线性回归分析结果显示：家庭年均收入和社会支持为供精人工授精女性患者建档节点焦虑及抑郁的主要影响因素（P<0.05）。结论 供精人工授精女性患者建档节点存在不同程度的焦虑抑郁情绪,建议医护人员重点关注家庭年收入较低,社会支持水平较低的患者,优化检查及就诊流程,减少其来回医院就诊次数,节省其开支;针对性对患者夫妇给予指导,让患者感受到更多来自家庭和丈夫的关爱;建立同病种患者交流群,定期开展沙龙活动,帮助供精人工授精女性患者获得来自群体的支持。从而,缓解其焦虑抑郁。
Abstract
Objective To explore the prevalence of anxiety and depression in female patients undergoing artificial insemination with donor sperm (AID) on the filing day and analyze its influence factors. Methods A convenience sampling was used to select 525 female patients undergoing AID who were treated in Reproductive Center of Guangdong provincial Fertility Hospital from January 2020 to May 2021. A questionnaire survey was conducted with a self-designed general information questionnaire, Self-rating Anxiety Scale(SAS), Self-rating Depression(SDS) and Social Support Rating Scale (SSRS) on the filing day. Multiple linear regression was used to analyze its influencing factors. Results The incidence of anxiety was 21.4% and the standard total score of anxiety 41.20±8.52, while the incidence of depression was 28.2% the standard total score of anxiety 43.66±12.88. Multivariate regression analysis showed that annual family income and social support were main influencing factors of anxiety and depression(P<0.05). Conclusion There are different degrees of anxiety and depression on filing day of female patients undergoing AID and it is recommended that medical staff focus on patients with low annual family income and low level of social support, optimize the examination and treatment process, reduce the number of hospital visits and save their expenses; Provide targeted guidance to couples, so that patients feel more care from their families and husbands; Establish a communication group with the same disease, and regularly carry out salon activities to help female patients undergoing AID to obtain support from the group. Thus, relieves their anxiety and depression.
关键词
供精人工授精 /
女性患者 /
心理状态 /
社会支持
Key words
AID /
female patient /
mental state /
social support
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基金
广东省卫生健康委医学科研项目（B2019169）
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